Sarfraz Latif, Naveed Aslam.
Treatment of allergic rhinitis by 25% Silver Nitrate cauterization.
Proceeding Shaikh Zayed Postgrad Med Inst Jan ;18(2):69-72.

A series of 50 patients were closely assessed prospectively to determine the effectiveness, untoward effects and patient acceptance of new method of treatment of allergic rhinitis by 25% silvernitrate application. Age range was 14-45 years except one who was 55 years old. This study describes the technique, uses and results obtained following the application of 25% silvernitrate on the inferior turbinate in patients with allergic rhinitis. Each patient was evaluated regularly which based on both subjective response and clinical examination. We selected only patients having complain of nasal obstruction (92%), rhinorrhoea (82%) and sneezing (88%). Silvernitrate 25% was used after topical anaesthesia 4% xylocaine with adrenaline and three applications were used after interval of one week. Successful relief was obtained with improvement in nasal obstruction (86%) sneezing (84%) and rhinorrhoea (68%). Regarding complications no major complication were noted except, mild to moderate pain, nasal congestion and inc reased rhinorrhoea and all were temporary for one or two days and relieved by taking analgesics. In this study we found in follow up 4 patients still had nasal obstruction (8%), 7 patients with rhinorrhoea (14%) and sneezing in 2 patients (4%). This new method was found to be simple, easy and effective. It is based on the astringent effect of local application of silvernitrate solution.

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