Of course prevention consists of not removing ciliated mucosa.
Treatment is a combination of irrigation and antibacterial ointments and
saline.
I place the patient on saline irrigations - isotonic or slightly hypotonic
- using the Water Pik dental irrigator and an attachment that reduces the
pressure to 5 PSI and fits the nose. This also irrigates the sinuses. The
pulsation thins the mucus,  removes crusts at low pressure, and moves the
cilia back and forth at 20 pulses per second. The pulsation helps bring
circulation to the area.
If indicated I add Bactroban Ointment delivered directly from the tube.
The patient is instructed to use saline nasal spray at least 3x a day.
Important: many patients are sensitive to the preservative in prepared
saline. I have them make it themselves and refill the prepared spray bottle.

Murray Grossan, M.D.  http://www.ent-consult.com  tell a friend




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