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In long-standing cases of chronic sinus disease and atrophic rhinitis with intranasal crust formation and in some cases of postoperative sinus trouble in which there is extensive dryness with crusting, the problem of dealing effectively with this accumulated debris is a major one. The dried secretions and crusts in the nasal cavities and sinuses act as an ideal culture medium for bacteria, and in a short time an offensive odor is present, in many cases amounting to definite ozena.
Ordinary cleansing of the nose with water, a saline solution or some antiseptic solution has been done by the patient as well as by his physician but with unsatisfactory results. The solutions remove the crusts by a mechanical process and in this way remove also any normal mucus present. The removal of crusts is usually incomplete, and as the remaining ones accumulate there is further drying of the underlying mucous membrane
SILCOX LE. A NEW NASAL CLEANSING AGENT. Arch Otolaryngol. 1943;38(5):504. doi:10.1001/archotol.1943.00670040523013
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