Nasal synechiae or nasal adhesions are among the most common unwanted outcomes following functional endoscopic sinus surgery (FESS) with an incidence rate of 10%–40%. Approximately 500,000 patients per year undergo FESS for the treatment of chronic rhinosinusitis (CRS). A wide number of research studies support the utility of endoscopic sinus surgery to improve health-related quality of life (HRQoL) in patients with CRS. However, failures are still reported at a rate up to 26%. About 50% who present with synechiae in the middle meatus require revision endoscopic sinus surgery. A case report of a 48-year old-male has been presented here with complaints of nasal blockage and difficulty in breathing, diagnosed as nasal synechiae after anterior rhinoscopy and endoscopic examination and managed with Ayurvedic intervention.
Kshara karma
with
Apamarga Kshara
is the choice of management in case of nasal polyp and turbinate hypertrophy [
1
]. But in nasal synechiae, since we have to cut open the adhesion precisely,
Kshara Sutra
,
which is meant for cutting open the tract in case of fistula-in-ano was chosen. Nasal synechiae which was managed only with electrocautery or other surgical procedures where there is a chance of recurrence can be successfully managed with an Ayurvedic intervention viz.,
Kshara
S
utra
which is strictly new to this site of occurrence (nose).
(1) Rationale for this case report: The current treatment modality for oligodendroglioma is surgical intervention and radiation treatment. This case report shows the effective management with Ayurvedic treatment of a case diagnosed as Grade II oligodendroglioma which was posted for resection and chemotherapy. The MRI results after treatment clearly suggest the significant reduction of the Grade II oligodendroglioma. (2) Presenting concerns: A 26-year young lady who was diagnosed with the Grade II oligodendroglioma was admitted in the hospital. She was posted for the excision, resection, chemotherapy and radiotherapy. The features were suggestive of Grade II oligodendroglioma has been diagnostic by MRI. (3) Interventions: Panchakarma procedures including the snehana, svedana, virechana, nasya and kayaseka was started along with internal medications and surgery was deferred because the patient responded positively. (4) Outcomes: The outcome of this case study reveals that there was significant reduction of the Grade II oligodendroglioma. (5) Main lesson(s) from this case report: Non-surgical intervention of Grade II oligodendroglioma demonstrating the reduction. Multiple clinical trials should be conducted to establish this treatment as general treatment for the oligodendroglioma.
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