Further observations on the effect of cortisone and acth in the treatment of allergic rhinitis

Nasal polyposis

“…The systemic use of steroids as suggested by Stewart & Kawa (1953, 1954), Dolowitz & Dougherty (1961 and Stewart (1963), and the local use of steroids as described by Stewart & Kawa (1954) and Myers (1958) have proved more useful in some cases.…”

“…Oral steroids, rather than ACTH as suggested by Stewart & Kawa (1953, 1954, would be more acceptable and would enable the patients to be followed up at intervals in the Out-Patient Department. Electrocautery or trimming of the turbinates has not featured as a treatment for patients in this series, but is used at the Ear, Nose and Throat Hospital, Glasgow, where turbinate hypertrophy is present alone. Zinc ionization has not been used in this series of patients.…”

“…Despite the fact that many authorities believe that allergy is responsible for nasal polyposis (Kern & Schenck, 1934;Stewart & Kawa, 1953, 1954Hargrove, 1954;Silberg & Catchpole, 1956;Hajos, 1959;Schenck, 1959;Weisskopf & Burns, 1959;Hlavacek, 1962;Stewart, 1963;Sanders, 1964;Blumstein, 1966), there were ninety-one cases of unilateral disease which would tend to lend weight to an aetiology of localized disease such as local vasomotor imbalance, as suggested by Golding-Wood (1961 and Walsh (1950).…”

Treatment of Chronic Vasomotor Rhinitis with Clinico-Pathological Study of Vidian Nerve Section in 150 Cases

“…All types of therapy-oral route, injections, topical applications, sprays, packs and intranasal injections-have been used. Stewart and Kawa (1954) reported significant Treatment of Chronic Vasomotor Rhinitis histopathological changes in the nasal mucosa of cases of allergic rhinitis following the use of corticosteroids.…”