Drops are associated with lot of controversies. ENT Surgeons
can't live without it, paediatricians hate it and others have
importance of the Eustachian tube (ET) function can't be underrated.
The moment the ET is blocked by a URTI the middle ear cleft
is in jeopardy.
This can happen
in one of the following conditions mentioned below:
- In children an adenoid hypertrophy and
sepsis can cause an inflammation to ET orifice.
- In adults recurrent nasal allergy with septal deflection nasal
polyposis can cause ET block.
- Allergy and inflammation can cause overall inflammation of
nasal cavity and sinus stasis which subsequently results in
septic Post Nasal Drip (PND) which can cause ET inflammation.
Judicious use of nasal drops can prevent all these causes.
the treatment of upper respiratory catarrh the nasal
drops is the first and emergency measure preceeding
antibiotics, anti allergy and nasal decongestant medications.
We see a number of cases of intractable CSOM improved
and cured with use of Nasal Drops along with systemic
|The most effective
way of using the Nasal Drops are
Apply it in time and in necessary frequency.
- Apply it in proper position (see figure)
- Apply it in proper concentration. (E.g. Saline Nasal Drops are
useful only in newborn and infants).
- Do not sniff violently or squeeze the nose after applying nasal
drops. Allow it to drip slowly and try to retain it in the nasal
cavity as long as possible for better absorption.
- If someone has to survive only on nasal drops he or she
will require more investigates to probe for a surgical cure.
(E.g. Septal deflection or Polyposis)
- Rhinitis medicamatosa is a theoretical condition seldom
seen in practice.
- The possibility of blocked nose causing increase in BP in
hypertensive is more probable than a nasal drops causing
- Patients should be instructed to throw away the metal cap
of the Nasal Drop bottle and use the filler-cover of the
bottle to close the bottle to avoid contamination.