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Volume 14 Issue 1 (January) 2025

Original Articles

A clinical study on the safety and efficacy of treatment of nasal Rhinosporidiosis between conventional excision of mass with base cautery as compared to cautery excision of mass and application of hydrogen peroxide inside the nasal cavity
Akash Adhikary, Chandan Seth, Sonali Jana, Kumar Shankar De, Neha Basu, Prof. (Dr.) Bivas Adhikary

Aims: To compare recurrence rates if 2 methods of Rhinosporidiosis excision in early lesions of the nasal cavity. Materials and methods: Over the period of 1 year, 30 patients who presented with rhinosporidial masses in the nasal cavity were selected. The patients were then randomly divided into 2 groups. One group got the conventional treatment of excision of the mass follower by cautery of the base of the lesion, while in the second group, the lesion was first completely cauterised, and then removed from the base. After removal from the base, the second group additionally had 3% hydrogen peroxide applied to the base of the mass and in the nasal cavity near the regions where the lesion had been present. Results: Of the patients in the first group who underwent the conventional treatment, 2 returned with recurrence after a period of 7-8 months, despite strict advice regarding lifestyle modification. The patients did not have any history of pond bathing after their first surgery. None of the patient in the second group had any recurrence. The difference between the 2 groups had no statistical significance in terms of their recurrence. The t-value was 1.4676, while the p-value was 0.076679. The result was not significant at p < 0.05. Conclusion: Our observation shows that there may be marginally improved outcomes in patient who undergo cautery of the rhinosporidial mass followed by excision and application of topical hydrogen peroxide, when compared to the conventional technique of excision followed by base cautery. This may be due to either spore inactivation or due to lesser spillage since the entire lesion is being cauterised. Further studies, as outlined in our limitations, should be done to establish the same.

 
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