Sinusitis FAQ

Long term Bactoban usage, etc.

Question:

In my practice we have not used Bactroban ointment for more than one month. It you need this for longer periods, probably requires a different approach to your problem. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net

Response:

When the nose is excessively dry, keeping it moist helps a great deal. Important to use moisturizer without preservatives. Try to secure a copy of Classification of Cilio- Inhibiting effects of Nasal Drugs by Paul Merkus in April Laryngoscope. He shows that most medications with preservative benzalkonium are cilio inhibitory and reports Locke-Ringer as best. Most of my patients with your history have benefitted by daily use of this as a spray. Also helpful, warm – hot compresses over the nose and sinus areas. Avoid fumes. Pulsatile irrigation to remove thick phlegm and encourage circulation. The suggestion that nothing can be done is not what we find in our patients. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net

Response:

What about long term Bactroban use? "ENTconsult" <entcons…@aol.com> wrote in message

news:20010612234957.19064.00003477@ng-fi1.aol.com… – Hide quoted text — Show quoted text -> When the nose is excessively dry, keeping it moist helps a great deal. > Important to use moisturizer without preservatives. Try to secure a copy of > Classification of Cilio- Inhibiting effects of Nasal Drugs by Paul Merkus in > April Laryngoscope. He shows that most medications with preservative > benzalkonium are cilio inhibitory and reports Locke-Ringer as best. > Most of my patients with your history have benefitted by daily use of this as a > spray. > Also helpful, warm – hot compresses over the nose and sinus areas. Avoid fumes. > Pulsatile irrigation to remove thick phlegm and encourage circulation. > The suggestion that nothing can be done is not what we find in our patients. > Murray Grossan, M.D. > http://www.ent-consult.com > http://www.TinnitusRelief.net

Response:

I’ve found that Bactroban used in saline irrigation (1 inch Bactroban in 8 oz. saline 2X/day) is effective in controlling my sinusitis.  Does anyone know anything about long-term daily use of Bactroban?  I think I remember the ENT telling me that there’s no risk of the bacteria building resistance to Bactroban because it works in a different way than "standard" antibiotics. On a related note, has anyone had success with grapefruit seed extract (specfically Nutribiotic GSE) in saline irrigation? One more question: I only have problems with my left sinus – is this normal or is it an indication of a specific problem?  The left sinus is constantly geting dried out and then infection sets in.  I don’t have a problem with congestion and my mucus usually doesn’t get yellow or green – fatigue is my primary symptom.  I also smell a "rotting" smell inside my sinuses.  I am especially prone to get an infection after vigorous excercise.  As previously mentioned, I irrigate twice a day and used saline spray in between if I’m feeling dry.  I saw an interesting suggestion on Dr. Grossan’s site that eating a food that causes excess mucus can help – milk does that for me, but I avoid it because all the sinus books say to avoid dairy.  I might try a small glass of milk each day and see if that helps. I had FESS in 1997 and only recently learned that the surgeon removed a LOT of tissue, so I was wondering if I was suffering from Empty Nose Syndrome in my left sinus.  My last visit was to the head of Otolaryncology at a major medical school and he said there was nothing that can be done to improve my condition.

Response:

Filed under: Sinusitis Causes

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