Role Of Alpha-Tocopherol Acetate On Nasal Respiratory Functions: Mucociliary Clearance And Rhinomanometric Evaluations In Primary Atrophic Rhinitis

Primary atrophic rhinitis is a disease of the nose and of paranasalsinuses characterized by a progressive loss of function of nasal and paranasal mucosa caused by a gradual destruction of ciliary mucosalepithelium with atrophy of serous-mucous glands and loss of bonestructures.The aim of this study was to evaluate the therapeutic effects of topic alpha-tochopherol acetate (vitamin E) in patients with primary atrophicrhinitis based on subjective and objective data.We analyzed 44 patients with dry nose sensation and endoscopic evidence of atrophic nasal mucosa. We analyzed endoscopic mucosascore, anterior rhinomanometry, and nasal mucociliary clearance before and after 6 months of topic treatment with alpha-tochopherol acetate. For statistical analysis, we used paired samplesttest (95% confidence interval [CI],P< .05) for rhinomanometric and muciliary transit time evaluations and analysis of variance 1-way test (95% CI,P< .05) for endoscopic evaluation. All patients showed an improvement in "dry nose" sensation and inperception of nasal airflow. Rhinomanometric examination showed increase of nasal airflow at follow-up (P< .05); nasal mucociliaryclearance showed a reduction in mean transit time (P< .05); and endoscopic evaluation showed significative improvement of hydration of nasalmucosa and significative decreasing nasal crusts and mucusaccumulation (P< .05). Medical treatment for primary atrophic rhinitis is not clearly documented in the literature; in this research, it was demonstrated that alpha-ochopherol acetate could be a possible treatment for atrophic rhinitis.