Hypertrophied turbinates managed by Kshara karma

Nasal obstruction is the most common complaint of patients in ENT practice. In Ayurveda, this condition is explained under the name “ Nasanaha ” (~nasal obstruction). Nasal obstruction can be seen in disease conditions like deviated nasal septum, nasal mass, allergic rhinitis, and hypertrophied turbinate. Among them, medical and surgical methods can manage deviated nasal septum and hypertrophied turbinates. Medical management includes nasal decongestants which can cause rebound congestion. Surgical management also has some limitations like nasal synechiae formation and postoperative bleeding. Kshara karma (~therapeutic application of caustic material), a parasurgical procedure, can be used effectively in this condition. We presented a 27-year-old female who was unable to perform daily chores due to symptoms such as severe nasal obstruction, headache, and nasal discharge, diagnosed as Nasanaha with deviated nasal septum and hypertrophic turbinate in both nasal cavities. In this case, Kshara pratisarana (~external application of alkali) was done on both sides of the nostrils, which resulted in a decrease in the size of the hypertrophied right inferior turbinate from Grade 3 to Grade 2 and hypertrophied left inferior turbinate reduced from Grade 2 to Grade 1. The patient had complete relief from nasal obstruction, nasal discharge, and headache. Moreover, nonrecurrence of symptoms was reported after 66 days of the third follow-up. The case report inferred that the application of Kshara (~alkali) is an effective, convenient, and economical treatment modality in the management of hypertrophy of nasal turbinate.