Home Treatments Archives - Deviated Septum Surgery

Practicing yoga doesn’t fix a deviated septum, but it does help open the blocked nasal passage and provide relief from symptoms such as nasal congestion, sinusitis, runny nose, snoring, and nose bleeding.

Yoga for Deviated Septum – Recommended Breathing Exercises

Here are the best yoga breathing exercises that you can do for your deviated septum…

Pranayama: Pranayama is a yogic technique performed to voluntarily control breathing. It can be practiced twice daily for 10-20 minutes. Pranayam includes cycles of inhaling and exhaling. It can be performed sitting on bed, floor, or chair by sitting straight without moving neck or shoulder and without exerting any strain. Research suggests that practicing breathing exercises for three months significantly improves the symptoms.¹Singh, Ram & Wilczynska, Agnieszka & Fedacko, Jan & Pella, Daniel & De Meester, Fabien. (2009). Pranayama: The power of breath. International Journal on Disability and Human Development. 8.

Anulome and velome (Alternate breathing): It includes inhaling through one nostril while the other is blocked with a thumb. After a few seconds, exhalation is performed through the other nostril, keeping the former nostril closed with the thumb. Inhaling and exhaling cycles should be performed gently without any strain for ~10 mins. It helps maintain homeostasis (balance) within the body.²Singh, Ram & Wilczynska, Agnieszka & Fedacko, Jan & Pella, Daniel & De Meester, Fabien. (2009). Pranayama: The power of breath. International Journal on Disability and Human Development. 8.

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Kapalbhati: It includes vigorous active exhalation of breath and passive inhalation. This is performed using diaphragm and abdominal muscles.³Singh, Ram & Wilczynska, Agnieszka & Fedacko, Jan & Pella, Daniel & De Meester, Fabien. (2009). Pranayama: The power of breath. International Journal on Disability and Human Development. 8.Practicing kapalbhati aids in draining of mucus from clogged sinuses and dries up the sinus by increasing temperature within the mucosa (lining of nose of sinus producing mucus).⁴Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.

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Bhramari: In bhramari, the individual blocks the ear canals with both thumbs. Then the air is inhaled through both nostrils and exhaled slowly making loud humming sound, similar to a bee. The humming sound creates vibrations which helps open blocked sinus opening and allows drainage of mucus from clogged sinuses. It also helps prevent growth of microorganisms within the sinuses, reducing the frequency of sinus infections.⁵Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. Int J Yoga. 2019;12(2):120-123.

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Ujjayi: It includes breathing through nostrils with constricted throat. It aids in draining of mucus from blocked sinuses.⁶Singh, Ram & Wilczynska, Agnieszka & Fedacko, Jan & Pella, Daniel & De Meester, Fabien. (2009). Pranayama: The power of breath. International Journal on Disability and Human Development. 8.

Bhastrika: It includes vigorous and forceful process of inhalation and exhalation. It aids in clearing of the congested sinuses.⁷Singh, Ram & Wilczynska, Agnieszka & Fedacko, Jan & Pella, Daniel & De Meester, Fabien. (2009). Pranayama: The power of breath. International Journal on Disability and Human Development. 8.

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Asanas: Asanas are different physical postures created by movement of hands and legs in coordination with control over the breathing. Performing asanas improve the circulation of blood in the body. They improve the blood circulation in the areas of sinuses and ventilate the sinuses by enhancing the drainage of mucus.⁸Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.

Sarvanga asana (Shoulder stand): Shoulder stand helps in clearing the nasal blockage and enhances the nasal airflow.⁹Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.

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Simhasana (Lion pose): It aids in clearing the congestion from the blocked nose and sinuses.¹⁰Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.

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Halasana (plough pose): It helps open the congested nose and sinuses by allowing the drainage of accumulated mucus.¹¹Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.

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Bhujangasana (cobra pose): This pose expands the lungs and other respiratory organs and clears the mucus from congested nose and sinuses.¹²Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.

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Meditation: Practicing meditation along with pranayama and asanas instill relaxing effects and helps reduce the mental stress which in turn improves the circulation within in the nose and sinuses.¹³Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.

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YouTube - Yoga for Deviated Septum Videos

Here are some excellent YouTube videos that show you how to do yoga for deviated septum:

Anulome and velome

Kapalbhati

Bhramari

Bhastrika

Ujjayi

Sarvanga asana (Shoulder stand)

Simhasana (Lion pose)

Halasana (plough pose)

Bhujangasana (cobra pose)

Sources:

1
Singh, Ram & Wilczynska, Agnieszka & Fedacko, Jan & Pella, Daniel & De Meester, Fabien. (2009). Pranayama: The power of breath. International Journal on Disability and Human Development. 8.
2
Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.
3
Udayakumara K. Yogic approach for the management of sinusitis. International Journal of Yoga-Philosophy, Psychology and Parapsychology. 2017 Jan 1;5(1):14.

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Ayurveda for a Deviated Septum: What It Is & How It Can Help Your Deviated Septum Symptoms

October 2, 2020 by Marc Leave a Comment

There are traditional techniques to treat a deviated septum that originate from countries in Asia, notably India. One of those techniques is Ayurveda.

In this article we explain what Ayurveda is, and how it can help your deviated septum.

What is Ayurveda?

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Ayurveda is an eastern science which guides the choice of diet, day to day habits, and exercises to restore the health of the individual and prevent diseases.

This science is mostly practiced in the Indian subcontinent. Ayurveda believes that every individual is made up of 5 elements:

Water
Fire
Space
Earth
Air

These elements combine and form three forms of energies in the body i.e., vata (space and air), pitta (fire and water), and kapha (water and earth).

Every individual system has a unique balance of vatta, pitta, and kapha. Any imbalance between them leads to disorder. Intake of an unhealthy diet and lifestyle, seasonal changes, emotional disturbance, or stress can produce toxins which accumulate in different parts of the body, causing disease. Ayurveda helps in either prevention of the disease or stops its progression.¹Mukherjee A, Khuje SM, Dwivedi OP, Jain J. Potency of Nasya Karma. Journal of Drug Delivery and Therapeutics. 2019 Dec 15;9(6-s):261-6.

How Does Ayurveda Help with a Deviated Septum?

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In Ayurveda, performing the Panchakarma therapy reduces the symptoms associated with the deviated nasal septum.

Panchakarma consists of five (panch) procedures to cleanse the bodily toxins. Any disease in the sinus, throat, nose, or head areas are a result of accumulation of toxins. These toxins are eliminated using Nasyakarma: one of the procedures of Panchakarma.²Lad V. An Introduction to Panchakarma. Albuquerque, NM: The Ayurvedic Institute (phone: 505-291-9698). 1994.

Nasyakarma involves either inhalation of medicated oil or massaging the nasal mucosa (inner lining of nose) with medicated ghee (clarified butter) or herbal oil using a finger. These procedures help in release of mucus accumulated in clogged nose, throat, and sinus. Massaging should be slowly performed in both clockwise and anticlockwise directions.

Nasyakarma helps overcome disorders associated with deviated nasal septum such as chronic rhinosinusitis (inflammation of nose and sinus) and nasal congestion, and eases breathing through nose.

Sources:

1
Lad V. An Introduction to Panchakarma. Albuquerque, NM: The Ayurvedic Institute (phone: 505-291-9698). 1994.
2
Mukherjee A, Khuje SM, Dwivedi OP, Jain J. Potency of Nasya Karma. Journal of Drug Delivery and Therapeutics. 2019 Dec 15;9(6-s):261-6.

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Neti Pot for Deviated Septum: Your Complete Guide

October 2, 2020 by Marc Leave a Comment

A neti pot is used for “nasal irrigation”, which involves flushing salty water through your nose to push out the mucous and debris from the nose.

Sinus Irrigation and Deviated Septum

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Sinus irrigation, sinus flush, or nasal irrigation is a complimentary treatment recommended in individuals with deviated nasal septum and symptoms of rhinosinusitis (inflammation of nose and sinus). It is believed that use of nasal irrigation improves blockage of nose and sinus by:

Improving the mucociliary function (clearing of mucus with bacteria and allergens).
Decreasing the swelling of the mucosa (inner lining of nose and sinus).
Decreasing the influx of inflammation-causing agents.
Enhancing the mucus clearance.

This procedure involves use of saline water (salt water) in irrigating devices such as bulb syringes, nasal sprays, squeeze bottles, battery-operated pulsed water devices, and neti pot. These devices are safe to use and pocket friendly. The use of sinus irrigation method improves symptoms such as nasal discharge, sinonasal congestion, headaches, cough and allergies.¹Tomooka LT, Murphy C, Davidson TM. Clinical study and literature review of nasal irrigation. The Laryngoscope. 2000;110(7):1189-93.

How to Irrigate Sinuses with a Deviated Septum

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The easiest way to irrigate blocked sinuses is to use a neti pot.

A neti pot is a teapot-shaped device with a conical tapered spout. The spout aids in easy insertion into the nostrils to form a seal.

The pot is filled with distilled water or warm water and mixed with salt (half a tablespoon of non-iodized salt in 250 ml water). The spout is then inserted into the nostril and position of head and pot are adjusted such that there is no spillage. This can be performed twice daily for few months. Neti pots are available in different volumes (30 to 500ml) and can be used along with essential oils.

It is a simple, cost-effective, and safe procedure which provides relief from nasal allergies, congestion, stuffy nose, and nasal discharge and clears the nasal airway. This technique is effective as an additional therapy and can also be continued after the correction of deviated nasal septum.²Scott, John. "Nasal irrigation for allergies, sinusitis-and winter sniffles?." Foods Matter (2008): 13.

YouTube - How to Use a Neti Pot with Deviated Septum

Here are some excellent videos on YouTube that show you how to use a neti pot with a deviated septum:

Frequently Asked Questions – Neti Pot and Deviated Septum

Will a neti pot work if you have a deviated septum?

The use of neti pot reduces the symptoms associated with deviated nasal septum, but cannot fix the deviated septum.

What effects does a neti pot have on deviated septum?

Neti pot helps reduce the sinus congestion by easing the drainage of mucus. This helps in reducing the congestion and clearing the airway. It also moistens the nasal mucosa and reduces dryness of nose. Nasal irrigation using neti pot is also effective after septoplasty (surgery to correct deviated septum).³Snidvongs K, Chaowanapanja P, Aeumjaturapat S, Chusakul S, Praweswararat P. Does nasal irrigation enter paranasal sinuses in chronic rhinosinusitis?. American journal of rhinology. 2008 Sep;22(5):483-6.

What essential oils are used for neti pot after deviated septum surgery?

The use of neti pot with 2-3 drops of essential oils such as tea tree oil, lavender, rosemary, eucalyptus, or peppermint are effective after the surgery due to their antibacterial and anti-inflammatory properties.⁴Huang S, Constant S, De Servi B, Meloni M, Culig J, Bertini M, Saaid A. In vitro safety and performance evaluation of a seawater solution enriched with copper, hyaluronic acid, and eucalyptus for nasal lavage. Medical Devices (Auckland, NZ). 2019;12:399.⁵Yarnell E. The Botanical Approach to Chronic Sinusitis. Alternative and Complementary Therapies. 1998 Apr;4(2):109-11.

Neti pot doesn't drain on one side deviated septum – what can I do?

In individuals with severe deviation of nasal septum, penetration of solution into the sinuses is difficult, and doesn’t provide any relief from sinonasal congestion. In such cases, it is recommended to undergo surgery to fix the deviated septum and then nasal irrigation can be used as an additional treatment.⁶Grobler A, Weitzel EK, Buele A, Jardeleza C, Cheong YC, Field J, Wormald PJ. Pre‐and postoperative sinus penetration of nasal irrigation. The Laryngoscope. 2008 Nov;118(11):2078-81.

Sources:

1
Tomooka LT, Murphy C, Davidson TM. Clinical study and literature review of nasal irrigation. The Laryngoscope. 2000;110(7):1189-93.
2
Scott, John. "Nasal irrigation for allergies, sinusitis-and winter sniffles?." Foods Matter (2008): 13.
3
Snidvongs K, Chaowanapanja P, Aeumjaturapat S, Chusakul S, Praweswararat P. Does nasal irrigation enter paranasal sinuses in chronic rhinosinusitis?. American journal of rhinology. 2008 Sep;22(5):483-6.
4
Huang S, Constant S, De Servi B, Meloni M, Culig J, Bertini M, Saaid A. In vitro safety and performance evaluation of a seawater solution enriched with copper, hyaluronic acid, and eucalyptus for nasal lavage. Medical Devices (Auckland, NZ). 2019;12:399.
5
Yarnell E. The Botanical Approach to Chronic Sinusitis. Alternative and Complementary Therapies. 1998 Apr;4(2):109-11.
6
Grobler A, Weitzel EK, Buele A, Jardeleza C, Cheong YC, Field J, Wormald PJ. Pre‐and postoperative sinus penetration of nasal irrigation. The Laryngoscope. 2008 Nov;118(11):2078-81.

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Homeopathic Medicine for Deviated Nasal Septum: What It Is & How It Helps

October 2, 2020 by Marc Leave a Comment

What is Homeopathy?

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Homeopathy is an alternative medicine introduced in 19^th century by a German physician. It reduces the symptoms associated with numerous chronic diseases.

Homeopathic medicines are formulated by dilution of natural sources such as plants, minerals, and substances extracted from living organisms. The medicines are capable of inducing symptoms of the disease in healthy individuals.

It is believed that small quantities of substances that cause a disease in a healthy individual can also cure the symptoms in affected individuals. In Brazil, India, England, and a few states in the US, the use of this form of medicine is acceptable. However, the use of homeopathic medicine is controversial and limited studies validate its scientific origin.¹Almeida RM. A critical review of the possible benefits associated with homeopathic medicine. Revista do Hospital das Clínicas. 2003;58(6):324-31.

Homeopathic Treatments for a Deviated Septum

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Homeopathic medicines which help overcome symptoms associated with deviated nasal septum (such as sinusitis, nasal discharge, and congestion) include:²Nayak C, Singh V, Singh VP, Oberai P, Roja V, Shitanshu SS, Sinha MN, Deewan D, Lakhera BC, Ramteke S, Kaushik S. Homeopathy in chronic sinusitis: a prospective multi-centric observational study. Homeopathy. 2012 Apr 1;101(2):84-91.³Das BK, Mondal AK. Sinusitis of children and its homoeopathic approach.

Mercurius: This is recommended in individuals with symptoms such as headache and thick yellow nasal discharge with swollen and tender nasal region.
Belladonna: This is effective against sinusitis-related headaches and feeling of dizziness while bending of body.
Hepar sulphuricum: It is advised in individuals who are sensitive to cold and tend to have thick nasal discharge along with soreness of the nostrils and nasal obstruction.
Kalium bichromicum: It is recommended in individuals with thick nasal discharge and severe pain on touch in the region of sinuses.
Kalium bichromicum: It is recommended in individuals with thick nasal discharge and severe pain on touch in the region of sinuses.
Lycopodium clavatum: It is effective against dryness in the nose and headaches.
Nux vomica: It is advised in cases of sneezing and runny nose.
Pulsatilla: It is advised to reduce pain, headache, and thick nasal discharge.
Arsenicum album: It is recommended for individuals with severe pain in the sinuses.

Sources:

1
Almeida RM. A critical review of the possible benefits associated with homeopathic medicine. Revista do Hospital das Clínicas. 2003;58(6):324-31.
2
Nayak C, Singh V, Singh VP, Oberai P, Roja V, Shitanshu SS, Sinha MN, Deewan D, Lakhera BC, Ramteke S, Kaushik S. Homeopathy in chronic sinusitis: a prospective multi-centric observational study. Homeopathy. 2012 Apr 1;101(2):84-91.
3
Das BK, Mondal AK. Sinusitis of children and its homoeopathic approach.

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Essential Oil for a Deviated Septum: 8 Essential Oils Proven to Reduce Breathing Problems

September 17, 2020 by Marc Leave a Comment

There are a number of essential oils that can alleviate the breathing problems associated with a deviated septum. These include:

Lavender Oil:

Lavender oil (Lavandula officinalis) is used in aromatherapy and for massaging. This oil is derived from aromatic flowers and exhibits anti-inflammatory, antimicrobial, and analgesic (pain relieving) properties. It reduces the swelling and pain in inflamed mucosa (inner skin) of congested nose and sinuses.¹Karaca, N., Demirci, B., & Demirci, F.Evaluation of Lavandula stoechas L. subsp. stoechas L., Mentha spicata L. subsp. spicata L. essential oils and their main components against sinusitis pathogens. Zeitschrift Für Naturforschung C. 2018

Lavender oil also increases blood circulation and activates the immune system. External application of lavender oil instills relaxing effects and diminishes stress and anxiety.

Massaging the forehead using lavender and peppermint oils helps relieve headaches due to clogged sinuses.²Chu CJ, Kemper KJ. Lavender (Lavandula spp.). Longwood Herbal Task Force. 2001 Jul;32.

Eucalyptus Oil

This oil (Eucalyptus globulus) is derived from steam distillation of leaves. It exhibits anti-inflammatory, analgesic (pain-relieving), and antimicrobial properties.³Kapitanska, Polina, Kaloyana Shangova, Rostislava Markova, & Petya Genova. "Effects of eucalyptus oil on ciliary beat frequency of nasal mucosa." Scripta Scientifica Pharmaceutica [Online], 3 (2016): 18. Web. 13 Sep. 2020 Eucalyptol (1,8-cineole) is the key ingredient present in the essential oil which reduces the inflammation of mucosa (inner lining), serving as an effective decongestant.

Research suggests that ingredients of this essential oil block the production of inflammation causing agents (e.g., interleukin, thromboxane, leukotriene), exhibiting anti-inflammatory action.⁴J., Abebe, W., Sousa, S. ., Duarte, V. ., Machado, M. I. ., & Matos, F. J. . (2003). Analgesic and anti-inflammatory effects of essential oils of Eucalyptus. Journal of Ethnopharmacology, 89(2-3), 277–283. doi:10.1016/j.jep.2003.09.007

Inhalation of eucalyptus oil through steam also exhibits antimicrobial properties that helps fight infections in the nose and sinuses.

External application of eucalyptus oil relieves from pain and headaches. It also enhances the mucociliary clearance, leading to thinning of the mucus and easier drainage from the clogged sinuses.⁵Dhakad, A. K., Pandey, V. V., Beg, S., Rawat, J. M., & Singh, A. (2017). Biological, medicinal and toxicological significance of Eucalyptus leaf essential oil: a review. Journal of the Science of Food and Agriculture, 98(3), 833–848.This oil should not be used during pregnancy, lactation, and in infants.

Peppermint Oil

Peppermint’s (Mentha piperita) essential oil is obtained by distillation of leaves. A key ingredient of peppermint oil is menthol, besides methofuran and limonene. It is known for its cooling and relaxing effects and is commercially used in balms (cream applied on the skin for a soothing effect).⁶Cristina, E. D. (2004). Understanding True Aromatherapy: Understanding Essential Oils. Home Health Care Management & Practice, 16(6), 474–479.

The anti-inflammatory properties of menthol help relieve nasal congestion and stuffiness of the nose.

External application or inhalation of peppermint oil through steam serves as an effective decongestant and provides relief from headaches and migraines.

Its antiseptic and antimicrobial properties inhibit the growth of several microorganisms and reduce infections in the nose and sinuses.⁷Nayak P, Kumar T, Gupta AK, Joshi NU. Peppermint a medicinal herb and treasure of health: A review. Journal of Pharmacognosy and Phytochemistry. 2020;9(3):1519-28. Due to its side effects, this oil is not advised for infants, children, pregnant and lactating women.

Other Essential Oils

Rosemary oil: This essential oil is extracted from the leaves, stems, and flowers of the rosemary herb (Rosmarinus officinalis). Its anti-inflammatory action reduces swelling of the mucosa of the nose and sinuses, relieving congestion and clearing the airway.⁸Banjaw D, Wolde TG, Gebre AM, Mengesha B. Rosemary (Rosmarinus officinalis L.) variety verification trial at wondogenet, South Ethiopia. Med Aromat Plants (Los Angel). 2016;5(267):2167-0412.

Thyme oil: This oil is extracted from thymus flowers (Thymus sipyleus or vulgaris) after steam distillation. Inhalation of this oil with steam is effective against several microorganisms and aids in the treatment of nose and sinus infections (rhinosinusitis).⁹Hall E. Natural Rx for Sinus Infections.

Oregano oil: Inhalation of this oil assists in clearing accumulated mucus in the clogged sinuses. It also has antiseptic and antiallergic properties.¹⁰Demirci, F., Karaca, N., Tekin, M., & Demirci, B. (2018). Anti-inflammatory and antibacterial evaluation of Thymus sipyleus Boiss. subsp. sipyleus var. sipyleus essential oil against rhinosinusitis pathogens. Microbial Pathogenesis, 122, 117–121.

Tea tree oil: This oil (Melaleuca alternifolia) has antibacterial, anti-inflammatory, and immune-system boosting properties. Inhalation of this oil is an effective remedy against cough, congestion, and infection of the nose and sinuses.¹¹Ali, B., Al-Wabel, N. A., Shams, S., Ahamad, A., Khan, S. A., & Anwar, F. (2015). Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine, 5(8), 601–611.

Anise oil: Anise oil (Anisi aetheroleum) is derived from ripened fruits by steam distillation. This oil helps in thinning of the mucus and clearing of clogged nose and sinuses. Anise oil should not be used for more than 2-3 weeks and is not recommended in case of any known allergic reactions.¹²Horváth G, Ács K. Essential oils in the treatment of respiratory tract diseases highlighting their role in bacterial infections and their anti‐inflammatory action: a review. Flavour and Fragrance Journal. 2015 Sep;30(5):331-41.

Sources:

1
Karaca, N., Demirci, B., & Demirci, F.Evaluation of Lavandula stoechas L. subsp. stoechas L., Mentha spicata L. subsp. spicata L. essential oils and their main components against sinusitis pathogens. Zeitschrift Für Naturforschung C. 2018
2
Chu CJ, Kemper KJ. Lavender (Lavandula spp.). Longwood Herbal Task Force. 2001 Jul;32.
3
Kapitanska, Polina, Kaloyana Shangova, Rostislava Markova, & Petya Genova. "Effects of eucalyptus oil on ciliary beat frequency of nasal mucosa." Scripta Scientifica Pharmaceutica [Online], 3 (2016): 18. Web. 13 Sep. 2020
4
J., Abebe, W., Sousa, S. ., Duarte, V. ., Machado, M. I. ., & Matos, F. J. . (2003). Analgesic and anti-inflammatory effects of essential oils of Eucalyptus. Journal of Ethnopharmacology, 89(2-3), 277–283. doi:10.1016/j.jep.2003.09.007
5
Dhakad, A. K., Pandey, V. V., Beg, S., Rawat, J. M., & Singh, A. (2017). Biological, medicinal and toxicological significance of Eucalyptus leaf essential oil: a review. Journal of the Science of Food and Agriculture, 98(3), 833–848.
6
Cristina, E. D. (2004). Understanding True Aromatherapy: Understanding Essential Oils. Home Health Care Management & Practice, 16(6), 474–479.
7
Nayak P, Kumar T, Gupta AK, Joshi NU. Peppermint a medicinal herb and treasure of health: A review. Journal of Pharmacognosy and Phytochemistry. 2020;9(3):1519-28.
8
Banjaw D, Wolde TG, Gebre AM, Mengesha B. Rosemary (Rosmarinus officinalis L.) variety verification trial at wondogenet, South Ethiopia. Med Aromat Plants (Los Angel). 2016;5(267):2167-0412.
9
Hall E. Natural Rx for Sinus Infections.
10
Demirci, F., Karaca, N., Tekin, M., & Demirci, B. (2018). Anti-inflammatory and antibacterial evaluation of Thymus sipyleus Boiss. subsp. sipyleus var. sipyleus essential oil against rhinosinusitis pathogens. Microbial Pathogenesis, 122, 117–121.
11
Ali, B., Al-Wabel, N. A., Shams, S., Ahamad, A., Khan, S. A., & Anwar, F. (2015). Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine, 5(8), 601–611.
12
Horváth G, Ács K. Essential oils in the treatment of respiratory tract diseases highlighting their role in bacterial infections and their anti‐inflammatory action: a review. Flavour and Fragrance Journal. 2015 Sep;30(5):331-41.

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