Quinolones, are giving promising results.

The bacteria involved is generally a Klebsiella Rhinoscleromatis so the quinolone are indicates, anyway a careful differential diagnosis is mandatory in order to exclude other lesions in particular midline granuloma (i.e. NK lymphoma)

• In Typical woody lesion,a deep incisional biopsy is must. in atypical submucosal lesion basidiobolus infection should be ruled out by fungal culture and biopsy . for biopsy proven case local 2 percent acryflavin pack for 6 weeks is recommended along with quinolone. surgical debridement with restoration of nasal patency and stenting is recommended

@The disease rhino scleroma is a disease of unknown etiology and so had no treatment. the author found out the cause and effected cure. Kindly refer Rg German

A clinical study on NTM (non tubercular mycobacterial infection) is published in Research Gate, Germany July 2019.