The aim of this study was to investigate the morphological effects of
decongestive drops and sprays on human respiratory mucosa in vitro. Pr
ecultured fragments of adenoid tissue in a specially designed tissue c
ulture system were exposed to decongestive preparations for 10 minutes
once a day for 10 days. Tissue exposed to preparations preserved with
benzalkonium chloride and tissue exposed to benzalkonium chloride alo
ne underwent severe morphological alterations. Unpreserved decongestiv
e substances did not have this effect. Benzalkonium chloride is a well
-documented toxic substance in several respects. Supported by previous
studies, it may seem unfortunate to use it as an additive in deconges
tive preparations.