Comparison of Fixative Properties of Honey with Ethanol in Oral Cytological Smears

Authors

  • Mahmood Nawaz Khan Shri B.M Patil Medical college hospital and research centre. B.L.D.E University, Vijayapura, Karnataka. 586103
  • Ratnakar M Potekar Shri B.M Patil Medical College, Hospital and Research Centre. B.L.D.E University, Karnataka, India
  • Savitri M Nerune Shri B.M Patil Medical College, Hospital and Research Centre. B.L.D.E University, Karnataka, India
  • Anil K Reddy Shri B.M Patil Medical College, Hospital and Research Centre. B.L.D.E University, Karnataka, India

DOI:

https://doi.org/10.21276/apalm.1852

Keywords:

Honey, Fixative, Oral cytology.

Abstract

Background: Fixation is an important step in cytopathological diagnosis. Ethanol is traditionally a popular and widely used fixative for cytopathological diagnosis. But ethanol is expensive and subjected to pilferage thus decreasing its ability. Ethanol denatures proteins and glycogen by precipitation. Hence in a search of better, ecofriendly and cost effective fixative, honey can be as efficient as ethanol in cytological fixation. Properties of honey such as high osmolarity, low pH and the presence of components such as ascorbic acid, hydrogen peroxide and phenol inhibine, all contribute to its anti-oxidative and antibacterial effects.

Methods:- A cross sectional comparative study was carried out after ethical approval on healthy patients fulfilling the inclusion criteria referred to the Department of Pathology in BLDEU’S Shri B.M. Patil Medical College, Hospital and Research centre, Vijayapur. After informed consent two buccal smears were obtained from each individual, one was fixed in Ethanol and other was fixed in Honey (20%) for a minimum of 15 min. After staining, smears were scored for cytomorphological characters.

Results:- Out of the 200 cases studied, honey fixed smears showed cytomorphological features similar to ethanol among which nuclear staining, clarity and uniformity of staining showed significant p value (p <0.05) where as cytoplasmic staining, cell morphology showed no statistical difference. (p>0.05)

Conclusion: The present study offers an innovative proposal of using natural eco-friendly sweeteners, as fixative in cytopathology. The results are promising and invoke extensive large multicentric collaborative work to reach a global consensus on this fixative.

Author Biography

Mahmood Nawaz Khan, Shri B.M Patil Medical college hospital and research centre. B.L.D.E University, Vijayapura, Karnataka. 586103

Pathology

References

1. Rhodes A. Fixation of tissues. In: Suvarna KS, Layton C, Bancroft DJ editors. Bancroft’s Theory and Practice of Histological Techniques. 7th ed. Churchill Livingstone: Elsevier; 2013.p69-93.
2. Özkan N, Şalva E, Cakalağaoğlu F, Tüzüner B. Honey as a substitute for formalin?. Biotechnic & Histochemistry. 2012 Feb 1;87(2):148-53
3. Culling CFA, Allison RT, Barr WT. Fixation, processing, microtomy. In:Culling CFA Editors. Cellular Pathology Technique. 4th ed. London:Butterworths;p35
4. Singh A, Hunasgi S, Koneru A, Vanishree M, Ramalu S, Manvikar V. Comparison of honey with ethanol as an oral cytological fixative: A pilot study. Journal of cytology.2015 Apr;32(2):113.
5. Patil S, Premalatha BR, Rao RS, Ganavi BS. Revelation in the field of tissue preservation–A preliminary study on natural formalin substitutes. Journal of international oral health: JIOH. 2013 Feb;5(1):31
6. Sona M, Preethamol S. A comparative study on the efficacy of honey and ethanol as cytological fixatives. International Journal of Advances in Medicine. 2017 May 23;4(3):762-7.
7. Bizerra FC, Da Silva Jr PI, Hayashi MA. Exploring the antibacterial properties of honey and its potential. Frontiers in microbiology. 2012:3:398.
8. McCarthy J. antibacterial effects of honey: medical fact or fiction?. American Bee Journal. 1995:171-2.
9. Sabarinath B, Sivapathasundharam B, Sathyakumar M. Fixative properties of honey in comparison with formalin. Journal of Histotechnology. 2014 Mar1;37(1):21-5.
10. Muddana K, Muppala JN, Dorankula SP, Maloth AK, Kulkarni PG, Thadudari D. Honey and olive oil as bio-friendly substitutes for formalin and xylene in routine histopathology. Indian Journal of Dental Research. 2017 May1;28(3):286.
11. Lalwani V, Surekha R, Vanishree M, Koneru A, Hunasgi S, Ravikumar S. Honey as an alternative fixative for oral tissue: An evaluation of processed and unprocessed honey. Journal of oral and maxillofacial pathology. 2015 Sep;19(3):342.
12. Ishaq R, Azmat H, Omair M, Sheikh AK, Tanwani AK. Comparison Of Honey With Alcohol As A Fixative In Fine Needle Aspiration Cytology. International Journal of Pathology. 2017;15(1):15-8.
13. Majumdar B, Rao R, Patil S. Tissue Preservation with Natural Fixatives: An Immunohistochemical Evaluation. World Journal of Dentistry. 2016;7:87-91
14. Gunter M, Bryant P. Immunocytochemical evaluation of ductal carcinoma in breast after preservation in honey. Journal of Histotechnology. 2009 Jun1;32(2):54-9.

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Published

19-06-2018

How to Cite

1.
Khan MN, Potekar RM, Nerune SM, Reddy AK. Comparison of Fixative Properties of Honey with Ethanol in Oral Cytological Smears. Ann of Pathol and Lab Med [Internet]. 2018 Jun. 19 [cited 2024 Dec. 27];5(6):A484-488. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/1852

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Original Article