Hi. Read your history and understood the problem you have. Atrophic Rhino-pharyngitis without ozena is still treatable medically. I hope you do not have diabetes or Chronic sinusitis. In such a patient I would advise you the following: First of all get a consultation of another ENT Surgeon for fresh examination, investigations and medical management as follows: Blood- CBC, sugar, urea, creatinine, to rule out any diabetes or kidney problems or any other medical disorder which can cause the similar problem. Urine- CT scan of the Paranasal sinuses and nose to see for any primary cause like sinusitis or done destruction and to see the secondary effects of the atrophic rhinitis. X-ray of the chest to rule out Tuberculosis which can be a primary reason and is fully treatable. The treatment plan would be : Anti-oxidants, therapeutic doses of Vitamin A and D as they help rebuilding the mucus lining. A course of an antibiotic and metronidazole on empirical basis. Oral steroids do help revert back many changes due to its strong anti-inflammatory effect. Avoid too hot and too cold foods and beverages. Avoid hot and spicy foods. Dosage taken in a proper way may revert back at least some changes. As far as the translocation of the salivary glands : it is yet on the experimental basis. And is not possible at the moment. Secondly the salivary glands can secrete the secretions only by stimulation. Hence may not be of a great choice. Take a complete course of medicines, continue anti-oxidants for a long time and you may be fine.