Atrophic Rhinitis

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Atrophic Rhinitis

    • Atrophic rhinitis(Ozaena)
      • It is a chronic inflammation of nose
      • characterised by atrophy of nasal mucosa and turbinate bones.
      • The nasal cavities are roomy and full of foul-smelling crusts.
      • Atrophic rhinitis is of two types: primary and secondary
        • Rhinitis sicca
          • It is also a crust-forming disease seen in patients who work in hot, dry and dusty surroundings, e.g. bakers, iron- and goldsmiths.
          • Condition is confined to the anterior third of nose particularly of the nasal septum.
          • Here, the ciliated columnar epithelium undergoes squamous metaplasia with atrophy of seromucinous glands.
          • Crusts
            • form on the anterior part of septum
            • their removal causes ulceration and epistaxis, and may lead to septal perforation.
          • Treatment
            • correction of the occupational surroundings
            • application of bland ointment or one with an antibiotic and steroid, to the affected part.
            • Nose pricking and forcible removal of crusts should be avoided.
            • Nasal douche, like the one used in cases of atrophic rhinitis, is useful
        • Rhinitis caseosa
          • usuallyunilateral
          • mostly affects males.
          • Nose is filled with offensive purulent discharge and cheesy material.
          • Sinus mucosa becomes granulomatous.
          • Bony walls of sinus may be destroyed, requiring differentiation from malignancy.
          • Treatment
            • removal of debris and granulation tissue
            • free drainage of the affected sinus.
          • Prognosis is good


    Modified Young’s procedure for Atrophic Rhinitis !
    Modified Young’s procedure for Atrophic Rhinitis
    Atrophic rhinitis
    The nasal mucosa may become athropic and crusted with fetid nasal and postnasal discharge in atrophic rhinitis. This condition may be the result of surgery, prolonged topical decongestant use, some infections and inflammatory conditions.
    Maggots in nose- Atrophic Rhinitis
    Nasal cavity Maggots, complication of untreated Atrophic Rhinitis.
    Treatment of empty nose syndrome and atrophic rhinitis with PRP – ENS
    Treatment of empty nose syndrome and atrophic rhinitis with PRP
    This video is about the empty nose syndrome (ENS), a disease connected to a nasal surgery aggressive and is frequently associated with an exaggerated turbinectomy
    Deviated septum with atrophic rhinitis
    It is deviation and/or angulation of the bony or cartilagenous parts of the nasal septum. It may be developmental or traumatic. It may be asymptomatic or presents with nasal obstruction. Atrophic changes may occur in the concave side.
    Atrophic Rhinitis & Acute Vestibulitis
    Here you can see two cases first one is classical presentation of acute vestibulitis while second is showing you nasal cavity where you can see crusts are present and nose cavity appears to be roomy
    Empty Nose Syndrome Testimony
    Empty Nose Syndrome Testimony sinus surgery turbinectomy nose surgery atrophic rhinitis septoplasty nasal dryness wrongful surgery
    Atrophic Rhinitis.wmv
    A patient with impaired sense of smell, and on endoscopy the nose was full of crusts( greenish yellow), had nasal obstruction and the cavity of nose were roomy