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Amer j rhin 2001 156 355 361 surgicalcauses

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Unformatted text preview: n of sinus surgery (89%) Complication of radiation (2.5%) Following nasal trauma (1%) Sequela of granulomatous diseases (1%) Sarcoid Leprosy Rhinoscleroma Sequlae of other infectious processes Tuberculosis Syphilis Moore & Kern. Amer J Rhin. 2001 15(6): 355-361. Surgical causes Surgical causes Based on review of 242 cases from Mayo Clinic. Procedures per patient Partial middle or inferior turbinectomy 24% No turbinectomy 56% Total middle and inferior turbinectomy 2.3 10% Partial maxillectomy 6% Moore & Kern. Amer J Rhin. 2001 15(6): 355-361. Other suggested causes Other suggested causes Infectious (Ssali) Dietary Postulated overactivation of sympathetic activity. Environmental (Mickiewicz) Radiologic evidence of poor maxillary antrum pneumatization and short nasal lengths Vascular (Ruskin) Symptoms known to worsen with menstraution or pregnancy. Developmental (Hagrass) Proposed autosomal dominant disease due to father and 8 of 15 children contracting the disease. Hormonal (Bernat) Iron therapy found to benefit 50% of patients treated (Han­Sen) Hypocholesterolemia present in 50% of patients. (Han­Sen) Vitamin A therapy showed symptomatic improvement in 84%. Hereditary (Barton, Sibert) Case report of AR developed in 7 children of one family after contact with another known AR child. Chronic exposure to phosphorite and apatide dust Autoimmune (Ricci) Physical findings Physical findings Crusting Inferior Turbinates 57% Absent Discharge 62% Partial absence 37% Total absence Middle Turbinates 100% Present 52% Present Septum 10% Perforations Moore & Kern. Amer J Rhin. 2001 15(6): 355-361. Radiographic Findings Radiographic Findings 1. 2. 3. 4. 5. Mucoperiosteal thickening of the paranasal sinuses. Loss of definition of the OMC secondary to resorption of the ethmoid bulla and uncinate process. Hypoplasia of the maxillary sinuses. Enlargement of the nasal cavities with erosion and bowing of the lateral nasal wall. Bony resorption and mucosal atrophy of the infe...
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