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Unformatted text preview: Atrophic Rhinitis
UTMB Dept of Otolaryngology
March 30, 2005 Alan L. Cowan, M.D.
Matthew Ryan, M.D. Atrophic Rhinitis
Atrophic Rhinitis Common Terms Ozena
Rhinitis Sicca Atrophic Rhinitis
Atrophic Rhinitis Dr. Spencer Watson. Diseases of the nose and its associated cavities. London, 1875. 1) Accidental or Simple Ozoena 2) Idiopathic or constitutional “due to the retention of mucous.”
“easily dealt with by the frequent employment of the nasal douche …”
“commences in early childhood ... And remains during the early years or throughout the whole adult life.”
“The patient is generally anosmic … and he is, therefore, unaware of the offensive odor of his breath.”
“The nature of the inflammatory process is very probably allied to that of lupus erythematosus of the face.” 3) Syphilitic Ozoena “the most common form”
“These ulcers may be preceded or followed by caries or necrosis of the bones, and the stench is then more horribly sickening than in any other form of this disgusting malady.” Atrophic Rhinitis
Atrophic Rhinitis Described in 1876 by Dr. Bernhard Fraenkel as a triad of: Fetor
Atrophy of nasal structures Dr. Francke Bosworth. A Manual of Diseases of the Nose and Throat. 1881. “the breath is often so penetrating as to render the near presence of the sufferer not only unpleasant but almost unendurable.” Atrophic Rhinitis
Atrophic Rhinitis Clinical Features Anosmia
Ozena, i.e. foul odor
Extensive nasal crusting
Subjective nasal congestion
Enlargement of the nasal cavity
Resorption or absence of turbinates
Squamous metaplasia of nasal mucosa
Depression Atrophic rhinitis
Atrophic rhinitis Primary History of prior sinus surgery, radiation, granulomatous disease, or nasal trauma are exclusions.
Primary AR is rare in the US
Most cases are reported in China, Egypt, and India
Microbiology of primary AR is almost uniformly Klebsiella ozenae.
Radiographic and clinical features similar to secondary AR. Atrophic rhinitis
Atrophic rhinitis Secondary Complicatio...
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This note was uploaded on 12/28/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.
- Fall '11