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Chronic atrophic rhinitis
Chronic atrophic rhinitis is a chronic inflammation of nose characterised by atrophy of nasal mucosa, including the glands, turbinate bones and the nerve elements supplying the nose. Chronic atrophic
Chronic atrophic rhinitis
rhinitis may be primary and secondary. Special forms of chronic atrophic rhinitis are rhinitis sicca anterior and ozaena.
Classification and external
resources
Specialty otolaryngology
Contents ICD-10 J31.0 (http://apps.wh
o.int/classifications/ic
Signs and symptoms
d10/browse/2016/en
Etiology
Secondary atrophic rhinitis #/J31.0)
Unilateral atrophic rhinitis ICD-9-CM 472.0 (http://www.icd
Pathology 9data.com/getICD9C
Diagnosis ode.ashx?icd9=472.
Treatment
0)
Etiology
Causes can be remembered by mnemonic HERNIA:
Pathology
The ciliated columnar epithelium of the nasal mucosa is replaced by stratified squamous epithelium.
Atrophy of mucosa, turbinal bones and seromucinous glands tends to occur, due to obliterative endoarteritis causing decreased blood supply, hence the supplying area atrophies.
Arrested development of paranasal sinuses.
Diagnosis
Treatment
Treatment of atrophic rhinitis can be either medical or surgical.
Young's operation.
Modified Young's operation.
Narrowing of nasal cavities, submucosal injection of Teflon paste, section and medial displacement of the lateral wall of the nose.
Transposition of parotid duct to maxillary sinus or nasal mucosa.
History
This disorder was known since the time of ancient Egypt, almost 4,000 years ago, and descriptions of it are found in the historical medical papyri. In the Edwin Smith Papyrus (1700 BC) it was prescribed a treatment based on wine and breast milk to cure
this disease.[3] The ancient Greek and Indian civilizations were aware of atrophic rhinitis.[5]
See also
Empty nose syndrome
References
1. Dutt SN, Kameswaran M (November 2005). "The aetiology and management of atrophic rhinitis". J Laryngol Otol. 119 (11): 843–52. doi:10.1258/002221505774783377 (https://doi.org/10.1258%2F002221505774783377). PMID 16354334 (https://ww
w.ncbi.nlm.nih.gov/pubmed/16354334).
2. Bunnag C, Jareoncharsri P, Tansuriyawong P, Bhothisuwan W, Chantarakul N (September 1999). "Characteristics of atrophic rhinitis in Thai patients at the Siriraj Hospital". Rhinology. 37 (3): 125–30. PMID 10567992 (https://www.ncbi.nlm.nih.gov/pu
bmed/10567992).
3. deShazo, Richard D.; Stringer, Scott P. (2011-02-01). "Atrophic rhinosinusitis: progress toward explanation of an unsolved medical mystery". Current Opinion in Allergy and Clinical Immunology. 11 (1): 1–7. doi:10.1097/ACI.0b013e328342333e (http
s://doi.org/10.1097%2FACI.0b013e328342333e). ISSN 1473-6322 (https://www.worldcat.org/issn/1473-6322). PMID 21157302 (https://www.ncbi.nlm.nih.gov/pubmed/21157302).
4. Choices, NHS. "Non-allergic rhinitis - Causes - NHS Choices" (http://www.nhs.uk/Conditions/Rhinitis---non-allergic/Pages/Causes.aspx). www.nhs.uk. Retrieved 2017-08-12.
https://en.wikipedia.org/wiki/Chronic_atrophic_rhinitis 1/2
4/21/2018 Chronic atrophic rhinitis - Wikipedia
5. Shehata MA (1996). "Atrophic rhinitis". Am J Otolaryngol. 17 (2): 81–6. doi:10.1016/s0196-0709(96)90000-9 (https://doi.org/10.1016%2Fs0196-0709%2896%2990000-9). PMID 8820180 (https://www.ncbi.nlm.nih.gov/pubmed/8820180).
External links
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