ABSTRACT
La rinitis atrófica es una de las causas del Síndrome de nariz vacía, la cual está relacionada con colonización por gérmenes, inflamación crónica y posterior atrofia progresiva de la mucosa nasal. Típicamente produce síntomas obstructivos nasales, rinorrea y costras fétidas. Se presenta el caso en imágenes endoscópicas, tomográficas y de cultivo en una paciente femenina en la cual por sus comorbilidades el manejo fue exclusivamente médico.
Atrophic rhinitis is one of the causes of the empty nose syndrome that is related to colonization by germs, chronic inflammation and subsequent progressive atrophy of the nasal mucosa. Typically produces nasal obstructive symptoms, runny nose and fetid crusts. Endoscopy, tomography and culture images of a female patient is presented in which by her co-morbidities associated the treatment was medical exclusively.
Subject(s)
Rhinitis, Atrophic/diagnosis , Rhinitis, Atrophic/psychology , Rhinitis, Atrophic/rehabilitation , Rhinitis, Atrophic/therapyABSTRACT
Atrophic rhinitis is a debilitating nasal mucosal disease characterized by foul-smelling discharge of crusts and enlargement of the nasal cavity. Numerous surgical and nonsurgical methods have been advocated for its treatment. This article describes a noninvasive technique for partial occlusion of the dilated nasal cavity in a patient with atrophic rhinitis by use of a pinhole nasal prosthesis made from clear acrylic resin.
Subject(s)
Prostheses and Implants , Rhinitis, Atrophic/rehabilitation , Acrylic Resins , Adult , Humans , Male , Nasal Obstruction/prevention & control , Prosthesis Design/methods , StentsABSTRACT
The essence of this treatment is the injection of a mixture of 250 mgm of streptomycin (5 ml) and novocaine 1% (5 ml) on alternate days. The 10 ml mixture was injected into the conchae and submucosally into the septum on either side. Cure generally required a total of 2--3 gm of streptomycin over 15--20 days. Review of 25 cases treated over the past 15 years showed that 44% became symptom free and "good" results occurred in another 40%. In 16% treatment proved ineffective. Rehabilation was manifest by relief of subjective symptoms and disappearance of crusting and foetor. Atrophy remained irreversible.
