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Atrophic Rhinitis - High Yield Exam Notes

Atrophic rhinitis is characterized by the atrophy of nasal mucosa, leading to wide nasal cavities, with primary causes being idiopathic and associated with Klebsiella ozaenae, particularly in pubertal females. Secondary causes include infections like TB and syphilis, and clinical features involve crust formation, nasal obstruction, and anosmia. Management includes crust removal, infection treatment with specific solutions, and surgical options like Modified Young’s Operation for definitive treatment.

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2 views2 pages

Atrophic Rhinitis - High Yield Exam Notes

Atrophic rhinitis is characterized by the atrophy of nasal mucosa, leading to wide nasal cavities, with primary causes being idiopathic and associated with Klebsiella ozaenae, particularly in pubertal females. Secondary causes include infections like TB and syphilis, and clinical features involve crust formation, nasal obstruction, and anosmia. Management includes crust removal, infection treatment with specific solutions, and surgical options like Modified Young’s Operation for definitive treatment.

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aksharasha7
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ATROPHIC RHINITIS — HIGH YIELD EXAM NOTES

Definition / Pathology

● Atrophy of nasal mucosa, glands, nerves & vessels


● Leads to wide roomy nasal cavities

Etiology

Primary (Idiopathic)

● Cause unknown
● Organism: Klebsiella ozaenae
● Common in pubertal females
● Associated with estrogen deficiency

Secondary

● TB
● Syphilis
● Leprosy
● Lupus
● Excessive nasal surgery → Empty nose syndrome

Clinical Features

● Crust formation
● Nasal obstruction
● Foul smelling discharge
● Merciful anosmia
○ Patient unaware of smell due to nerve atrophy

MANAGEMENT

1. Crust Removal

Nasal douching solution

● Sodium chloride
● Sodium bicarbonate
● Sodium biborate

Ratio = 2 : 1 : 1

2. Treat Infection

HEMICETINE Solution

Mnemonic: COPD

● Chloramphenicol
● Oestradiol
● Propylene glycol
● D Vitamin D

25% Glucose in Glycerine

● Glucose → Proteolytic action


● Glycerine → Hygroscopic

Definitive Treatment

Modified Young’s Operation

● Partial closure of nostrils


● Small central opening retained

Young’s Operation

● Complete closure of nostrils


● Obsolete

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