Atrophic rhinitis
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Description:
Atrophic rhinitis is a chronic inflammation of a mucous nasal cavity which is characterized by its atrophy, that is degenerative and sclerous changes.
Symptoms of Atrophic rhinitis:
The disease is followed by dryness, formation of crusts and bleedings. These symptoms of atrophic rhinitis distinguish it from other types of rhinitis. Also can sensitivity of sense of smell, a nose partition ahead very thin will decrease, and can even have an opening. Sometimes atrophic process affects as well intranasal bone structures that can lead to serious expansion of a gleam of a nasal cavity. It, in turn, will lead to strengthening of the drying-up effect of the inhaled air. The heavy type of atrophic rhinitis is considered especially, it has the name fetid or ozenas.
Reasons of Atrophic rhinitis:
The disease it has 2 forms: primary and secondary. There is yet assumption which is not proved still that the specific Klebsiella ozenae activator can be one of the reasons of primary form. The secondary form is quite often shown as a result of excessively radical surgical interventions in a nasal cavity. It can also turn out to be consequence of an endocrine imbalance (the disease is often shown during puberty, and at women meets more often), deficit of vitamin D or iron.
Treatment of Atrophic rhinitis:
Many specialists believe methods of controlling with this illness only symptomatic, but at long therapy, depending on a disease origin, it is possible to forget about a sore for long term.
So, to facilitate symptoms of atrophic rhinitis, doctors recommend a regular irrigation of a nasal cavity for removal of crusts and moistening of mucous. Will enough wash out a nose warm hypertonic salt solution (buffer or isotonic). In some cases the ENT SPECIALIST can delete a pathological secret by means of a suction. If plentiful pus is available, then it is better to carry out washings solution of antimicrobic means. Depending on the specific activator, it can be amikacin, rifampicin, ciprofloxacin or Acetylcysteinum as a nasal aerosol.
The combined drugs, namely vasoconstrictive and Mucolyticums are sometimes used (an atsetilchitein/tuaminogeptana sulfate, is also nasal aerosol).
In certain cases at treatment of atrophic rhinitis therapy of an iron deficiency anemia can be effective.
Surgical intervention at such form of rhinitis represents implantation to the area of a bottom of a nasal cavity and a partition of various alloplastichesky materials. It can be аутохрящ, mesh lavsan, teflon, capron or amniotic covers. Such procedure is carried out for the purpose of narrowing of the nasal courses, but not always allows to achieve desirable effect.
Actually efficiency of the taken measures is estimated on reaction of clinical manifestations, symptoms, and by results of a rinoskopiya.
It is possible to refer ototoksichesky and nephrotoxic action of aminoglikozidny antibiotics to side effects of treatment, and surgical intervention is fraught with risk of rejection of an implant.
Even if it is impossible to deal with the disease prime cause, the symptomatic treatment considerably facilitates life of the patient and is prevention for different complications.
