Retrospective study of the treatment of atrophic rhinitis and its application in the present study
Abstract
Background: Atrophic Rhinitis (AR) is a chronic nasal disease which is characterized by progressive atrophy of the nasal mucosa and underlying bone of the turbinates and the presence of a viscid secretion which emits a characteristic foul odor sometimes called ozaena (a stench). There is an abnormal patency of the nasal passages.
Objectives: The aim of this study was to compare the effects of conservative method and surgical method of treatment in Atrophic rhinitis i.e. implantation of placental graft underneath the muco-periosteum of nasal floor.
Material and methods: It was a prospective study of 50 patients who were treated for atrophic rhinitis; the patients were decided to treat patients randomly by conservative method and by surgical method. All cases were studied after detailed investigations.
Observation and results: The effects of treatment were studied by clinical, radiological, and histopathological observations as well as by subjective and objective improvement of patient. The follow up patient was carried out at the interval of one month, 6 months and 1 year; after initial treatment. The results of treatment were categorized as good or poor.
Conclusion: It is concluded that submucosal placental grafting is the treatment of choice in primary atrophic rhinitis. The method is the most effective, easy to undertake, without any antigenic reactions and major complications. It employs the cheapest and most nutritive material for grafting.
Keywords: Atrophic Rhinitis, Ozaena, Placental grafting, Nasal myiasis, Maggots, Rhinoscopy.