OZAENA
DR. A. BHANU JENNIFER
1ST YR ENT PG
OSMANIA MEDICAL COLLEGE
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Atrophic Rhinitis & it’s management, Slides of Medicine
Atrophic rhinitis Contents Introduction Etiology Pathogenesis Clinical features Management
Typology: Slides
2019/2020
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OZAENA
DR. A. BHANU JENNIFER 1 ST YR ENT PG OSMANIA MEDICAL COLLEGE
- (^) Definition
- (^) Etiology
- (^) Pathology
- (^) Clinical features
- (^) Complications
- (^) Differential diagnosis
- (^) Management
ETIOLOGY
- (^) This condition may be primary or secondary to some other diseases.
- (^) PRIMARY age sex geographical location heredity hormonal nutrition vitamin deficiency contd….
- (^) Autonomic imbalance
- (^) Infection
- Cocobacilllus of perez
- Klebsiella foetidis ozanae
- Diptheroid bacilli
- bacillus pertusis
- haemophilus influenza
- Klebsiella ozanae
Pathology Mucosa and submucosa Tuubinates Blood vessels Nerves
Symptoms
- (^) Foulsmell
- (^) Anosmia
- (^) Dryness
- (^) Crusting
- (^) Epistaxis
- (^) Blocking of nose
COMPLICATIONS
- (^) Sinusitis
- (^) Middle ear infection
- (^) Atrophic pharyngitis
- (^) Psychological complications
- (^) Maggots
Differential diagnosis
- (^) Chronic infections
- syphilis
- Leprosy
- (^) Rhinitis sicca
- (^) Rhinoscleroma
- (^) Rhinolith / foreignbody nose
- (^) Sinusitis
Treatment
- (^) Primary
- Treat the primary cause
- (^) Conservative treatment a) local treatment aim is reducing crusts, neep the nasal cavity clean and moist. 1.Nasal drops
- 25% glucose in glycerine nasal drops
- estradiol in coconut oil (5mg in 1 ml)
- chloromphenicol / streptomycin nasal drops
Contd…
- (^) Alkaline nasal douching..
- Systemic treatment antibiotics nutrition vasodilators
- (^) Biogenic stimulator
- implantation of placental bits
- (^) Raghav and sharan’s : transplantation of antral mucosa into the nasal cavity.
STAY HEALTHY….. HAPPY WEEKEND……