Chronic atrophic rhinitis

"Ozaena" redirects here. For the genus of ground beetles, see Ozaena (beetle).
Chronic atrophic rhinitis
Classification and external resources
Specialty pulmonology
ICD-10 J31.0
ICD-9-CM 472.0
DiseasesDB 30798
MedlinePlus 001627
MeSH D012222

Chronic atrophic rhinitis is a chronic inflammation of nose characterised by atrophy of nasal mucosa, including the glands, turbinate bones and the nerve elements supplying the nose. Chronic atrophic rhinitis may be primary and secondary. Special forms of chronic atrophic rhinitis are rhinitis sicca anterior and ozaena.

Primary atrophic rhinitis


This disorder was known since the time of ancient Egypt, almost 4,000 years ago, and descriptions of it are found in the historical medical papyri. In the Edwin Smith Papyrus (1700 BC) it was prescribed a treatment based on wine and breast milk to cure this disease.[1] The ancient Greek and Indian civilizations were aware of atrophic rhinitis.[2]



Clinical manifestations

Permanent loss of smell and impairment of taste may also be a result of this disease, even after the symptoms are cured.

Secondary atrophic rhinitis

Specific infections, such as syphilis, lupus, leprosy and rhinoscleroma, may cause destruction of the nasal structures leading to atrophic changes. Atrophic rhinitis can also result from long-standing purulent sinusitis or radiotherapy of the nose, or as a complication of surgery of the turbinates.[1] Some authors refer to as Atrophic rhinitis secondary to sinus surgery as the empty nose syndrome.[1]

Unilateral atrophic rhinitis

Extreme deviation of nasal septum may be accompanied by atrophic rhinitis on the wider side.

Treatment options

Treatment of atrophic rhinitis can be either medical or surgical.

Medical measures include:

Surgical interventions include:


  1. 1 2 3 4 deShazo, Richard D.; Stringer, Scott P. (2011-02-01). "Atrophic rhinosinusitis: progress toward explanation of an unsolved medical mystery". Current Opinion in Allergy and Clinical Immunology. 11 (1): 1–7. doi:10.1097/ACI.0b013e328342333e. ISSN 1473-6322. PMID 21157302.
  2. Shehata MA (1996). "Atrophic rhinitis". Am J Otolaryngol. 17 (2): 81–6. PMID 8820180.
  3. Dutt SN, Kameswaran M (November 2005). "The aetiology and management of atrophic rhinitis". J Laryngol Otol. 119 (11): 843–52. doi:10.1258/002221505774783377. PMID 16354334.
  4. Bunnag C, Jareoncharsri P, Tansuriyawong P, Bhothisuwan W, Chantarakul N (September 1999). "Characteristics of atrophic rhinitis in Thai patients at the Siriraj Hospital". Rhinology. 37 (3): 125–30. PMID 10567992.

External links

This article is issued from Wikipedia - version of the 11/7/2016. The text is available under the Creative Commons Attribution/Share Alike but additional terms may apply for the media files.