<p class="abstract"><strong>Background:</strong> Atrophic rhinitis is a chronic nasal disease, characterized by a triad of symptoms, namely foul odour, atrophy of nasal mucosa and crusts formation. The understanding of the pathophysiology and the management of atrophic rhinitis has long been a vexing problem for the treating clinician<span lang="EN-IN">. Hence some authors have recommended adopting a capsular dissection technique in order to avoid these complications. </span></p><p class="abstract"><strong>Methods:</strong> This present study was conducted in the Department of E.N.T, in which all the cases diagnosed as primary atrophic rhinitis and who were willing to undergo this surgery during the study period were taken for the study. Totally 20 patients were included for the study. Patients with secondary atrophic rhinitis were excluded<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> In our study foul smelling nasal discharge and falling of crusts were the most commonest presenting symptoms which were present in all 20 patients (100%). The other presenting complaints were loss of sense of smell in 19 patients (95%), nasal obstruction in 16 patients (80%), bleeding from nose in 9 patients (45%), headache in 9 patients (45%) and maggots in 2 patients (10%)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> The incidence of atrophic rhinitis is more in low, less in middle and nil in high socio economic status group of patients and smelling nasal discharge and falling of crusts were the most commonest presenting symptoms<span lang="EN-IN">.</span></p>

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<p class="abstract"><strong>Background:</strong> As the exact etiology is not known, treatment is directed towards symptomatic relief. Medical treatment leads only to temporary remission of symptoms. Over the years, surgeons have attempted various techniques for long term relief of symptoms. Most of the techniques have been directed to the narrowing of the nasal cavity<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> All the cases diagnosed as primary atrophic rhinitis and who were willing to undergo this surgery were taken for the study. The cases diagnosed as primary atrophic rhinitis were subjected to detailed history and examination. Clinically following conditions were ruled out – tuberculosis, syphilis, rhinoscleroma, leprosy. A routine haemogram (Hb%, TC, DC, BT, CT), urine examination (albumin, sugar, microscopy), ESR serum VDRL was done for the patients<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> We were successful in creating a neoturbinate in 12 patients in our study. Of these, majority of the patients (6 patients) had their duration of symptoms between 2-4 years, the outcome in them are excellent in 4 patients, good in 2 patients<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> The results are encouraging with reduced crusting, healthier mucosa and some patients even regaining their sense of smell. All these above, with no nasal obstruction or pinched nostrils as may occur in young’s closure. But the effort involved is more in this surgical procedure<span lang="EN-IN">.</span></p>