Clinicopathological Study of Atrophic Rhinitis

Abstract

To evaluate the clinical feature & pathology of atrophic rhinitis [AR] 75 cases of AR were evaluated retrospectively. Maximum cases were in the age group 20-30 years [40%].Male: female ratio was 1:1.5. Major symptoms were foul smell from nasal cavity along with crusting. The major signs found were atrophy of lateral nasal wall along with turbinates & nasal crusting. The most common organism found in nasal cavity & antrum were Pseudomonas aeruginosa followed by Klebsiella ozaenae. The present study describes the clinicopathological profile of 75 cases of atrophic rhinitis from 1.1.2011 to 31.12.2012 in the Dept. of ENT VSS Medical college Burla-Odisha. KEY WORDS: atrophic rhinitis INTRODUCTION: Atrophic rhinitis a chronic nasal disease characterised by progressive atrophy of mucosa & underlying bone of turbinates & form crusts which emit characteristic foul odour that is termed as ozaena. Although many of the pioneers have contributed handsomely to the entity of AR it still poses an intractable problem in rhinology which has been baffling to the mankind from time immemorial. Although atrophic condition of the nose has been known to the most ancient physicians from the days of Hippocrates, the term ozaena was coined by Claudius Galenus. A similar nomenclature to ozaena is found in ayurvedic literature as peenash. The disease is characterised by nasal obstruction due to crusts, roomy nasal cavity & foul smell emanating from nasal cavity of the patient.This study is a retrospective one done by selecting 75 cases of AR who were admitted & regularly followed up in the Dept. of ENT VSS Medical College Burla from 01.01.2011 to 31.12.2012. The aim of present work is to study the clinicopathological aspects of atrophic rhinitis. MATERIAL & METHODS:The study was carried out from 01. 01.2011 to 31.12.2012 Out of all cases of AR who were admitted in our department in the said period, 75 cases were selected randomly for study & their case records were evaluated. HP study of nasal mucosa, X-ray PNS (water's view) & antral puncture had been done in every case. The aspirated pus from antral puncture or the fluid aspirated after instillation of 2cc of luke warm sterile saline in the antrum had been sent for culture & sensitivity study. All above reports were evaluated.

Correlation of ABO blood group phenotype with atrophic rhinitis: an observational study

“…28 In a study by Mishra et al, maximum number of cases was in the age group 21-30 years (40%). 27 The present observations also correlate with the study of Shreedharan et al, and Jain et al 29,30 In the present study, according to Kuppuswamy's scale, it is found that majority of patients (80%) of atrophic rhinitis belong to low socioeconomic groups. This observation is similar to Jain et al, who reported that atrophic rhinitis is a rare disease in the developed world and quite common in developing country in patient of lower socioeconomic groups.…”

“…6,26 Mishra et al in their study observed slightly higher incidence in females with male to female ratio of 1:1.5. 27 Atrophic rhinitis is more predominant in females is a well-established fact.…”