Rhinoplasty and young’s operation in atrophic rhinitis

Ghosh, S.; Saha, Asok K.; Ranjan, Rakesh

doi:10.1007/bf03049592

Cited by 3 publications

(3 citation statements)

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“…29 AR is also compared to a transient regional osteoporosis with related neurogenic pathogenesis. [30][31][32] An initial stage of vasodilatation and hyperaemic decalcification of the turbinates is followed by collapse of the bones as seen in reflex sympathetic dystrophic syndrome. 31,32 The autonomic theory is also supported by the effectiveness of attempts to overcome the vasoconstriction in AR by stellate ganglion blocks and cervical sympathectomy.…”

Section: Primary Atrophic Rhinitismentioning

confidence: 99%

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The aetiology and management of atrophic rhinitis

Dutt

Kameswaran

2005

J. Laryngol. Otol.

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Atrophic rhinitis is a chronic, debilitating and recalcitrant disease of the nasal cavities that is prevalent in several parts of the world. It has unique epidemiological features and clinical characteristics. Clinicians and researchers for decades have tried to postulate theories for the aetiology of the primary form of the disease. Management of the disease has seen several medical therapeutic regimens including alternative forms of medicine. Surgical options for the condition are also not completely satisfactory with a number of failures and recurrences. The authors provide here a comprehensive review of the existing literature as regards the aetiology and management of this refractory condition.

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Section: Primary Atrophic Rhinitismentioning

confidence: 99%

“…Thus, the technique directs the stream of air away from the turbinates and dissipates the force of the air currents. 31,32 El Kholy modification. 79 Reversal of Young's operation and its modifications.…”

Section: Decreasing the Size Of The Nasal Cavitiesmentioning

confidence: 99%

The aetiology and management of atrophic rhinitis

Dutt

Kameswaran

2005

J. Laryngol. Otol.

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“…12 Since its first description, there have been a number of modifications to Young's technique that have been described including Ghosh vestibuloplasty, which incorporates a flap raised from the lateral wall of the nasal vestibule anteroposteriorly, which is sutured on itself, therefore decreasing lateral flow of air toward the turbinates and instead directing flow into the nasal cavity. 14 …”

Section: Discussionmentioning

confidence: 99%

Skull Base Defect in a Patient with Ozena Undergoing Dacryocystorhinostomy

Friedel¹,

Earley²,

Eloy³

2011

Allergy�Rhinol (Providence)

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Ozena, which is often used interchangeably with atrophic rhinitis or empty nose syndrome, is a progressive and chronically debilitating nasal disease that results in atrophy of the nasal mucosa, nasal crusting, fetor, and destruction of submucosal structures. Although the etiology is not completely understood, infection with Klebsiella ozaenae is widely believed to contribute to the destructive changes. We present a case of a patient with ozena secondary to K. ozaenae with extensive destruction of bony structures of the nasal cavity undergoing elective dacryocystorhinostomy. An extensively thinned skull base secondary to the disease process resulted in an unforeseen complication in which the skull base was entered leading to a cerebrospinal fluid leak. Patients with known history of ozena or atrophic rhinitis often have extensive destruction of the lateral nasal wall and skull base secondary to progression of disease. Submucosal destruction of these bony structures mandates the need for extreme caution when planning on performing endoscopic intervention at or near the skull base. If physical examination or nasal endoscopy is suspicious for atrophic rhinitis or a patient has a known history of infection with K. ozaenae, we recommend preoperative imaging for surgical planning with careful attention to skull base anatomy.

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