Year: 1999 Vol. 65 Ed. 5 - (7º)
Artigos Originais
Pages: 423 to 428
Atrophic Rhinitis: Surgical Treatment and Results.
Author(s):
Marcelo L. Mendonça*;
Rogério F. Alves*;
Richard L. Voegels**;
Luiz U. Sennes***;
Ossamu Butugan****.
Keywords: rhinitis, atrophy, treatment, surgery
Abstract:
Introduction: The atrophic rhinitis (AR) can be classified in simple, secondary and ozenae. The manifestation usually includes mucosa and bone atrophy, fetid secretion and crusts. The so called scundary atrophic rhinitis (SAR) results of nasal surgery, especially after turbinectomy. Material and Methods: We analyzed 12 cases of AR that was submitted to surgical treatment to narrow the nasal fossa, the pre-operatory symptoms, rhinoscopic aspect and type of AR. Then, we correlated with the surgical treatment and the material used as implant or graft. Finally, we analyzed post operative evolution. Five cases were classified as ozenae and seven as secondary AR following turbinectomy. Results: The average was 28 year-old and 75% was female. Fetid nasal secretion and crust was more frequent in the patients with ozenae, while sensation of nasal obstruction and inspiratory pain were more frequent in secondary AR. The mucosa atrophy was evident in ozenae and mild in SAR. Eleven cases were submitted to surgical submucosa implant in the lateral nasal wall, and only one to implant in the septum. Cartilage graft was used in eight patient, bone graft in one and silicon implant in there cases. All patient had the symptoms improved, but the results were better in the secondary AR following turbinectomy. Conclusion: AR can be surgically treated with techniques to narrow the nasal fossa by inclusion of biological grafts in the lateral wall, and seems to be a very good option. Better results are expected in patients with SAR, probably because there is no mucosa atrophy.
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