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Clinical profile of atrophic rhinitis with special reference to the status of maxillary sinuses

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Abstract

This study describes clinical profile of 62 cases of atrophic rhinitis. Maximum cases (35.48%) were in the age group 11– 20 yrs. The male female ratio was 1:1.06. The major symptoms were foul smell from nose, nasal discharge and nasal crusting, while the major signs found were roomy nasal cavities, atrophic turbinates, nasal crusting, foetor and nasal discharge.

Maxillary sinus was found opaque on radiograph in 43.4% cases. The medial wall of maxillary antrum was found to be thicker and size of antrum was found to be smaller as compared to control cases, which was statistically significant (p < 0.001). The antrum puncture was difficult in 43.6% cases.

The most common organism found in nasal cavity and antrum were Kleb species and Ps aeroginosa. A positive correlation in the form of same organism between nasal cavity and antrum was found in 44.15% cases.

Sinuses have been blamed as one of the causative factors for atrophic rhinitis. Ballenger (1908) and Adam (1919) considered atrophic rhinitis as the result of long standing sinusitis. Taylor and Young (1961) and Ssali (1973) said that walls of the sinuses in atrophic rhinitis are thickened, while Chatterji (1980) found evidence of fragmentation but Ghosh (1987) stated that significant osteoporosis was absent in medical wall of antrum.

The present study describes the clinical profile of 62 cases of atrophic rhinitis with special reference to states of maxillary sinus from February 1991 to March 1992.

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Jain, S.K.T., Amreliwala, M.S., Sinha, V. et al. Clinical profile of atrophic rhinitis with special reference to the status of maxillary sinuses. IJO & HNS 48, 19–24 (1996). https://doi.org/10.1007/BF03048021

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