Research Article, J Otol Rhinol Vol: 3 Issue: 4
Atrophic Rhinitis - Empty Nose Syndrome: A Clinical, Endoscopic and Radiological Entity
Jean Jacques Braun1,2*, Christian Debry1, Alessio Imperiale3,Frédéric de Blay2, Benjamin Rock4, Francis Veillon5 and Sophie Riehm5 |
1Service ORL et CCF, Hôpital de Hautepierre, Strasbourg cedex, France |
2Service de pneumologie, d’allergologie et de pathologie respiratoire del’environnement, Nouvel hôpital civil, Strasbourg cedex, France |
3Service de Biophysique et de Médecine Nucléaire, Hôpital Hautepierre,Strasbourg cedex, France |
4University of Exeter and Peninsula College of Medicine and Dentistry, Royal Cornwall Hospital, Cornwall, England |
5Service de Radiologie 1, Hôpital de Hautepierre, Strasbourg cedex, France |
Corresponding author : Jean Jacques Braun 8 quai Kellermann, 67000 Strasbourg, France Tel: +33(0)388221307; Fax: +33(0)388324681; E-mail: braun.jean-jacques@wanadoo.fr |
Received: April 22, 2014 Accepted: July 02, 2014 Published: July 12, 2014 |
Citation: Jean Jacques Braun, Christian Debry, Alessio Imperiale, Frédéric de Blay, Benjamin Rock, Francis Veillon, Sophie Riehm (2014) Atrophic Rhinitis - Empty Nose Syndrome: A Clinical, Endoscopic and Radiological Entity. J Otol Rhinol 3:4. doi:10.4172/2324-8785.1000169 |
Abstract
Atrophic Rhinitis - Empty Nose Syndrome: A Clinical, Endoscopic and Radiological Entity
Background: Atrophic rhinitis results from progressive atrophy of the nasal mucosa and underlying bone. Empty nose syndrome is often described as post-turbinectomy iatrogenic atrophic rhinitis. For some authors a distinction should be drawn between these two conditions.
Purpose: The aim of this article is to review the literature (PubMed, EMBASE, Google: Atrophic Rhinitis, Ozaena, Empty Nose Syndrome) and to present a representative series of 21 cases of the two conditions in a compressed overview.
Clinical, endoscopic, radiological features: The clinical symptoms include nasal obstruction, epistaxis, impaired olfaction, purulence and crusting. Endoscopy and computed tomography show mucosal and osteochondral modifications with an enlargement of the nasal cavities up to the choanae.
Aetiologies: By combining the results of clinical, endoscopic, imaging and additional investigations if necessary, it may be possible to differentiate between primary or idiopathic forms and secondary forms of atrophic rhinitis to optimize diagnostic work-up and patient management.