Journal of Otology & RhinologyISSN: 2324-8785

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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: [email protected]
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.

Keywords: Atrophic rhinitis; Empty nose syndrome; Ozaena; CT; MRI

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