Disease sexually transmitted:

Anogenital warts (condyloma)

Chronic hypertrophic rhinitis

  • What is chronic hypertrophic Rhinitis
  • What triggers / causes of chronic hypertrophic Rhinitis
  • Symptoms of chronic hypertrophic Rhinitis
  • Diagnosis of chronic hypertrophic Rhinitis
  • Treatment of chronic hypertrophic Rhinitis
  • Which doctors should be consulted if You have chronic hypertrophic Rhinitis

What is chronic hypertrophic Rhinitis -

The frequency ranges from 6 to 16 in the structure of diseases of ENT-organs.

What triggers / causes of chronic hypertrophic Rhinitis:

Classification. There are 4 main forms of hypertrophic rhinitis.

  • Cavernous (hypervascular, false) form is more common and usually is diffuse.
  • Fibrous characterized by a large number of connective tissue is diffuse and limited. In hyperplastic process often involves bony framework of the nasal cavities.
  • Edema (polypoid and papillary).
  • Misc.

Symptoms of chronic hypertrophic Rhinitis:

Permanent and pronounced nasal obstruction, headache, sleep disorder, decreased sense of smell and hearing, closed twang, fatigue, confusion and inability to attend school.
Edema (polypoid) form shows polypoid degeneration of the mucosa of the middle and upper nasal passages - edematous fluid accumulates in the posterior ends of the turbinates.
Combined form has the characteristics of other forms of hyperplasia of the nasal turbinates.
Hyperplasia of the nasal turbinates may be uniform (diffuse or local, in the area of the front or rear ends.
Histologically revealed the same changes as in simple rhinitis, but with a predominance of proliferative processes in the different layers of the mucosa, hyperplasia and fibrosis in the epithelial layer and in the bone tissue, uniform (smooth), nodular and papillary (papillary) types all over the turbinates or in the area of their ends.

Chronic hypertrophic rhinitis

Diagnosis of chronic hypertrophic Rhinitis:

When rhinoscopy revealed a sharp increase in nasal turbinate, narrowed nasal passages, congestion of the mucous membrane of the nasal cavity pale pink with a bluish tint. Thick secretions fill the nasal passages and drain into the nasopharynx, but in rare cases, discharge may not be.
Mainly dominated by hyperplasia of the inferior turbinate as a result of the development of cavernous or connective tissue. The process is usually bilateral, with a deviated septum of the nose, unilateral, on the concave side of the curvature of the septum in the more advanced half of the nasal cavity (the so-called compensatory hyperplasia).
To clarify hypertrophic rhinitis spend anemizatsii vasoconstrictor nasal passages with a solution. In this case no reduction of the hypertrophied mucous membrane shows fibrous hyperplasia of the nasal turbinates. Solid basis in the form of hyperplasia also confirmed by probing.

Chronic hypertrophic rhinitis

Treatment of chronic hypertrophic Rhinitis:

Conservative treatment is used in simple catarrhal form, in severe hyperplasia of the nasal turbinates is ineffective.
Of the techniques of surgical treatment in children using the submucosal vasotomy, galvanokaustiku (electrocoagulation), cryotherapy, ultrasound disintegration of the nasal cavities, the contact surface laser conchotomia with the use of copper vapor laser or submucosal laser conchotomia (method a gentle, bloodless), conchotomia (total or partial) when there is a true hypertrophy of the turbinates. The resection of the inferior and middle turbinates (front or rear) is a nasal loop after notching scissors. To avoid subsequent atrophy of the mucous membrane of the nasal cavity conchotomia perform maximally sparing.

Which doctors should be consulted if You have chronic hypertrophic Rhinitis:


More in this category: « Ulceration of the nasal septum Chronic sinusitis »

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