Original Research Article
Year: 2021 | Month: February | Volume: 8 | Issue: 2 | Pages: 446-449
DOI: https://doi.org/10.52403/ijrr.20210257
Remodeling and Reverse Repositioning of the Septal Cartilage in Cases of Secondary Atrophic Rhinitis Due to Deviated Nasal Septum
Sumit Sharma1, Suvarna Sharma2
1Associate Professor, Department of E.N.T., Mayo Institute of Medical Sciences, Barabanki.
2MBBS 3rd Year Student, KMC, Manipal.
Corresponding Author: Sumit Sharma
ABSTRACT
Background: Atrophic Rhinitis is sometimes referred to as coryza foetida is a chronic disease of the nose which is characterized by progressive atrophy of the nasal mucosa and underlying bone of the turbinates and the presence of a viscid secretion which emits a characteristic foul odor sometimes called ozaena (a stench). A special condition of secondary atrophic rhinitis is gross deviation of nasal septum which causes excessive airflow on the opposite side of the deviation resulting in unilateral Atrophic Rhinitis is being discussed in the present study.
Method: In the present study a new method of treatment was used in which the removed cartilage after doing mucosal resection operation of the nasal septum was remodeled and repositioned in the nose.
Results: The standard line of therapy in such cases is to do the Sub mucosal resection operation of the nasal septum and follow up the patients with standard postoperative medical therapy of Atrophic Rhinitis. The postoperative rehabilitation time is significantly large (more than a year) which is sometimes not possible due to compliance and the disease persists even after surgery. We remodeled and placed the cartilage back in the septum in reverse position (convexity to opposite side) and found good results in recovery of regeneration of the mucosa.
Conclusion: Removal of the septal cartilage after doing mucosal resection operation of the nasal septum, remodeling and repositioned in the nose improves results of the operation and helps in recovery of secondary Atrophic Rhinitis faster than if not done so.
Keywords: Atrophic Rhinitis, Secondary Atrophic Rhinitis, cartilage Repositioning.
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