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Chronic hypertrophic rhinitis
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Chronic hyperthrophic rhinitis

 

As a common ENT disorder, chronic hyperthrophic rhinitis features the symptom of unilateral or bilateral nasal obstruction. Patients with severe nasal obstruction are often susceptible to the infections of nasal sinus and respiratory system.

 

Causes

The hyperthrophy of inferior nasal turbinate is one of the primary agents for chronic hypertrophic rhinitis. Such disease can also develops as the result of regular nasitis. As the epithelium cilia sheds from the mucous membrane and turns into a multi-layer cubic epithelium, the lower layer of mucous membrane develops into edema and then fibrous tissue hyperplasia, causing a hyperthrophic mucous membrane. Such volume change of mucous membrane over a long period of time can give rise to consequent hyperthrophic change of the nasal turbinate.

    

Symptoms

• Severe nasal obstruction, combining with constant mouth breathing and deteriorating sense of smell.

• Viscous and purulent nasal mucus.

• Once the hypertrophic middle nasal turbinate compresses the nasal septum, an episodic frontal pain which typically radiates from the nasal   septum to nasal bridge and the orbit can develop.

• Notably impaired sense of smell.

• Respiration obstruction, hearing loss and tinnitus.

 

Diagnosis

Diagnosis of chronic hyperthrophic rhinitis can be made through physical tests given by medical professionals and examination equipment according to the following symptom indicators:

 

• Obvious hyperthrophy of the inferior nasal turbinate or the middle turbinate, combining with the obstruction of nasal cavity and purulent secretion of nasal base or the lower nasal passage.

• Swelling mucous membrane which has tough surface and takes on the color of pink or purple-red.

• The mucous membrane doesnt constrict despite of the use of vasoconstrictor.

 

Treatment options

Conservative therapies for chronic hyperthrophic rhinitis are the use of nasal decongestant, and the injection of stiffening agent. However, those therapies lack long-term curing effect, and usually result in a relapse of the disordered condition.

 

Traditional surgical treatments for this disease include partial resection of the inferior nasal tubinate, cryotherapy, cauterization, and laser or microwave-assisted surgery. Although they can be could be carried out on an out-patient basis, without troubling the patients with hospitalization, nevertheless, those surgical treatments oftentimes lead to serious complications such as hemorrhage, junction, adhesion, and atrophic rhinitis.

 

Nowadays, it is commonly believed that the inferior nasal turbinate has crucial functions in maintaining the temperature and moisture as well as the normal physical functions of the nasal cavity. In this sense, the ideal surgical treatment for this disease is to reduce the volume of the inferior turbinate and improve the airflow in the nasal cavity without damaging the mucous membrane. In this sense, the rather advanced low temperature plasma radiofrequency ablation technology is considered as an ideal solution for curing this disease. Under its assistance, relevant surgery shows efficacy in treating chronic hypertrophic rhinitis by gently removing the undesired tissue hyperplasia, keeping the normal functions of the mucosa without causing unnecessary surgical invasions and thermal damage to the surrounding healthy tissue.