Current Pattern of Nasal Atrophy in North India
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Abstract
Background: Classical atrophic rhinitis is rarely seen today as its mild counterpart is encountered. The aim is to assess the current clinicopathological scenario of atrophic rhinitis (AR) / rhinitis sicca (RS) along with their changing pattern of presentation in patients presenting with nasal dryness.
Material and Methods: This prospective study analysed 100 patients of nasal dryness after categorizing them into 2 groups, with group-1 comprising AR/RS while group-2 comprised the rest. The age distribution, symptomatology, intranasal atrophy (intranasal dimensions using predefined calibrated probes and radiological assessment of 2-dimentional radiolucent area), bacteriological and mycological profiles were compared and analysed.
Results: AR and RS were diagnosed in 22 & 15% of cases, respectively. The female has predominated while seasonal variation in group-1 showed significance, with maximum (40%) incidence occurring post-monsoon (July-August). Group-1 revealed more severe symptoms (statistically significant) and exclusive presence of anosmia and maggots. The haemoglobin level, intranasal and radiological dimensions were also statistically significant between 2 groups. Klebsiella ozaenae was the most common bacteria encountered in group-1, while Staphylococcus aureus was encountered in group-2. Similarly, Candida was the most common fungus of group-1.
Conclusion: A high degree of suspicion is needed to diagnose AR/RS, considering the milder shade of disease prevalent today. The current pattern needs to be considered in formulating the treatment protocol and the measurement of intranasal dimensions is likely to provide a prognostic parameter.
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