Resolution of symptoms in patients with atrophic rhinitis following partial nasal closure technique

Document Type : Original


Department of otorhinolaryngology- head and neck surgery, Shafa hospital, Kerman University of Medical Sciences, Iran


Introduction: Atrophic rhinitis is a chronic nasal disease of unknown etiology, characterized by nasal mucosal atrophy, enlargement of nasal cavity, formation of thick foul smelling, greenish nasal crusts, hyposmia or anosmia.
Materials and Methods: This clinical trial conducted between 1996-2005. 30 patients with primary atrophic rhinitis were included in the study. The diagnosis was based on the typical signs of nasal obstruction, enlargement of nasal cavity and greenish nasal crusts in the clinical examination. Patients were treated surgically by a new and simple technique of partial closure of the nasal cavity with the use of intranasal semicircular flap. Degree of patient satisfaction and clinical findings before and after the operation were analyzed statistically.
Results: Excellent results were obtained in all patients with complete resolution or improvement of symptoms such as foul nasal crusts smelling, epistaxis, headache, hoarsness and olfaction except for the symptom of nasal obstruction.
Conclusion: This simple surgical technique can be performed under local anesthesia with low casts and without any complications such as nasal deformity and flap failure, in contrast to other surgical techniques.


1- Moore EJ, Kern EB. Atrophic rhinitis: A review of 242 cases. Am J Rhinol 2001; 15(6): 355-61.
2- Cumming CW, Flint PW, Harker LA, Haughey BH, Richardson MA, Robbins KT, et al. Cumming s otolaryngology head and neck surgery. 4th ed. USA: Mosby; 2005: 994.
3- Medina L, Benazzo M, Bertino G, Montecucco CM, Danesino C, Martinetti M, et al. Clinical, genetic and immunologic analysis of a family affected by ozena. Eur Arch Otorhinolaryngol 2003; 260(7): 390-4.
4- Cowan A, Ryan MW, Francis B, Quinn TR. Atrophic rhinitis. Grand rounds presentation, University of Texas, College of medicine, Department of otolaryngology. Mar 30, 2005: 44.
5- John J. Ballenger diseases of the nose, throat, ear, head and neck. 14th ed. USA: Lea and Febiger; 1991: 143.
6- Yang J, Zhang Q. Twenty three cases of atrophic rhinitis treated by deep puncture at three points in the nasal region. J Tradit Chin Med 1999; 19(2): 115-7.
7- Segal N, Puerman M. Diagnosis: Primary atrophic rhinitis or ozena. Arch Otolaryngol Head Neck Surg 2005; 131(8): 744-5.
8- Bunnag C, Jareoncharsri P, Tansuriyawong P, Bhothisuwan W, Chantarakul N. Characteristics of atrophic rhinitis in Thai patients at the Siriraj hospital. Rhinology 1999; 37(3): 125-30.
9- Sayed RH, Abol-elhamd KE, Abdel-Kader M, Saleem TH. Study of surfactant level in cases of primary atrophic rhinitis. J Laryngol Otol 2000; 114(4): 254-9.
10- Paparella, Shmmrick, Gluckman, Meyerhoff. Otolaryngology head and neck surgery. 3rd ed. Philadelphia: WB Saunders; 1991: 185.
11- Byronj. Bailey head neck surgery, otolaryngology. 2nd ed. USA: Lippincott Raven; 1998: 388.
12- Goldenberg D, Danino J, Netzer A, Joachims HZ. Plastipore implants in the surgical treatment of atrophic rhinitis: Technique and results. Otolaryngol Head Neck Surg 2000; 122(6): 794-7.
13- Shenoy VK, Shetty P, Alva B. Pin hole nasal prosthesis: A clinical report. J Prosthet Dent 2002; 88(4): 359-61.
14- Friedman M, Hani I, George Lee G. A simplified technique for treatment of atrophic and hypotrophic rhinitis. Presented May 10, 2002, at the annual meeting of the American rhinologic society, being held at the Boca Raton Resort and Club, Boca Raton, USA, 2002: 31.