Full Description
This book presents the state of the art in atrophic rhinitis and analyses its specific characteristics in non-allergic rhinitis. Little has been written on this condition, which represents a topical issue in modern clinical practice, and as such many clinicians tend to underestimate its impact on patients' quality of life. This book covers the definition, aetiology, clinical presentation, diagnosis and management, providing specialists with a better understanding of this condition and of the treatment options. It describes in detail the latest diagnostic tools, such as the innovative computational fluid-dynamics studies, nasal cytology, trigeminal stimulation tests, olfactometry, subjective questionnaires, with a focus on the psychological aspects, which have not yet been systematically investigated. Further, it discusses therapeutic strategies, both medical and surgical, reviewing the literature, from the first historical procedures to recent conservative techniques, such as lateral nasal wall reconstruction with various materials, and septal perforation repair. Illustrating all the options currently available, the book is an invaluable resource, not only for otolaryngologists, but also for plastic surgeons, clinical allergists and rheumatologists.
Contents
Foreword.- Introduction .- Part I: PRIMARY ATROPHIC RHINITIS.- 1. Ozaena and other infective forms.- Part II: SECONDARY ATROPHIC RHINITIS.- 2. Autoimmune and granulomatous forms.- 3. Iatrogenic Atrophic Rhinitis: Post-Nasal Surgery or Empty Nose Syndrome (ENS).- 4. Drug-Induced Atrophic Rhinitis.- Part III: DIAGNOSIS OF ATROPHIC RHINITIS.- 5. Empty Nose Syndrome: clinical evaluation with subjective questionnaires and psychological evaluation.- 6. The role of nasal cytology in the diagnosis of Atrophic Rhinitis.- 7. The role of rhinomanometry and nasal airflow evaluation in the diagnosis of atrophic rhinitis.- 8. Computational fluid dynamics: Is it possible to produce a real model of the nasal flux?.- 9. Imaging: the role of CT Scan, Cone Beam and MRI in the diagnosis of Atrophic Rhinitis.- Part IV: TREATMENT OF ATROPHIC RHINITIS.- 10. Atrophic Rhinitis - Medical Treatment.- 11. Surgical Treatment of empty nose syndrome: Inferior turbinate reconstruction using intranasal mucosal flaps.-12. Surgical Treatment of atrophic rhinitis: Inferior turbinate augmentation with sub-mucosal injections.- 13. Nasal septal perforations: modern diagnostic work up, management and surgical strategy.- 14. Surgical Treatment of atrophic rhinitis: The use of autografts in nasal dorsum repair.- 15. Surgical Treatment of atrophic rhinitis: use of autologous costal cartilage grafts.- 16. Allografts use in nasal reconstruction.
