fetid rhinitis (ozena) is a disease affecting the nasal mucosa.In fact, it is nothing like an atrophic process that is accompanied by the formation of secretions.Later this secret dries up, leading to the formation of foul-smelling crusts, which are quite dense layer covers their entire mucosa.
Here the question arises : if the basis of the process is the atrophy, then what is described disease characterized by atrophic rhinitis?
The fact that the process of atrophy characterizes "ozena" disease spreads to the bony wall of the nasal cavity (this fact is especially true shell of bones), this is accompanied by the production of abundant discharge, which quickly dries up and has a very strong specific smell, which does not namepleasant.All this in atrophic rhinitis usually does not happen.
Another difference is the fact that the fetid rhinitis is characterized by the development of metaplasia, ciliated columnar epithelium in the flat for much of the mucosa.In a simple atrophic rhinitis, it is not a
Causes and symptoms ozena
reasons ozeny today remain obscure.At the same time, according to some authors cause the development of the disease is excessive is an innate feature of the width of the olfactory organ, the shortening of the anterior-posterior size of its cavity, underdeveloped state of the paranasal sinuses, and plus the entire broad front part of the skull.
At the same time, other authors of the origin of the disease is associated with degeneration of the nasal mucosa, which begins to decay and emit a foul odor.
In our country, described the disease is rare, and mostly in the female population.
If the patient has developed a disease as ozena symptoms, the treatment of which will be discussed below, are as follows: the patient has complaints of nasal dryness;in the nasal passages, a large number of crusts;there is a characteristic unpleasant odor;human breathing through the nose difficult, as well as greatly reduced or absent sense of smell.
rinoskopicheskogo When conducting research in both halves of the nose can easily peel differ brownish or yellowish-green.These crusts cover a mucous membrane, and often fill the entire nasal cavity.At the same time, they can spread to the throat, and even the larynx to the windpipe.
After removal of the described formations eyes the enhanced nasal cavity, sometimes covered with a viscous greenish-yellowish exudate.
Atrophic process determining ozeny symptoms in the early stages of the disease mainly affects the lower region of the shell, but then to cover all the nasal wall.The nasal cavity becomes such a width that when rinoskopii become prominent mouth of the auditory tube, as well as the rear wall of the nasopharynx (there are cases when the visible and the upper shell).
The ozena dangerous and how to treat the disease
Speaking about this form of rhinitis is impossible not to mention dangerous than ozena.This disease is fraught with both local complications in the form of inflammatory processes on the part of the nose, ear and eye, as well as lesions in distant organs such as the lungs.
Therefore, timely diagnosis (based on the identification of symptoms and examination, the expert) and the treatment of this condition is very important.
In this disease a ozena treatment is in the home, as well as treatment in a hospital provides, above all, the fight against dryness of the nose, removal of accumulated crusts and deodorization.
washing is usually carried out with 3% hydrogen peroxide solution.Suitable also a weak solution of potassium permanganate, or even a simple saline solution.
For the procedure use a mug or a special nasal douches watering.It is important that the liquid does not leak into the auditory tube.This requires that the patient's head tilted forward and slightly opened mouth.This will contribute to the fact that the washing liquid will not swallow, and will pour out some half of the nose.
ozeny treatment can be carried out using the so-called tamponade Gotshteyna.This procedure should be performed only by a physician.it consists in that in the nasal cavity for 2-3 hours placing gauze, which had been previously wetted with a 1.2% solution yodglitserina.When you remove a tampon foul-smelling crusts disappear.
Sometimes doctors recommend to lubricate the nose yodglitserinom 2-5% daily.
should not forget about treatment hlorofillokarotinovoy paste.Candles out of it for a month is introduced into both halves of the nose 1 p / day.Several minutes later, the unpleasant smell disappears and does not appear for about 2 days.As a result of re-introducing the deodorization candles period increased to 3-5 days.such a course of treatment is carried out 4 times a year.
When considering how to treat Ozen, it is worth noting that some authors have noted the offensive improvement in patients with this disease due to the use of physiotherapy.Such treatment may be, for example, iontophoresis and diathermy.Good results were also observed after inhalation of air rich in ions.
fetid rhinitis, which treatment by conservative methods do not lead to success, leaves doctors with no choice but to treat it surgically.The essence of this approach lies in the fact that the doctor artificially narrows the nasal cavity.In this case from the variety of techniques considered to be the most gentle introduction to the submucosal tissue cartilage, fat or bone.Such implantation leads to a strong reaction from the perichondrium and mucosa.And simply put, is developing increased growth of connective tissue and blood vessels, as well as increasing the size and number of mucous glands.It is these changes that develop after surgery and cause improvement.
more radical technique that can be applied surgeons in the treatment of the disease called "runny ozena" is Lautenshlegera operation.It consists in the fact that during its inner wall of the maxillary sinus to the nasal septum crush.This wall is peeled and is fixed by means of a tampon in a desired position.In a subsequent holding in the new position is due to the fusion of the nose and septum surfaces of shells.