Chronic Atrophic Rhinitis and Bad Breath
Atrophic rhinitis is a slow development of atrophic nasal inflammation, characterized by nasal mucosa, periosteum and bone atrophy. Severe and accompanied by the typical odor who said ozena. Multi-starts puberty, more common in women than men.
1. Primary
Considered as a local performance of a systemic disease, which may be related to a lack of lipid and fat-soluble vitamins, or nutritional barriers, micronutrient deficiencies or imbalances, genetic factors, collagen and other related diseases. also may be related to endocrine disorders have a certain relationship, because they occur mainly in young women, and the symptoms have increased menstrual period. With the development of immunology in recent years, and found that the majority of patients with immune disorders, it was suggested that the disease may be an autoimmune disease.
2. Secondary
Caused by local factors, such as the nasal mucosa by excessive trauma or surgery, or suffering from specific diseases such as tuberculosis, sclerosis disease, leprosy, syphilis caused. The late chronic hypertrophic rhinitis, sinusitis or chronic purulent purulent nasal discharge of long-term stimulation occurred over the proliferation of fibrous connective tissue, causing the blood line of nasal obstruction, nutritional disorder Erzhi atrophy. Nasal septum is extremely partial song generous side of the nasal cavity to enhance the flow of the stimulus, or because of dust or harmful gases in the long-term stimulation can also be pathogenic. It has been the introduction of this disease is due to special bacterial infections, such as the stinky nose or class diphtheria bacilli bacillus infection. It is considered that these bacteria are not a true pathogen, only the secondary infection atrophic rhinitis.
Pathological
Early mucosal changes in chronic inflammation was only then developed into a progressive atrophy. Mucosal blood vessels and bone gradually occurred in the Department of endarteritis obliterans and the cavernous venous plexus inflammation, connective tissue proliferation of vascular wall hypertrophy and lumen narrowing or occlusion, poor circulation, leading to mucous membranes, glands, periosteum and bone atrophy, fiber of mucosa of pseudostratified ciliated columnar epithelium gradually transformed into stratified squamous epithelium. Even the sphenopalatine ganglion can also occur fibrosis.
Clinical Performance
- Dry sense of nose and nasopharynx
This is because the nasal gland atrophy, a decrease in secretions.
- Stuffy nose
Pus scab can cause nasal congestion nasal congestion, or because of nasal nerve sensation, even if the check except pus scab, is also difficult to detect air through, but mistaken for a stuffy nose.
- Nasal secretions
Usually was massive, tube-shaped pus scab, is not easy blowing out, blowing out the dry scab force, there were a small amount of nasal bleeding.
- Decreased Olfactory
Diminish or disappear over the sense of smell. This is because the olfactory mucosa atrophy or dry scab area caused by blockage.
- Bad Breath
Pus under the scab due to bacteria growth, pus scab in the decomposition of the protein of corruption, creating foul odors, saying ozena.
- Headache, dizziness
As the turbinate atrophy, nasal role in the lack of temperature regulation insulation, inhaling cold air to stimulate the nasal mucosa, as well as pus scab stimulation may apply induced headache dizziness.
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Tags: atrophic rhinitis, Bad Breath, chronic atrophic rhinitis