Treatment of Recurrent Keloid by Surgical Excision followed by High Dose Rate Plesiotherapy: A Case Report and Review of Literature
Brajpal Singh Tyagi1*, Arjun Saini2 and Sana Parveen3
1Professor, Harsh ENT Hospital, RDC, Ghaziabad, India
2Junior Consultant, Harsh ENT Hospital, RDC, Ghaziabad, India
3Assistant Professor, Hind Institute of Medical Sciences, Safedabad, India
*Corresponding Author: Brajpal Singh Tyagi, Professor, Harsh ENT Hospital, RDC, Ghaziabad, India.
Received:
January 05, 2025; Published: March 06, 2025
Abstract
Purpose: Atrophic rhinitis is a distressing malady of the nose, characterized by progressive atrophy of the mucosa underlying bone of turbinates, abnormal patency of nasal passages and presence of viscid secretions which rapidly dry up and form crusts. Classically, it gives rise to sclerotic changes which distort the nasal architecture and contour, giving rise to an unsightly appearance. Hence, this study was conducted to evaluate the changes in facial features in patients of atrophic rhinitis when compared to the normal unaffected population.
Materials and Methods: Patients coming into ENT OPD at Harsh ENT hospital were screened and diagnosed for atrophic rhinitis and categorised in the case group, whereas the other unaffected individuals were put into the control group. Various parameters like nasal and facial index, nasal and facial angles, facial thirds and facial height were compared between the two groups and results analysed.
Results: We have observed that atrophic rhinitis causes a change in various nasal and facial parameters. Facial index was found to be more and nasal index was also found to be decreased in patients of atrophic rhinitis. There was a slight decrease in the nasofrontal angle in these cases, but it was more obtuse in a few. In contrast, the nasolabial angle was observed to be more acute in atrophic rhinitis.
Conclusion: Through our study, attempted to analyse the changes caused by the destructive effects of atrophic rhinitis in the North indian population. To our knowledge, no such study has been reported in India or worldwide.
Keywords: Atrophic Rhinitis; Facial Angles; Nasal Index
References
- Shehata MA. “Atrophic rhinitis”. American Journal of Otolaryngology2 (1996): 81-86.
- Artiles F., et al. “Chronic atrophic rhinitis and Klebsiella ozaenae infection”. Enfermedades Infecciosas y Microbiologia Clinica6 (2000): 299-300.
- Zohar Y., et al. “Ozena revisited”. Journal of Otolaryngology5 (1990): 345-349.
- Han-Sen C. “The ozena problem. Clinical analysis of atrophic rhinitis in 100 cases”. Acta Oto-Laryngologica5-6 (1982): 461-464.
- Medina L., et al. “Clinical, genetic and immunologic analysis of a family affected by ozena”. European Archives of Otorhinolaryngology7 (2003): 390-394.
- Sibert JR and Barton RP. “Dominant inheritance in a family with primary atrophic rhinitis”. Journal of Medical Genetics 1 (1980): 39-40.
- Metgudmath VV., et al. “Analysis of Imperative Facial Angles for Rhinoplasty: An Endowment to the Surgeon”. Indian Journal of Otolaryngology and Head and Neck Surgery 75 (2023): 774-780.
- Bist SS., et al. “Primary atrophic rhinitis: a clinical profile, microbiological and radiological study”. ISRN Otolaryngology 2012 (2012): 404075.
- Dutt SN and Kameswaran M. “The aetiology and management of atrophic rhinitis”. Journal of Laryngology and Otology11 (2005): 843-852.
- Moore EJ and Kern EB. “Atrophic rhinitis: a review of 242 cases”. American Journal of Rhinology6 (2001): 355-361.
- Hiranandani LH. “Atrophic rhinitis a nutritional disorder”. In: Takahashi R, editor. Proceedings of the International Symposium on Infection and Allergy of the Nose and Paranasal Sinuses; 1976; Scimed Publications (1976): 206-208.
- Raman R. “Vasomotor rhinitis-atrophic rhinitis: two ends of an autonomic spectrum”. Singapore Medical Journal 1 (1989): 94-96.
- Hagrass MA., et al. “Radiological and endoscopic study of the maxillary sinus in primary atrophic rhinitis”. Journal of Laryngology and Otology8 (1992): 702-703.
- Sayed RH., et al. “Study of surfactant level in cases of primary atrophic rhinitis”. Journal of Laryngology and Otology4 (2000): 254-259.
- Effat KG and Madany NM. “Microbiological study of role of fungi in primary atrophic rhinitis”. Journal of Laryngology and Otology6 (2009): 631-634.
- Sumaily IA., et al. “An Updated Review on Atrophic Rhinitis and Empty Nose Syndrome”. Ear, Nose and Throat Journal (2023).
- Modrzyński M. “Hyaluronic acid gel in the treatment of empty nose syndrome”. American Journal of Rhinology and Allergy2 (2011): 103-106.
- Jung JH., et al. “Costal cartilage is a superior implant material than conchal cartilage in the treatment of empty nose syndrome”. Otolaryngology–Head and Neck Surgery3 (2013): 500-505.
- Chang AA and Watson D. “Inferior turbinate augmentation with auricular cartilage for the treatment of empty nose syndrome”. Ear, Nose and Throat Journal10-11 (2015): E14-15.
- Tam YY., et al. “Clinical analysis of submucosal Medpor implantation for empty nose syndrome”. Rhinology1 (2014): 35-40.
Citation
Copyright