chronic hypertrophic rhinitis
Introduction
Introduction to chronic hypertrophic rhinitis Chronic hypertrophic rhinitis is often developed from chronic simple rhinitis and is characterized by localized mucosal, submucosal or even bone hyperplasia or diffuse hypertrophy. basic knowledge The proportion of illness: 0.012% Susceptible people: no special people Mode of infection: non-infectious Complications: Swelling Sinusitis Headache Insomnia Trigeminal neuralgia
Cause
Causes of chronic hypertrophic rhinitis
Generally developed from chronic simple rhinitis. Mucosal epithelial cilia shedding, becoming a stratified cubic epithelium, submucosal edema followed by fibrous tissue hyperplasia and mucosal hypertrophy, mulberry or polypoid changes, periosteal and bone tissue hyperplasia The turbinate bone can also be hypertrophied.
Prevention
Chronic hypertrophic rhinitis prevention
1 Active treatment of acute rhinitis.
2 pay attention to environmental sanitation, smokers and alcoholics should naturally quit.
3 Active prevention and treatment of systemic diseases, first look at the nasal cavity, there is no nasal septum deviation, and then see if there is any tonsillitis in the throat; other if there is no face to look for anemia; if the appetite is poor, check the liver; palpitations check the heart In the afternoon, low fever must be checked for tuberculosis and so on.
Complication
Chronic hypertrophic rhinitis complications Complications, swelling, sinusitis, headache, insomnia, trigeminal neuralgia
Swelling of the nasal mucosa will inevitably lead to poor drainage of the sinus opening, so often accompanied by sinus inflammation, this patient often has head swelling, headache, mental euphemism, insomnia, memory loss and other symptoms, especially the hypertrophic middle turbinate compression nasal septum will appear trigeminal neuralgia.
Symptom
Chronic hypertrophic rhinitis symptoms Common symptoms Nasal congestion lying on the underside of the side ... Nasal hypertrophy Neuralgia Intermittent nasal obstruction Olfactory disturbance Yellow sputum forehead pain Opening mouth Nasal breathing can not find the nose
(1) The nasal congestion is heavier, mostly persistent, often breathing at the mouth, and the sense of smell is reduced.
(2) The nose is thick, mostly mucous or purulent. Due to the snot of the nose, it can cause cough and phlegm.
(3) When the hypertrophic middle turbinate presses the nasal septum, it may cause the anterior ethmoid nerve of the trigeminal nerve branch to be compressed or inflamed, and occasional episode of frontal pain, and radiate to the bridge of the nose and eyelid, called pre-screening neuralgia. , also known as pre-screen nerve syndrome.
Examine
Examination of chronic hypertrophic rhinitis
1 The lower turbinate is obviously hypertrophied, or the inferior turbinate and the middle turbinate are hypertrophied, often causing nasal congestion, mucus or mucopurulent secretions in the bottom of the nasal cavity or in the lower nasal passage.
2 mucous membrane swelling, pink or purple, uneven surface, or nodular or mulberry-like, especially the front end of the turbinate and its free edge is obvious, the probe light pressure depression is not obvious, the touch has a hard feeling.
3 After the local vasoconstrictor, the mucosal contraction was not obvious.
Diagnosis
Diagnosis and diagnosis of chronic hypertrophic rhinitis
Chronic simple rhinitis and chronic hypertrophic rhinitis, the two causes are basically the same, the clinical symptoms are very similar, usually the latter evolved from the former, therefore, in clinical, the patient's disease period may be the former, may also be expressed as The latter, or the transition period between the two, brings confusion to the clinical differential diagnosis. The two identification points are summarized as follows:
(1) Characteristics of the lesion: Chronic simple rhinitis is a reversible mucosal chronic inflammation characterized by swelling of the nasal mucosa and increased secretions. Chronic hypertrophic rhinitis is characterized by nasal mucosa, submucosa, and even hypertrophy of the nasal nails. Irreversible lesions.
(2) Characteristics of clinical symptoms: The main symptoms of chronic simple rhinitis are intermittent or alternating nasal congestion, increased nasal discharge, mainly mucus, while chronic hypertrophic rhinitis is more severe than the former, which is persistent and more obvious. The occlusive nasal snoring and the degree of olfactory dysfunction; although the snot is not too much, it may be mucous or purulent, but it is not easy to sputum. The clinical symptoms of the two are not absolutely as described above, sometimes between the two. Or both, such as simple type, sometimes there may be persistent nasal congestion, secondary infections, there may be mucopurulent secretions.
(3) Characteristics of cavity examination: chronic simple rhinitis, dark red nasal mucosa, smooth mucous surface, moist, swollen, soft and elastic when touched with a cotton swab or probe, localized during pressure In the depression, when the pressure is stopped, the depressed portion is immediately restored; on the contrary, when the turbinate tissue of the patient with chronic hypertrophic rhinitis is touched, it is hard and solid, and it is not easy to have a depression, or it is difficult to restore the original state after the depression; the nasal mucosa and the turbinate The surface is not flat, nodular or mulberry, and the color is reddish, purple or pale.
(4) The reaction of vasoconstrictor: The former is only due to vasodilation, mucosal inflammatory swelling and no proliferative changes, so it responds well to the contracting agent. Once used, the mucosal swelling is quickly relieved and the symptoms are improved; Due to the hypertrophic changes in tissue hyperplasia, the vasoconstrictor did not respond well and the degree of symptom improvement was also poor.
