chronic dry rhinitis
Introduction
Introduction to chronic dry rhinitis Chronic dry rhinitis is generally thought to be caused by external physical or chemical substances, such as mechanical stimulation of long-term dust, overheating of air, and effects of excessive drying. The disease is a common occupational chronic rhinitis. Patients often have dry nose, dry nasal secretions, itching, burning sensation, often induce the patient to dig nose, causing a small amount of nosebleed, the sense of smell is generally not reduced. When rhinitis fails to be treated in time, affecting the olfactory mucosa, there will be olfactory disorders, resulting in no smell of odor and odor. When the long-term recurrent sinusitis is not treated in time, the inflammation will spread to neighboring organs and tissues. Concurrent such as frontal bone osteomyelitis, tibial wall osteoarthritis and periostitis, submucosal abscess of the temporal wall, intraorbital cellulitis, retrobulbar optic neuritis, epidural abscess, subdural abscess, purulent meningitis, brain abscess , cavernous sinus thrombophlebitis and other critical emergencies. basic knowledge The proportion of sickness: 0.01% Susceptible people: no special people Mode of infection: non-infectious Complications: olfactory disorders abscess cellulitis
Cause
Causes of chronic dry rhinitis
Physical and chemical factors (35%):
It is generally believed to be caused by external physical or chemical substances, such as mechanical stimulation of long-term dust, overheating of air, and effects of excessive drying.
Lack of vitamins (30%):
In addition, the body lacks vitamins such as vitamin A and vitamin B, as well as smoking, alcoholism, malnutrition, anemia and other chronic diseases. It can also cause the disease. All of the above factors can reduce or disappear the nasal mucosal goblet cells, causing the nasal mucosa to dry, but the nasal mucosa and the nasal bones are not atrophy, and the nasal secretions are also odorless.
Prevention
Chronic dry rhinitis prevention
1. Patients should improve their living environment and working environment to avoid long-term inhalation of dry, dusty and irritating gases.
2, balanced diet, correct malnutrition, quit smoking habits and other bad habits.
3, regular drip, coated with nutrient and moisturizing nasal preparations, to avoid the use of strong contraction of blood vessels.
4, eat less spicy, fried and other irritating food.
Complication
Chronic dry rhinitis complications Complications, olfactory abscess, cellulitis
When rhinitis fails to be treated in time, affecting the olfactory mucosa, there will be olfactory disorders, resulting in no smell of odor and odor. When long-term recurrent sinusitis is not treated in time, inflammation will spread to neighboring organs and tissues. Concurrent such as frontal bone osteomyelitis, tibial wall osteoarthritis and periostitis, submucosal abscess of the temporal wall, intraorbital cellulitis, retrobulbar optic neuritis, epidural abscess, subdural abscess, purulent meningitis, brain abscess , cavernous sinus thrombophlebitis and other critical emergencies.
Symptom
Chronic dry rhinitis symptoms Common symptoms Nasal mucosa and turbinate atrophy Nasal dry nasal mucosa Dry itching sucking blood stasis Nasal bleeding Nose unilateral nasal obstruction
There are many symptoms of dry rhinitis, such as:
1. The anterior nasal examination shows that the nasal mucosa is dark red, the surface is dry and dull, and the nasal passages have filamentous secretions, which is a symptom of dry rhinitis.
2. Intranasal hair dryness, nasal secretions reduced, itching, burning sensation is also a symptom of dry rhinitis, often induces patients to dig nose, causing a small amount of nosebleed, the sense of smell is generally not reduced.
3. The mucous membrane of the lower part of the nasal septum is often smashed, and there may be a small piece of thin sputum attached, often bleeding, no atrophy of the turbinate, should be differentiated from atrophic rhinitis.
Examine
Examination of chronic dry rhinitis
1. Nasal septum examination: check for erosion, bleeding, deflection, perforation.
2. Anterior endoscopy: It is a method of observing the nasal cavity through the anterior nasal orifice. The light reflected by the forehead mirrors the color of the mucosa of the nasal cavity, the size of the middle and lower turbinate, the shape of the nasal septum, the secretion of the nasal cavity and the presence or absence of swelling. Object or foreign body, so as to achieve the purpose of diagnosing the disease. The normal nasal mucosa is light red, and the surface is smooth and moist. If the turbinate is lightly touched, the mucous membrane is soft and elastic, and no secretions accumulate in each nasal passage.
Diagnosis
Diagnosis and diagnosis of chronic dry rhinitis
diagnosis
Diagnosis can be based on the cause of the disease and related tests.
Differential diagnosis
Should be differentiated from atrophic rhinitis, allergic rhinitis.
1. Atrophic rhinitis: is a slow-developing nasal atrophic inflammation characterized by atrophy of the nasal mucosa, periosteum and bone. Severe with a typical stench, called snoring.
2. Allergic rhinitis: allergic rhinitis referred to as allergic rhinitis, commonly known as allergic rhinitis, is an allergic reaction in the nasal mucosa, is also a common manifestation of respiratory allergies, and sometimes with bronchial asthma.
