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Atrophic rhinitis presenting with ethmoidal mucocele: a case report
Manjunath Dandinarasaiah1, Jyotirmay Hegde2, Srinish G3
1Assistant Professor, Department of ENT, Karnataka Institute of Medical Sciences , Hubli,Karnataka, India .
Journal of Clinical and Diagnostic Research : JCDR
|August 15, 2014
Summary
Atrophic rhinitis (AR) can lead to serious complications. This case highlights a rare instance of AR presenting with an ethmoidal mucocele, emphasizing the need for cautious management of chronic rhinosinusitis.
Area of Science:
- Otolaryngology
- Nasal Diseases
Background:
- Atrophic rhinitis (AR) is a chronic nasal mucosal disease common in tropical regions.
- It often leads to significant sequelae and complications if neglected.
Observation:
- A 70-year-old female presented with a six-month history of medial canthal swelling.
- She exhibited features of atrophic rhinitis, including a large septal perforation and saddle nose deformity.
Findings:
- Computed tomography revealed an ethmoidal mucocele, which was successfully treated with endoscopic decompression.
- This represents the first reported case of atrophic rhinitis associated with an ethmoidal mucocele.
Implications:
- This case underscores the potential for AR to present with unusual complications like ethmoidal mucoceles.
- It highlights the importance of vigilant diagnosis and management of atrophic rhinitis and chronic rhinosinusitis to prevent severe outcomes.

