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Chronic nasal dysfunction: A clinical case illustrating the concept in practice.
R Jankowski1, C Mathis-Marçon1, M Fieux2
1Service d'ORL, CHRU Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France.
European Annals of Otorhinolaryngology, Head and Neck Diseases
|November 18, 2023
Summary
This study highlights a diagnostic approach for chronic nasal dysfunction, successfully treating a patient with allergic rhinitis and septal deviation through a combination of medical and surgical interventions, leading to symptom relief.
Area of Science:
- Otolaryngology
- Allergology
- Rhinology
Background:
- Chronic nasal dysfunction diagnosis can be complex.
- Integrating clinical history, patient-reported outcomes (DyNaChron questionnaire), sinonasal CT scans, and nasal endoscopy is crucial.
- A systematic diagnostic approach aids in identifying underlying causes.
Observation:
- A patient initially suspected of rhinitis medicamentosa presented with signs of chronic respiratory rhinitis.
- Allergic sensitivity to dust mites was identified, contributing to mucosal inflammation.
- Septal deviation and inferior turbinate hypertrophy were noted as complicating factors.
Findings:
- Combined medical and surgical management, including septoplasty, turbinoplasty, topical corticosteroids, and allergen immunotherapy, proved effective.
- The treatment resolved nasal obstruction and dependence on vasoconstrictor sprays.
- Improved sense of smell and overall nasal comfort were achieved.
Implications:
- Treating the nose as a triple organ (olfactory, respiratory, sinus) is essential for comprehensive management.
- Therapeutic evaluation should consider improvement across all nasal symptom domains.
- Personalized treatment strategies combining medical and surgical options can restore nasal function.
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