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Therapeutic Management of Primary Atrophic Rhinitis (Ozene): About 4 Cases
Firas Maalej1, Mohamed Amin Chaabouni1, Sirine Ayadi1
1Department of ENT, University Hospital Habib Bourguiba of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Abstract:
Objective: To study the clinical characteristics and therapeutic means of primary atrophic rhinitis. Method: We present 4 cases of atrophic rhinitis caused by Klebsiella ozaenae observed in our hospital over a period of 5 years. Results: All patients presented the clinical triad: mucosal atrophy, presence of crusts, and cacosmia. Treatment was medical in 3 patients and surgical in 1 patient. We used rifampicin and sulfamethoxazole as antibiotics as well as trimethoprim for a period of 4 months. The surgical treatment consisted of recalibration of the nasal cavities by placing 2 silicone sticks in the subperiosteum. The evolution was marked by obstruction and cacosmia in 3 out of 4 patients. Conclusion: The treatment of primary atrophic rhinitis poses a problem for the clinician in terms of means and therapeutic effectiveness given that it is a chronic pathology requiring regular monitoring.
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