TROPHIC RHINITIS/OZENA (PUTREFACTION/PUTINASKA)
KLEBSIELLA OZENA, PASTURELLA MULTICOCIDA, OR COCCOBACILLUS OF PEREZ SEEM TO INFECT THE DESSICATED MUCOSA SECONDARILY—PROBABLY ARE NOT THE CAUSE
OZENA = FOUL ODOR = “A STENCH”
PRIMARY (IDIOPATHIC)
SECONDARY (TRAUMA/SURGERY/VIDIAN NEURECTOMY)
WOULD NOT SHY AWAY FROM A GOOD TURBINOPLASTY AS EVEN MOST RADIATED MEDIAL MAXILLECTOMY PTS DO WELL!!!
THE NASAL AIRWAY LIKES TO BE ABOUT 2 MM IN WIDTH—-THE NOSE WILL STRIVE TO ACHEIVE THIS
“EMPTY NOSE SYNDROME” FROM AGGRESSIVE INF TURB MAY BE A PROBLEM MAY YEARS DOWN THE ROAD—AT LEAST BE AWARE OF THIS!
ENDEMIC IN SUBTROPICAL CLIMATES
+FH
BLACKS/ASIANS/LATINOS>OTHERS
POOR HYGEINE
MALES>FEMALES
ABNL AIRFLOW—-CILIOSTASIS–MUCOSAL CHANGES—-CRUSTING—SUPERINFXN
TURB ATROPHY
SUPERINFXN WITH KLEBSIELLA OZENA
EPISTAXIS, CRUSTS, INSP PAIN, NAO, HA, EPISTAXIS, ANOSMIA, HALITOSIS, FETOR ORIS, OFFENSIVE ODOR
Rx: CLEANING, ESTROGEN, IRON, VITAMIN A!—SEEMS TO BE IMPORTANT, ABX, VACCINE, PILOCARPINE, ACETOCHOLINE
SURGERY—IMPLANTS, CAVITY NARROWING, ANT CHOANAL SUTURE (YOUNG’S PROCEDURE), DENERVATION(SYMPATHECTOMY)