Académique Documents
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Young procedure
Modified Young procedure
Turbinate reconstruction
Volume reduction procedures
Denervating operations
Nasal Closure
Young’s procedure
Circumferential flap elevation 1 cm cephalic to the alar rim.
Sutures placed in center of elevated flap to close the nostril
Staged second side in 3 months
Advantages
Often provided relief of symptoms
Disadvantages
Difficult to elevate circumferential flap
Breakdown of central suture area common
Does not allow for cleaning
Did not allow for periodic examination
Recurrence after flap takedown
Goldenberg, Danino, Netzer, Joachims. Oto HNS, Vol. 122 (6). pp. 794-97.
Plastipore
Volume Reduction (cont)
Triosite and Fibrin
Triosite (60% hydroxyapetite, 40% calcium triphosphate)
mixed with Fibrin 1:1.
Deglove the labial vestibule
Elevate periosteum of the floor posteriorly to the end of
the hard palate, extend medially onto the septum.
Insert Triosite & Fibrin mixture (~3.3g per side)
Advantages
Good to excellent result (7/9 patients)
Material can be molded easily
Disadvantages
Leakage of material (4/9 patients)
Infection of material (3/9 patients)
Potential damage to lacrimal system
Lobo, Hartley, Farrington. J of Laryn and Oto. June 1998, Vol 112, p 543-46.
Nasal Obturator
Other Therapies
Other Implants
Acrylic
Silicone
Teflon
Silastic
Boplant
Denervation
Cervical sympathectomy (Bertein)
Stellate ganglion block (Bahl)
Sphenopalatine ganglion block (Girgis)
Parasympathectomy, i.e. GSPN section (Krmptotic)
Salivary Irrigation
Involves reimplantation of parotid duct into the maxillary sinus
Accupuncture
Time
Disease often resolves spontaneously after age 40
Bibliography
Lobo, Hartley, Farrington. “Closure of the nasal vestibule in
atrophic rhinitis – a new non-surgical technique.” The Journal of
Laryngology and Otology. June 1998, Vol. 112, pp. 543-46.
Moore, Kern. “Atrophic Rhinitis: A Review of 242 cases.” American
Journal of Rhinology. November-December 2001, Vol. 15, No. 6, p
355-61.
Shehata. “Atrophic Rhinitis.” American Journal of Otolaryngology,
Vol. 17, No. 2. March-April, 1996: pp 81-86.
Chand, MacArthur. “Primary atrophic rhinitis: A summary of four
cases and review of the literature.” Otolaryngology – Head and
Neck Surgery. Vol. 116, No. 4: pp 554-57.
Bertrand, Doyen, Eloy. “Triosite Implants and Fibrin Glue in the
Treatment of Atrophic Rhinitis: Technique and Results.”
Laryngoscope (106): May 1996: pp 652-57.
Goldenberg, Danino, Netzer, Joachims. “Plastipore implants in the
surgical treatment of atrophic rhinitis: Technique and results.”
Otolaryngology Head and Neck Surgery. Vol 122 No 6: pp 794-97.
Watson, Spencer. Diseases of the nose and its accessory cavities.
London: 1875.
El Kholy, Habib, Abdel-Monem, Safia. “Septal mucoperichondrial
flap for closure of nostril in atrophic rhinitis.” Rhinology, 36, 202-
203, 1998.