Influence of nasal septum deformity on nasal obstruction, disease severity, and medical treatment response among children and adolescents with persistent allergic rhinitis

2017 ◽  
Vol 95 ◽  
pp. 145-154 ◽  
Author(s):  
Franklin Mariño-Sánchez ◽  
Meritxell Valls-Mateus ◽  
Paulina Cardenas-Escalante ◽  
Oliver Haag ◽  
Karen Ruiz-Echevarría ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Medical Treatment ◽  
Children And Adolescents ◽  
Treatment Response ◽  
Disease Severity ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Persistent Allergic Rhinitis

Intranasal budesonide in children affected by persistent allergic rhinitis and its effect on nasal patency and Nasal Obstruction Symptom Evaluation (NOSE) score

2015 ◽  
Vol 31 (3) ◽  
pp. 391-396 ◽  
Author(s):  
Anna Maria Zicari ◽  
Francesca Occasi ◽  
Montanari Giulia ◽  
Luciana Indinnimeo ◽  
Giovanna De Castro ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Nasal Obstruction ◽  
Nasal Patency ◽  
Persistent Allergic Rhinitis ◽  
Symptom Evaluation

Clinical Outcome of CO2 Laser Inferior Turbinate Reduction in Patients with Nasal Obstruction Due to Inferior Turbinate Hypertrophy in a Tertiary Care Centre, Thiruvananthapuram, Kerala

2021 ◽  
Vol 8 (30) ◽  
pp. 2778-2783
Author(s):  
Nikhila Rajendran ◽  
Jaya C ◽  
Venugopal M ◽  
Satheesh S
Keyword(s):  
Allergic Rhinitis ◽  
Clinical Outcome ◽  
Medical Treatment ◽  
Nasal Obstruction ◽  
Co2 Laser ◽  
Inferior Turbinate ◽  
Turbinate Hypertrophy ◽  
Inferior Turbinate Hypertrophy ◽  
Turbinate Reduction

BACKGROUND Nasal obstruction secondary to inferior turbinate hypertrophy significantly affects the quality of life. Patients refractory to medical treatment are taken up for surgery. Laser turbinate reduction is an effective and simple method for treatment of nasal obstruction due to inferior turbinate hypertrophy. Only a few studies reported on the outcome of laser inferior turbinate reduction in India. The present study was done to assess the clinical outcome of laser inferior turbinate reduction in patients with nasal obstruction due to inferior turbinate hypertrophy. METHODS This prospective observational study was done in 31 patients (18 – 60 years) with nasal obstruction due to inferior turbinate hypertrophy refractory to medical management who underwent laser inferior turbinate reduction in ENT Department, Government Medical College, Thiruvananthapuram from December 2017 to September 2019. RESULTS All patients had bilateral inferior turbinate hypertrophy. 21 out of 31 patients had allergic rhinitis and rest had non-allergic rhinitis. Pre-operatively most patients had symptom score between 15 and 20. After CO2 laser inferior turbinate reduction at the end of 3 months of follow up, subjective assessment by symptom scoring confirmed by objective assessment by flowmetry 29 out of 31 patients had good outcome with relief from nasal obstruction. The success rate was more in nonallergic rhinitis (100 %) than the allergic rhinitis group (90.47 %). CONCLUSIONS CO2 laser inferior turbinate reduction is an effective procedure to relieve nasal obstruction in patients with inferior turbinate hypertrophy refractory to medical treatment, with minimal complications. Post-procedure on follow up significant number of patients had relief from hyposmia, sneezing and running nose. KEYWORDS Nasal Obstruction, Peak Nasal Inspiratory Flowmetry, Symptom Scoring, CO2 Laser, Outcome

Smell loss is associated with severe and uncontrolled disease in children and adolescents with persistent allergic rhinitis

2018 ◽  
Vol 6 (5) ◽  
pp. 1752-1755.e3 ◽  
Author(s):  
Franklin Mariño-Sanchez ◽  
Meritxell Valls-Mateus ◽  
Oliver Haag ◽  
Isam Alobid ◽  
Jean Bousquet ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Children And Adolescents ◽  
Persistent Allergic Rhinitis ◽  
Smell Loss

scholarly journals The Effect of Combined Medical Treatment on Quality of Life in Persistent Allergic Rhinitis

2012 ◽  
Vol 65 (S2) ◽  
pp. 333-337 ◽  
Author(s):  
Emel Çadallı Tatar ◽  
Ünzile Akpınar Sürenoğlu ◽  
Ali Özdek ◽  
Güleser Saylam ◽  
Hakan Korkmaz
Keyword(s):  
Quality Of Life ◽  
Allergic Rhinitis ◽  
Medical Treatment ◽  
Persistent Allergic Rhinitis

The Role of Nasal Cytology in the Management of Inferior Turbinate Hypertrophy

2013 ◽  
Vol 26 (1) ◽  
pp. 207-215 ◽  
Author(s):  
M. Cassano ◽  
A. Maselli Del Giudice ◽  
G. Russo ◽  
L. Russo ◽  
G. Ciprandi
Keyword(s):  
Allergic Rhinitis ◽  
Mast Cells ◽  
Medical Treatment ◽  
Failure Rate ◽  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Turbinate Hypertrophy ◽  
Nasal Cytology ◽  
Non Allergic Rhinitis ◽  
Inferior Turbinate Hypertrophy

Inferior turbinate hypertrophy (ITH) is the main cause of nasal obstruction symptom. This study aimed at investigating whether a particular cellular pattern could be a predictive factor for failure of medical treatment for ITH in patients with rhinitis. Globally, 258 patients with chronic nasal obstruction due to ITH were evaluated by: visual analogue scale assessment of symptoms, skin prick tests, fiber-endoscopy, active anterior rhinomanometry, and nasal cytology. All patients were treated with drugs for 3 months and then re-evaluated. The symptom improvement depended on the different cellular pattern. There was improvement in: 54 (51.4%) patients with allergic rhinitis, 72 (69.2%) with non-allergic rhinitis with neutrophils (NARNE), 15 (42.8%) with non-allergic rhinitis with eosinophils (NARES), and 9 (64.3%) with non-allergic rhinitis with mast cells/non-allergic rhinitis with eosinophils and mast cells (NARMA/NARESMA). The non-responders (108; 41.9%) were therefore directed towards surgical treatment. Both patients with allergic rhinitis and patients affected by NARES had a higher failure rate to medical treatment compared with NARMA and NARESMA groups (p<0.01). In conclusion, elevated number of eosinophils, in the nasal secretion of both allergic (allergic rhinitis) and non-allergic (NARES) patients with ITH, can be associated to a higher medical treatment failure rate.

scholarly journals Role of septoplasty in allergic rhinitis

2020 ◽  
Vol 6 (9) ◽  
pp. 1667
Author(s):  
Hiten R. Maniyar ◽  
Dharmishtha H. Parmar
Keyword(s):  
Quality Of Life ◽  
Allergic Rhinitis ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Common Symptom ◽  
Age Group ◽  
Control Test ◽  
Deviated Nasal Septum ◽  
Nose Scale

<p><strong>Background:</strong> It is a prospective study of 30 cases of allergic rhinitis with deviated nasal septum presented to our hospital. Analysis is done on the basis of age and sex distribution, severity of the symptoms pre and post operatively, according to nasal obstruction symptom evaluation (NOSE) scale and allergic rhinitis control test (ARCT) questionnaire which assess the quality of life.</p><p><strong>Methods: </strong>Detailed history taking and clinical examination was done. All the patients were assessed the severity of their symptoms based on a NOSE scale. An ARCT questionnaire was given to patients prior to surgery(septoplasty) and after 3 months of it.</p><p><strong>Results: </strong>In study we have observed that in the age group was 20-30years. Majority of the patients were males. The most common symptom is nasal obstruction followed by sneezing, rhinorhhea, pruritis, headache etc. The mean decrease in the NOSE score was statistically significant (before septoplasty NOSE score =14.6 and after septoplasty NOSE score=8.1). There is also improvement in quality of life which was measured by allergic rhinitis control test (ARCT) score. ARCT before septoplasty 10.2 and after 19.2.</p><p><strong>Conclusion: </strong>The study shows most common combined symptoms are nasal blockage with rhinorrhoea, more affecting the age group of 18 to 30 years, males, with deviated nasal septum towards left seen more commonly. Patients of allergic rhinitis with deviated nasal septum are benefited with septoplasty, improved symptoms like nasal obstruction and stuffiness etc. and the quality of life by decrease in the severity of allergic symptoms.</p>

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