Acute Exacerbation of Chronic Rhinosinusitis
(AECRS) with Orbital Complications
in an Atrophic Rhinitis Patient: A Mere
Co-incidence?
Published: December 1, 2013 | DOI: https://doi.org/10.7860/JCDR/2013/.3814
Mainak Dutta, Soumya Ghatak
1. RMO-cum-Clinical Tutor, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, Kolkata, India.
2. RMO-cum-Clinical Tutor, Department of Otorhinolaryngology and Head-Neck Surgery, R. G. Kar Medical College and Hospital, Kolkata, India.
Correspondence
Dr. Mainak Dutta,
Department of Otorhinolaryngology and Head-Neck Surgery and Medical College and Hospital, Kolkata, India.
88, College Street, Kolkata – 700073, West Bengal, India.
Phone: +91-9830737587, Email: duttamainak@yahoo.com
Recurrent Acute Exacerbations of Chronic Rhinosinusitis (AECRS) in a setting of atrophic rhinitis are perplexing clinical situations. While either may act as the primary factor, repeated inflammation in a vessel-poor atrophied tissue is unusual. Progressive mucosal degeneration, vascularity and the effect of bacterial colonization are the factors suggested to play an important role for the pathobiogenesis of the co-existence of the two diseases. Through presentation of a case, a brief attempt has been made here to explore the temporal relationship between rhinosinusitis and atrophic rhinitis, in the process, other noteworthy features of the patient have also been highlighted.
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