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 Address :
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
Abstract
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.
Keywords
Atrophic rhinitis, Rhinosinusitis, Orbital cellulitis