Customised acrylic nasal stents following recanalisation of modified Young's procedure

A technique for fabricating a hollowed nasal stent using a connector of an intravenous infusion set to manage iatrogenic nasal vestibular stenosis in an infant

The presented technique describes the steps for fabricating a hollow and rigid intranasal stent to maintain the patency of the nasal passage after iatrogenic nasal vestibular stenosis in an infant. The technique uses a connector between the injection bulb or site and the hypodermic needle of an intravenous infusion set to ease the impression making and avoid the additional step of hollowing the stent.

An Updated Review on Atrophic Rhinitis and Empty Nose Syndrome

Objective: Atrophic rhinitis (AR) is a rare clinical condition affecting the nasal mucosa. It is characterized by progressive nasal congestion and thick, bothersome nasal secretions. In this narrative review, pathogenesis, differences between the 2 types of AR, new management modalities, and the impact of management on lifestyle have been highlighted. Materials and Methods: An extensive literature search was conducted using PubMed, Web of Science, Google Scholar, and Saudi Digital Library databases. The articles were investigated to extract information on the pathogenesis, types, new treatment modalities, and the impact of management on lifestyle. Results: AR has primary and secondary types that affect different populations and have specific clinical presentations. Primary AR is common in women and countries with long, warm seasons. Secondary AR is the most common disease in the industrialized world. It is more common among adults who have systemic disease, have undergone extensive nasal surgery, and have experienced nasal trauma. Certain infections, autoimmune disorders, chronic sinusitis, hormonal imbalance, poor nutritional condition, and iron deficiency anemia have been suggested as etiological factors. Conservative treatment is safe, inexpensive, and effective. Hygiene, a well-balanced diet, smoking cessation, and early detection and treatment of nasal pathology can help prevent AR. Some interventions shown to improve quality of life was explained in detail. Conclusions: This paper reviewed published relevant literature on AR related to pathogenesis, types, new treatment modalities, and the impact of treatment on lifestyle, thus, providing a comprehensive view of the management and prevention of AR.

Novel prosthodontic technique in fabrication of customized nasal stent in an infant

Burn injuries have a major impact on the physical and functional aspects of patients, thereby affecting their quality of life. Nasal stenosis which occurs as a result of wound contraction may lead to serious complications if not intervened at the earliest. In the prosthodontic front, nasal stents may be utilized in conjunction with reconstructive surgery procedures to minimize scar contraction and prevent nasal stenosis. This clinical report focuses on a customized technique in the fabrication of nasal stent to maintain the nasal airway patency in an infant who had suffered burn injuries. An intraoral tip was employed as a receptacle for accurate impression making, followed by the insertion of an intermediate stent fashioned from a scalp vein set catheter. The definitive stent fabricated using methyl methacrylate resin served to maintain the patency of the nasal passageway.

Platelet-Rich Plasma Injection in Patients with Atrophic Rhinitis

OBJECTIVE

To investigate the effect of platelet-rich plasma (PRP) injection in patients with atrophic rhinitis.

METHODS

Prepared PRP was injected into the inferior turbinate bilaterally, and nasal bacterial cultures were conducted. Improvement of symptoms was assessed with the Nasal Obstruction Symptom Evaluation (NOSE) and the Sino-Nasal Outcome Test-22 (SNOT-22). Nasal mucociliary clearance was assessed using the saccharin transit time (STT).

RESULTS

In the PRP-injected group (group A), NOSE (throughout the study) and SNOT-22 (1 month after injection) scores were significantly decreased during the study. However, the saline spray group (group B) showed no significant nasal symptom improvement during the study period. In group A, the STT was improved until 3 months after the injection. In contrast, group B showed STT improvement after 2 months that was maintained throughout the study.

CONCLUSION

PRP injections can improve nasal symptoms and nasal mucociliary function in patients with atrophic rhinitis.

Animal Bite in a 6-month-old Child and Facial Injury with Associated Unusual Nasal Injury: Management of Injuries along with 1-year Follow-up

In children, accidental injuries (AI) are the most common cause of major trauma. Although rare, nonaccidental injuries (NAI) can also cause major trauma. Among NAI, animal bites form a significant fraction. Animal bites form a significant fraction of NAI in children. Amongst animal bites, dog and cat bites are the most common. In adults, the likelihood of bites is on leg/thigh but in children due to their low stature, bites are more common on scalp, head, neck, or chest region. As children have lower tissue mass/size, what appears a small wound in adults comparatively appears as a larger wound in children, causing severe disfigurement. The present paper discusses cat bite injury to maxillofacial region, distinguishing from other differential diagnoses. Potential complications, initial management, and total rehabilitation of facial injuries especially nasal injury caused by a cat in a 6-month-old child are also discussed.

A simplified approach of prosthetic management of posttraumatic nasal obstruction using a custom-made unilateral intranasal stent in 14-year-old child

Infections, trauma, iatrogenic causes, congenital malformations, or complications of systemic diseases can result in perforation of the nasal septum. An intranasal stent is a removable prosthesis that can be inserted into the nasal cavity to support the form of nose. The stenting can be used for recanalization and nasal valve preservation. This case report presents a method for the fabrication of a customized nasal stent in a 14-year-old female patient with posttraumatic unilateral collapsed nasal vestibule.