06/16/22 06/16/22 Professor Sameer Bafaqeeh Professor Sameer Bafaqeeh 1 Non Allergic Non Allergic Rhinitis Rhinitis Prof. Sameer Bafaqeeh, M.D. Prof. Sameer Bafaqeeh, M.D. University Professor University Professor in Rhinology & Rhinoplasty in Rhinology & Rhinoplasty
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9/2/2015Professor Sameer Bafaqeeh1 Non Allergic Rhinitis Prof. Sameer Bafaqeeh, M.D. University Professor in Rhinology & Rhinoplasty.
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04/19/2304/19/23 Professor Sameer BafaqeehProfessor Sameer Bafaqeeh 11
Non Allergic RhinitisNon Allergic Rhinitis
Prof. Sameer Bafaqeeh, M.D.Prof. Sameer Bafaqeeh, M.D.University Professor University Professor
in Rhinology & Rhinoplastyin Rhinology & Rhinoplasty
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Caused by Caused by various various influencesinfluences
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Vasomotor RhinitisVasomotor RhinitisPathogenesisPathogenesis Change of temperature or humidityChange of temperature or humidity Alcohol , dust, smoke, mechanical Alcohol , dust, smoke, mechanical
irritation, stress, anxiety neurosis, irritation, stress, anxiety neurosis, endocrine disorders, rhinitis of endocrine disorders, rhinitis of pregnancy.pregnancy.
Drugs: (e.g., antihypertensive agents Drugs: (e.g., antihypertensive agents as reserpine or beta-blockers, oral as reserpine or beta-blockers, oral contraceptives)contraceptives)
Drug abuse: (imidazoline & catechol Drug abuse: (imidazoline & catechol derivatives, clomethiazole, etc.)derivatives, clomethiazole, etc.)
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Chronic RhinitisChronic RhinitisSYMPTOMSSYMPTOMS Fatigue ,sleeplessnessFatigue ,sleeplessness Unsteady or woozy feelingUnsteady or woozy feeling Headache Headache Feeling of pressure in the headFeeling of pressure in the head
Psychological & physical well-Psychological & physical well-being lossbeing loss
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Chronic RhinitisChronic RhinitisPathogenesisPathogenesis Recurrent inflammationRecurrent inflammation SinusitisSinusitis Enlarged adenoidEnlarged adenoid Nasopharyngeal tumorNasopharyngeal tumor VMR & Side effects of drugsVMR & Side effects of drugs Tobacco, smoke, dust, chemicals, acquired Tobacco, smoke, dust, chemicals, acquired
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Chronic RhinitisChronic RhinitisDiagnosisDiagnosis Long-standing diseaseLong-standing disease History of toxinsHistory of toxins Dark red &bluish-violet swelling Dark red &bluish-violet swelling
turbinateturbinate Narrowed or obstructed nasal Narrowed or obstructed nasal
cavitycavity Nasal decongestedNasal decongested
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Rhinitis MedicamentosaRhinitis Medicamentosa
Reversible or irreversible Reversible or irreversible damaged mucosa caused by damaged mucosa caused by topically or systemically applied topically or systemically applied drugs:-drugs:-
Hyper-plastic RhinitisHyper-plastic Rhinitis Dryness of the nasal mucosaDryness of the nasal mucosa Toxic RhinopathyToxic Rhinopathy
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Rhinitis MedicamentosaRhinitis Medicamentosa
Dryness of the Nasal MucosaDryness of the Nasal Mucosa Atropine, belladonna preparatiosAtropine, belladonna preparatios CorticosteroidsCorticosteroids Imidazoline, or catecholamine Imidazoline, or catecholamine
derivativesderivatives
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failurefailure O mucosal damage O mucosal damage Local or systemic decongestantLocal or systemic decongestant Acute intoxication in infants Acute intoxication in infants
& small children& small children
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Mainly in womenMainly in women At pubertyAt puberty Flattened Flattened
& broad Face& broad Face
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Atrophic RhinitisAtrophic Rhinitisclinical presentationclinical presentation Greenish–yellow or Greenish–yellow or
brownish-black crustsbrownish-black crusts Wide nasal cavityWide nasal cavity Atrophic mucosa & dry:Atrophic mucosa & dry: Subepithelial layer fibrosisSubepithelial layer fibrosis Fetid secretion &crusts (Ozena)Fetid secretion &crusts (Ozena) Anosmia & social problemAnosmia & social problem Nasal obstructionNasal obstruction Mucosal changes in ph., la., & tr.,Mucosal changes in ph., la., & tr.,
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Atrophic RhinitisAtrophic RhinitisPathogenesisPathogenesis Unknown but is multifactorialUnknown but is multifactorial Common in orientals than in whites than in Common in orientals than in whites than in
Atrophic rhinitis with fetor (ozena)Atrophic rhinitis with fetor (ozena) Tumors of the Nose & SinusesTumors of the Nose & Sinuses Purulent Rhinitis & SinusitisPurulent Rhinitis & Sinusitis Rhinolith & foreign bodyRhinolith & foreign body Gumma due to stage III SyphilisGumma due to stage III Syphilis Nasal diphtheria &Nasal Nasal diphtheria &Nasal
TuberculosisTuberculosis glandersglanders
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Bolstering of the Nasal Bolstering of the Nasal MucosaMucosa
(Cartilage or Bone chips)(Cartilage or Bone chips)
Median DisplacementMedian Displacement of of the lateral nasal wall by the lateral nasal wall by internal rotation of the internal rotation of the mobilized lateral nasal wallmobilized lateral nasal wall
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Nasal DiphtheriaNasal Diphtheria
Children older than 6 monthsChildren older than 6 months
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