Surgical treatment of ozena

The surgical methods to treat ozena have changed with thevariations in the conception of the etiology of the disease. Rouge1873 r-ec omnended curetting the entire na sa L chamber believing thatthe removal of the a trophic membrane or the nose may r eaul, t in regen--.eration of a healthy mucosa with normal secretion. Grunwald 1902*held that the pathologic Scc:retion;which dries to form crusts,originates from infections of the par-ana sa.L sinuses. He claimed aradical surgical pr-oc ed ur e on the s tnuaes , But Lautenschlager 1926tr...at the pathologic s ec r-e t Lon in ozena is produced by the,.of the: .nasal c hamb er- it.self while the paranasal sinusestl.!.E: antra were usua’l.l.y found to be empty when they were2:’he brief period of’iInf>.rovement following this radical sur-ieal procedure was due to t.r-auma t tc r eac t Lon and the resultantby the reabsorption of the extravasated bloodich ha s th(~ same er r oc t as all inj ec t r.o n of a foreign proteinocondition eith\:;y· r-e t ur-n ed to the same state as before or iteven worse. Whether it is ~hc cause or the effect, the factins rhat uuueue.LLy wid e na.se.L o av L i~ies are usually seen in allSurgeons t r-Led many proc edur-e s aiming at partialthe wide nasal cavity c.nd thus brea.king the viciousole that starts by Borne rac t or which ca.uses shrinkage of theand thus widening of the cav i ty. Lake . BrindoL advised