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Stuffy Nose
Vasomotor Rhinitis
Nasal conditions that are not
structural,not infectious or
suppurative ,not autoimmune,not
allergic
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Vasomotor Rhinitis
Physiology
The smooth muscle fibers of
arterioles and venous sinusoids
are innervated by the
autonomic nervous system
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Vasomotor Rhinitis
Physiology
• Parasympathetic stimulation = vasodilation
and
Increased congestion and mucus production
• Sympathetic stimulation =vasoconstrictioin
and
Increased nasal patency and decreased mucus
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Vasomotor Rhinitis
Causes
Drug-induced Rhinitis :
Antihypertensive(reserpin,hydralazin,
methyldopa,inderal ,sympathetic blocking agent
Nose drop/spray abuse
Sympathomimetic=vasocostriction=semiischemic
state=accumulated metabulism
product=vasodilation=Nasal congestion
Rhinitis Medicamentosa or Rebound Rhinitis
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Vasomotor Rhinitis
Causes
Cocain
• Vasoconstriction
• Septal perforation
• Crusting
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Vasomotor Rhinitis
Causes
Pregnancy and premenstrual colds
Progesteron level increase
Vasodilation and nasal obstruction
Most women feels nasal obstruction
Elevation of head bed
Topical use of corticosteriod
Antihistamin
Shrinkage of turbinates
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Vasomotor Rhinitis
Causes
Emotional causes
Life situation that produce
anxiety,hostility,guilt,frustration ,resentment
Disturb the autonomic vascular balance
Nasal congestion and discharge
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Vasomotor Rhinitis
Causes
Hypothyroidism
Hypoactive sympathetic state
Peridominancy of Parasympathetic
Vasodilation and congestion
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Vasomotor Rhinitis
Causes
Recumbency Rhinitis
The hypotonic vascular bed of nose responds
to the dependent position by filling with
blood like varicose veins led to nasal
congestion and obstruction
S/D in Rt side
Sleep in that side
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Vasomotor Rhinitis
Causes
Paradoxic nasal obstruction &Nasal cycle
• 80% of adults experience a cycle
• Congestion and Decongestion of turbinate
• Mean duration of cycle is 2.5 hours
• When accompanied with S/D will be
paradox
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Vasomotor Rhinitis
Causes
Non air flow rhinitis
Laryngectomy-Tracheostomy Rhinitis
Vasomotor reaction occur so vascular bed
losses its tone
Boggy and swollen turbinate
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Vasomotor Rhinitis
Causes
Choanal atresia Rhinitis
Simillar to
Laryngectomy rhinitis
Accumulation of Clear mucusal
discharge in the nose