萎缩性鼻炎的原因,学说很多,临床上一般分为原发性与继发性,后者常见于鼻甲手术后及慢性上颌窦炎等。革(Grunwald)氏指出,鼻粘膜由于化脓性鼻窦炎分泌物长期地机械性与生物化学性的刺激,引起结缔组织增生,局部营养减低,继而发生萎缩,如属此种情况,治疗当先根治鼻窦炎。根据我科的经验,对慢性上颌窦炎继发的萎缩性鼻炎患者,虽经上颌窦根治术,但鼻腔粘膜的萎缩情况并未有好转;势必再作下鼻甲塑料填充术,使患者先后接受二次手术。现经改进手术操作,同时完成上颌窦根治及下鼻甲填充两个手术,经初步施行四例,均获较为满意的效果,故作介绍,并 Atrophic rhinitis causes a lot of doctrine, clinically generally divided into primary and secondary, the latter common in nasal surgery and chronic maxillary sinusitis. Leather (Grunwald) pointed out that the nasal mucosa due to long-term mechanical and biochemical stimulation of purulent sinusitis secretion, causing connective tissue hyperplasia, local nutrition decreased, followed by atrophy, in this case, the treatment of radical sinus radical inflammation. According to our experience, despite chronic maxillary sinus atrophy rhinitis secondary to chronic maxillary sinusitis, the atrophy of the nasal mucosa has not improved; inevitably inferior turbinate plastic filling surgery, so that patients have to accept Second surgery. Now to improve the operation, while completing the maxillary sinus and inferior turbinate filling two operations, the initial implementation of four cases, were more satisfactory results, so for the introduction and