作者提出原发性萎缩性鼻炎属反射性交感神经营养不良综合征的假说。反射性交感神经营养不良首先使鼻甲脱钙,在吸入气流的冲击下,脱钙的鼻甲萎陷,形成萎缩性鼻炎。鼻前庭成形术可以将吸入的气流导向鼻中隔,减少空气对鼻甲的冲击,用于治疗萎缩性鼻炎,有效率可达92%。手术方法;在鼻翼内侧,距鼻翼缘(alar margin)3mm 处做一平行于鼻翼缘的垂直切口,制作一个带有鼻前庭阈(limenVestibulae)的皮瓣,注意不要损伤鼻翼软骨, The authors propose that the primary atrophic rhinitis is a syndrome of reflective sympathetic dystrophy. Reflex sympathetic dystrophy first turbinate decalcification, the impact of inhalation airflow, decalcified turbinate collapse, the formation of atrophic rhinitis. Nasal vestibular angioplasty can direct the inhaled air flow to the nasal septum to reduce the impact of air on the turbinate, which can be used to treat atrophic rhinitis with an effective rate of up to 92%. Surgical procedure; a vertical incision parallel to the nasal flange was made 3 mm from the alar margin on the inside of the alar to create a flap with a limen Vestibulae, taking care not to damage the alar cartilage,