Posterior nasal neurectomy in treatment of intractable rhinitis: A preliminary series
https://doi.org/10.32412/pjohns.v33i1.15
- Author:
Minh Cong Vo
1
;
Huu Kien Pham
1
;
Minh Hien Nguyen
2
Author Information
1. Department of OtolaryngologyHead and Neck Surgery University Medical Center, Ho Chi Minh City, Vietnam
2. Department of Immunology and Pathophysiology University of Medicine and Pharmacy Ho Chi Minh City, Vietnam
- Publication Type:Journal Article
- Keywords:
Posterior nasal neurectomy;
Vidian neurectomy
- MeSH:
Rhinitis, Vasomotor
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2018;33(1):12-16
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To evaluate the efficacy and safety of posterior nasal neurectomy on the treatment of nasal congestion, rhinorrhea, sneezing, and post-nasal discharge in intractable rhinitis patients.
Methods:Design: Preliminary case series.
Setting: Tertiary University Medical Center.
Participant: Ten (10) patients with intractable rhinitis underwent endoscopic posterior nasal neurectomy in both sides. Symptoms were compared pre- and post-operatively one month and one year after surgery using Visual Analog Scale (VAS) scores. Endoscopic pre- and one-month post-operative Lund-Mackay scores were also compared.
Results:All four mean nasal symptom scores were reduced significantly at 1-month follow-up for nasal congestion (1.5 ± 1.08 vs 4.1 ± 0.5687, p = .00001), rhinorrhea (0.7 ± 0.823 vs 3.4 ± 0.966, p = .00001) post-nasal discharge (0.9 ± 0.994 vs 2.4 ± 1.5, p = .03), and sneezing (1.1 ± 0.738 vs 3 ± 0.943, p = .02). Mean endoscopic scores were also reduced significantly at one month, from 12.9 ± 2.55 to 4.2 ± 3, p = 0.0001.In the 6 patients that followed up at 1-year, post-operative mean nasal symptoms were still significantly better for congestion (0.6667 ± 0.8165 vs 4 ± 0.632, p = 0.00001), rhinorrhea (0.6667 ± 0.5164 vs 3.67 ± 1.033, p = .001), post-nasal discharge (0.1667 ± 0.40825 vs 2.17 ± 1.835, p = .033), sneezing (0.5 ± 0.54772 vs 3.17 ± 0.983, p = 0.0001). Mean post-operative VAS nasal scores and endoscopic scores were well associated (Correlation Coefficient -.648, p = .048).
Conclusion:Posterior nasal neurectomy could be considered as a safety and effective way to treat intractable rhinitis patients in Vietnam.
- Full text:Posterior Nasal Neurectomy.pdf
