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KMID : 0390220190300020266
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2019 Volume.30 No. 2 p.266 ~ p.269
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Endoscopic Posterior Nasal Neurectomy for the Treatment of Intractable Rhinitis : Report of Three Cases
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Bae Gyo-Han
Kim Min-Joon
Kim Jung-Suk
Jung Tae-Young
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Abstract
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Intractable rhinitis is defined as refractory to maximum medical treatment. Vidian neurectomy was indicated in resistant cases of allergic and vasomotor rhinitis. but recently it is hardly used because of its high incidence of complications such as dry eyes, dental and cheek numbness and blindness. Alternatives to vidian neurectomy have been reported. The endoscopic posterior nasal neurectomy, which resection of the postganglionic parasym- pathetic nerve fibers at the sphenopalatine foramen by mucoperiosteal flap elevation. This surgery gives equal result as of vidian neurectomy with less complications. The author reports three recently encountered cases of endoscopic posterior nasal neurectomy without complications.
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KEYWORD
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Allergic rhinitis, Endoscopy, Neurectomy, Vasomotor rhinitis
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