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Endoscopic vidian neurectomy: a prospective case series
Han Zhang1, Damian C Micomonaco2, Peter T Dziegielewski3
1Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada.
International Forum of Allergy & Rhinology
|March 4, 2015
Summary
Endoscopic vidian neurectomy offers significant relief for chronic vasomotor rhinitis (VMR) patients. This safe procedure effectively treats VMR symptoms, improving quality of life when medical treatments fail.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Chronic refractory vasomotor rhinitis (VMR) significantly impairs quality of life.
- Medical therapies often fail to provide adequate relief for VMR patients.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic vidian neurectomy for VMR.
- To assess the impact of this surgical intervention on patient-reported outcomes.
Main Methods:
- Prospective case series of 11 patients with VMR refractory to medical treatment.
- Bilateral vidian neurectomy performed via a pterygomaxillary approach.
- Pre- and postoperative ophthalmologic testing and validated rhinologic surveys (SSQ, SNOT-22) were utilized.
Main Results:
- All 11 patients showed statistically significant improvement in SSQ and SNOT-22 scores (p < 0.0001).
- Significant improvements were noted in rhinorrhea and nasal congestion subscores (p < 0.05).
- No permanent or measurable dry eye complications were reported.
Conclusions:
- Endoscopic vidian neurectomy is an effective and safe treatment for medically refractory VMR.
- The procedure offers a definitive solution for debilitating VMR symptoms.
- Improved rhinologic outcomes and quality of life are demonstrated.
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