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[Endoscopic posterior nasal neurectomy].

N Ahilasamy1, K Rajendran Dinesh2

  • 1Ahilasamy ENT Centre, Chennai, India.

The Journal of Laryngology and Otology
|August 24, 2019
PubMed
Summary

Endoscopic posterior nasal neurectomy offers a safe and effective surgical solution for chronic rhinitis. This technique provides long-term relief from rhinorrhoea symptoms without complications.

Keywords:
EndoscopicNeurectomyPosterior Nasal NerveRhinitis, AllergicRhinitis, Vasomotor

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Area of Science:

  • Otolaryngology
  • Neurosurgery

Context:

  • Chronic rhinitis, including rhinorrhoea, presents varied treatment challenges.
  • Existing surgical techniques like vidian neurectomy have potential complications such as epistaxis and sensory disturbances.

Purpose:

  • To present the technique and surgical steps of endoscopic posterior nasal neurectomy.
  • To detail a method for treating resistant chronic rhinitis with reduced complications.

Summary:

  • The procedure involves bilateral sphenopalatine nerve blocks, mucoperiosteal flap elevation, and identification of the sphenopalatine foramen and artery.
  • The posterior nasal nerve is resected or cauterized, located inferior to the sphenopalatine artery.
  • Flaps are repositioned without requiring post-operative nasal packing, with bilateral application for optimal results.

Impact:

  • This endoscopic technique yields consistent and robust outcomes for allergic and vasomotor rhinitis.
  • It offers long-term relief of nasal symptoms associated with chronic rhinitis.
  • The procedure effectively avoids common complications like epistaxis and sensory deficits.