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Long-term Outcomes Following Temperature-Controlled Radiofrequency Neurolysis for the Treatment of Chronic Rhinitis
Dale Ehmer1, Chad M McDuffie1, J Bradley McIntyre2
1Ear, Nose, and Throat Associates of Texas, McKinney, Texas, USA.
Allergy & Rhinology (Providence, R.I.)
|June 6, 2022
Summary
Temperature-controlled radiofrequency neurolysis offers a durable solution for chronic rhinitis, significantly reducing symptoms and improving quality of life for patients. This minimally invasive procedure demonstrates long-term safety and effectiveness over 24 months.
Area of Science:
- Otolaryngology
- Minimally Invasive Procedures
- Rhinitis Treatment
Background:
- Chronic rhinitis significantly impacts patients' quality of life.
- Temperature-controlled radiofrequency neurolysis targets the posterior nasal nerve to alleviate rhinitis symptoms.
Purpose of the Study:
- To assess the long-term (24-month) safety and effectiveness of temperature-controlled radiofrequency neurolysis for chronic rhinitis.
- Evaluate the durability of symptom reduction and impact on quality of life.
Main Methods:
- Prospective extension of a 12-month single-arm study.
- Data collected at 24 months included reflective total nasal symptom score (rTNSS), quality of life questionnaires, and patient satisfaction.
- 34 of 47 initial patients completed 24-month follow-up.
Main Results:
- Significant improvement in mean rTNSS from baseline (8.4) to 2.9 at 24 months (65.5% reduction, P<.001).
- Substantial improvements in postnasal drip and chronic cough (P<.001).
- 88.2% of patients achieved minimal clinically important difference; no serious adverse events reported.
Conclusions:
- Temperature-controlled radiofrequency neurolysis provides a significant and durable reduction in chronic rhinitis symptom burden.
- Patients experience sustained improvements in quality of life up to 24 months postprocedure.
- The procedure is safe and effective for long-term management of chronic rhinitis.
