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A Novel Approach to Posterior Lateral Nasal Neurectomy
Sanjana K Reddy1, K C Prasad1, Kouser Mohammadi1
1Otolaryngology, Sri Devaraj Urs Medical College, Kolar, IND.
Cureus
|July 7, 2023
Summary
Posterior lateral nasal neurectomy (PLNN) effectively treats allergic rhinitis (AR). This study found younger males comprised the majority of patients, with significant differences in surgical duration and nerve identification between sexes.
Area of Science:
- Otolaryngology
- Allergy and Immunology
Background:
- Allergic rhinitis (AR) is a global health concern.
- Posterior lateral nasal neurectomy (PLNN), a selective vidian neurectomy, alleviates AR symptoms by targeting parasympathetic nasal innervation.
Purpose of the Study:
- To characterize demographic and surgical aspects of patients undergoing PLNN for AR.
- To identify risk factors associated with patient characteristics and PLNN outcomes.
Main Methods:
- A five-year cross-sectional study of 50 AR patients at a tertiary care center.
- Data collected from medical records and analyzed using SPSS version 21.
Main Results:
- The average patient age was 30.4 years, with 54% aged 30 or younger and 60% male.
- PLNN surgery averaged 62 minutes, with significantly shorter durations for females (52.75 min) vs. males (68.33 min).
- Four nerves were identified in 85% of females versus 70% of males, a statistically significant difference (p=0.018).
Conclusions:
- The typical PLNN patient is young and male.
- Surgical duration and intraoperative nerve findings in PLNN differ significantly between sexes.
- PLNN demonstrates variable outcomes based on patient demographics.
