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Transnasal preganglionic vidian nerve section.

M V Kirtane, V S Prabhu, P P Karnik

    The Journal of Laryngology and Otology
    |May 1, 1984
    PubMed
    Summary
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    Vidian neurectomy effectively treats vasomotor rhinitis. A direct transnasal approach offers a safe and accessible surgical option for this deep nerve, with no significant complications reported in 247 cases.

    Area of Science:

    • Otolaryngology
    • Neurosurgery

    Background:

    • Vasomotor rhinitis symptoms can be relieved by vidian neurectomy.
    • The pterygopalatine fossa presents a surgical challenge due to the vidian nerve's deep location.

    Purpose of the Study:

    • To describe a direct transnasal approach to the pterygopalatine fossa for vidian neurectomy.
    • To evaluate the efficacy and safety of this surgical technique.

    Main Methods:

    • A direct transnasal endoscopic approach through the sphenopalatine foramen.
    • Surgical intervention in 247 patients over four years.

    Main Results:

    • The transnasal approach provides access to the pterygopalatine fossa.
    • 247 cases were operated on with no significant complications.

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    Conclusions:

    • The direct transnasal approach is a viable and safe method for vidian neurectomy.
    • This technique facilitates effective treatment for vasomotor rhinitis.