Endoscopic transseptal vidian neurectomy

Area of Science:

• Otolaryngology
• Neurosurgery
• Rhinology

Background:

• Vasomotor rhinitis, characterized by rhinorrhea and sneezing, can be resistant to conventional treatments.
• Vidian neurectomy targets the vidian nerve, a key pathway for parasympathetic innervation influencing nasal secretions.

Purpose of the Study:

• To evaluate the efficacy and safety of the endoscopic transseptal approach for vidian neurectomy.
• To assess outcomes in patients with refractory vasomotor rhinitis, including rhinorrhea and nasal polyposis.

Main Methods:

• A case series involving 11 adult patients with resistant vasomotor rhinitis.
• Endoscopic transseptal vidian neurectomy performed using a rigid nasal endoscope.
• Follow-up ranged from 12 to 24 months, assessing symptom resolution and recurrence.

Main Results:

• Successful bilateral vidian nerve sectioning in all patients.
• Immediate and complete resolution of rhinorrhea in all cases.
• Significant reduction in sneezing episodes; one case of recurrence.

Conclusions:

• Endoscopic transseptal vidian neurectomy is a safe and effective procedure for managing resistant vasomotor rhinitis.
• The technique demonstrates high efficacy with minimal postoperative morbidity.
• Further studies with longer follow-up are warranted to confirm long-term outcomes.