Abstract

The Effect of Posterior Neurectomy as A Method of Surgical Parasympathectomy of the Nasal Mucosa for Management of Refractory Rhinitis

Highlights

  • According to the World Health Organization (WHO) definition, idio-pathic rhinitis is a case of allergic rhinitis (AR) that occurs for more than 4 days per week and lasts for more than 4 consecutive weeks

  • The mean rhinorrhea score preoperatively was (Mean ± SD =3.53 ± 0.52).Our results revealed that there is improvement in rhinorrhea after one month (Mean ± SD =1.33 ± 0.49) and our results are statistically significant as p-value is

  • The improvement of rhinorrhea continues after three months (Mean ± SD =0.80 ± 0.41) and our results are statistically significant as pvalue is

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Summary

Introduction

According to the World Health Organization (WHO) definition, idio-pathic rhinitis is a case of allergic rhinitis (AR) that occurs for more than 4 days per week and lasts for more than 4 consecutive weeks. The condition does not respond favorably to existing management protocols, and is not mitigated by avoiding allergens(1). The procedure of vidian neurectomy was abandoned due to many causes as difficulty in approaching the pterygopalatine region, related comorbidities as sphenopalatine artery bleeding, dry eyes due to affection of lacrimation, ophthalmoplegia(2). The ramus innervating the nasal mucosa called the posterior nasal nerve. Selective resection of this ramus dennervate nasal cavity from its parasympathetic supply and provides the same advantages of vidian neurectomy, without having its complications(3). The aim of this study was to assess the effects of posterior neurectomy on management on Allergic Rhinitis patients over a period of 6 months

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