EFFECT OF POSTERIOR NASAL NEURECTOMY COMBINED WITH THE INFERIOR TURBINATE SURGERY FOR THE PATIENTS WITH PERENNIAL ALLERGIC RHINITIS OR VASOMOTOR RHINITIS

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  • Kamijo Atsushi
    Department of Otorhinolaryngology・Allergy Center, Saitama Medical University
  • Kuroda Yumi
    Department of Otorhinoraryngology and Head & Neck Surgery, University of Yamanashi
  • Hatsushika Kyousuke
    Department of Otorhinoraryngology and Head & Neck Surgery, University of Yamanashi
  • Moriyama Motohiro
    Department of Otorhinoraryngology and Head & Neck Surgery, University of Yamanashi
  • Matsuoka Tomokazu
    Department of Otorhinoraryngology and Head & Neck Surgery, University of Yamanashi
  • Yamamoto Takanori
    Department of Otorhinoraryngology and Head & Neck Surgery, University of Yamanashi
  • Kase Yasuhiro
    Department of Otorhinolaryngology・Allergy Center, Saitama Medical University
  • Masuyama Keisuke
    Department of Otorhinoraryngology and Head & Neck Surgery, University of Yamanashi

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Other Title
  • 下鼻甲介手術を併施した後鼻神経切断術の有効性の検討
  • シタ ビ コウカイシュジュツ オ ヘイホドコシタ アト ビ シンケイ セツダンジュツ ノ ユウコウセイ ノ ケントウ

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Abstract

Introduction: Until recently, Vidian neurectomy had been applied mainly in intractable vasomotor rhinitis and severe perennial allergic rhinitis. Although the results were excellent, the operation has not been applied recently because of the adverse events such as xerophthalmia and trigeminal neuralgia. To resolve these problems, a new surgical technique, posterior nasal neurectomy, was developed. In this report, we examined the effectiveness of posterior nasal neurectomy combined with the inferior turbinate surgery for severe perennial allergic rhinitis and intrinsic rhinitis by questionnaire. Patients and methods: Twenty patients who had undergone posterior nasal neurectomy combined with the inferior turbinate surgery between April in 2005 and March in 2009 were enrolled. Numeric Rating Scale was used to evaluate clinical symptoms and quality of life (QOL) of pre- and post-surgery. Frequency of medication (oral administration and nasal spray) was also evaluated. Results: Questionnaires were collected from 17 patients. As for all patients but one, the surgery significantly reduced rhinorrhea, nasal obstruction, and sneezing. Furthermore, QOL for many symptoms such as sleep disorder and malaise/feebleness was also significantly improved after the surgery. Eighty-one percent of patients were satisfied with the surgery. Conclusion: Posterior nasal neurectomy combined with the inferior turbinate surgery is effective in alleviating clinical symptoms and improving QOL in the patients with severe perennial allergic rhinitis and intrinsic rhinitis, although a longer follow-up is needed.

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