Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series

Authors

  • Minh Cong Vo Department of Otolaryngology – Head and Neck Surgery University Medical Center at Ho Chi Minh city, Vietnam 215 Hong Bang St. Ward 11 District 5, Ho Chi Minh city 700000 Vietnam
  • Huu Kien Pham Department of Otolaryngology – Head and Neck Surgery University Medical Center, Ho Chi Minh city, Vietnam
  • Minh Hien Nguyen Department of Pathophysiology University of Medicine and Pharmacy Ho Chi Minh city, Vietnam

DOI:

https://doi.org/10.32412/pjohns.v33i1.15

Keywords:

Posterior nasal neurectomy, vasomotor rhinitis, allergic rhinitis, vidian neurectomy

Abstract

Objective: To evaluate the efficacy and safety of posterior nasal neurectomy on the treatment of nasal congestion, rhinorrhea, sneezing, and post-nasal discharge in intractable rhinitis patients.

Methods

Design:                       Preliminary case series  

Setting:                       Tertiary University Medical Center

Participants:              Ten (10) patients with intractable rhinitis underwent endoscopic posterior nasal neurectomy in both sides. Symptoms were compared pre- and post-operatively one month and one year after surgery using Visual Analog Scale (VAS) scores. Endoscopic pre- and one-month post-operative Lund-Mackay scores were also compared.

Results: All four mean nasal symptom scores were reduced significantly at 1-month follow-up for nasal congestion (1.5 ± 1.08 vs 4.1 ± 0.5687, p = .00001), rhinorrhea (0.7 ± 0.823 vs 3.4 ± 0.966, p = .00001) post-nasal discharge (0.9 ± 0.994 vs 2.4 ± 1.5, p = .03), and sneezing (1.1 ± 0.738 vs 3 ± 0.943, p = .02). Mean endoscopic scores were also reduced significantly at one month, from 12.9 ± 2.55 to 4.2 ± 3, p = 0.0001.In the 6 patients that followed up at 1-year, post-operative mean nasal symptoms were still significantly better for congestion (0.6667 ± 0.8165 vs 4 ± 0.632, p = 0.00001), rhinorrhea (0.6667 ± 0.5164 vs 3.67 ± 1.033, p = .001), post-nasal discharge (0.1667 ± 0.40825 vs 2.17 ± 1.835, p = .033), sneezing (0.5 ± 0.54772 vs 3.17 ± 0.983, p = 0.0001). Mean post-operative VAS nasal scores and endoscopic scores were well associated (Correlation Coefficient -.648, p = .048).

Conclusion: Posterior nasal neurectomy could be considered as a safety and effective way to treat intractable rhinitis patients in Vietnam.

Keywords: Posterior nasal neurectomy, vasomotor rhinitis, allergic rhinitis, vidian neurectomy

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Published

2018-07-12

How to Cite

1.
Vo MC, Pham HK, Nguyen MH. Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series. Philipp J Otolaryngol Head Neck Surg [Internet]. 2018 Jul. 12 [cited 2024 May 7];33(1):12-6. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/15

Issue

Vol. 33 No. 1 (2018): Philippine Journal of Otolaryngology-Head and Neck Surgery

Section

Original Articles

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.