Endoscopic posterior nasal neurectomy: An alternative to vidian neurectomy

Vidian neurectomy is a proven surgical treatment for the symptoms of allergic and nonallergic rhinitis. However, complications such as dry eye, cheek and dental numbness, disturbance of eye movements, and even blindness remain. I describe a method for endoscopic resection of the posterior superior a...

Full description

Saved in:
Bibliographic Details
Published inOperative techniques in otolaryngology--head and neck surgery Vol. 18; no. 4; pp. 297 - 301
Main Author Kikawada, Toru, MD
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2007
Subjects
Otolaryngology
Posterior nasal nerve
Rhinitis
Sphenopalatine artery
Surgery
Vidian neurectomy
Sphenopalatine artery
Posterior nasal nerve
Rhinitis
Vidian neurectomy
Online AccessGet full text

Cover

More Information
Summary:Vidian neurectomy is a proven surgical treatment for the symptoms of allergic and nonallergic rhinitis. However, complications such as dry eye, cheek and dental numbness, disturbance of eye movements, and even blindness remain. I describe a method for endoscopic resection of the posterior superior and inferior nasal nerves. My approach exposes postganglionic parasympathetic nerve fibers (the posterior superior nasal nerve) at the sphenopalatine foramen to allow resection of a segment of the nerve under direct vision. The surgeon is able to control intraoperative bleeding without resection of the sphenopalatine artery and achieve the effectiveness of vidian neurectomy without the complications.
ISSN:1043-1810
1557-9395
DOI:10.1016/j.otot.2007.05.010