Analysis of clinical effect of unilateral vidian neurectomy following endoscopic trans-sphenoethmoidal recess approach for allergic rhinitis treatment

• Published in: Lin chuang er bi yan hou ke za zhi Vol. 32; no. 19; p. 1455
• Main Authors: Ji, Y J, An, Y F, Xue, J M, Li, Q F, Hou, R, Zhang, Y T, Qi, X P, Li, Q, Geng, Z G, Cheng, F L, Zhao, C Q
• Format: Journal Article
• Language: Chinese
• Published: China 05.10.2018
• Subjects: allergic rhinitis; vidian neurectomy; endoscope; transsphenoethmoidal recess
• ISSN: 1001-1781
• DOI: 10.13201/j.issn.1001-1781.2018.19.003

To explore the clinical efficacy of unilateral vidian neurectomy following endoscopic trans-sphenoethmoidal recess approach in treating allergic rhinitis. The clinical data of 80 patients with moderate-severe allergic rhinitis who underwent unilateral vidian neurectomy following endoscopic trans-sphenoethmoidal recess approach were reviewed retrospectively. Visual analogue scale(VAS) was used to assess total symptom scores and nasal symptoms including nasal itching, nasal sneezing, rhinorrhea and nasal congestion. The paired T test was used to compare the scores between surgical side and control side. Twenty-four patients with 3 years of follow-up were assessed by analysis of variance with comparison of means between multiple groups. Further comparison between any two means was performed by LSD- test. A total of 80 patients were followed up for one year, with 51 patients for two years and 24 patients for three years. Among 24 patients, total symptom scores and nasal symptoms (nasal itching, nasal sneezing, rh