Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series
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: ...
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Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2018-07-01
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doaj-f67f6e74aa3741e38f9d19b073af582f2020-11-24T21:48:15ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012018-07-0133110.32412/pjohns.v33i1.15Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary SeriesMinh Cong Vo0Huu Kien Pham1Minh Hien Nguyen2Department 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 VietnamDepartment of Otolaryngology – Head and Neck Surgery University Medical Center, Ho Chi Minh city, VietnamDepartment of Pathophysiology University of Medicine and Pharmacy Ho Chi Minh city, Vietnam 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 https://pjohns.pso-hns.org/index.php/pjohns/article/view/15Posterior nasal neurectomyvasomotor rhinitisallergic rhinitisvidian neurectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Minh Cong Vo Huu Kien Pham Minh Hien Nguyen |
spellingShingle |
Minh Cong Vo Huu Kien Pham Minh Hien Nguyen Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series Philippine Journal of Otolaryngology Head and Neck Surgery Posterior nasal neurectomy vasomotor rhinitis allergic rhinitis vidian neurectomy |
author_facet |
Minh Cong Vo Huu Kien Pham Minh Hien Nguyen |
author_sort |
Minh Cong Vo |
title |
Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series |
title_short |
Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series |
title_full |
Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series |
title_fullStr |
Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series |
title_full_unstemmed |
Posterior Nasal Neurectomy In Treatment of Intractable Rhinitis: A Preliminary Series |
title_sort |
posterior nasal neurectomy in treatment of intractable rhinitis: a preliminary series |
publisher |
Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
series |
Philippine Journal of Otolaryngology Head and Neck Surgery |
issn |
1908-4889 2094-1501 |
publishDate |
2018-07-01 |
description |
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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topic |
Posterior nasal neurectomy vasomotor rhinitis allergic rhinitis vidian neurectomy |
url |
https://pjohns.pso-hns.org/index.php/pjohns/article/view/15 |
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