Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (5): 42-48.doi: 10.6040/j.issn.1673-3770.0.2024.407

• Original Article • Previous Articles    

The long-term clinical efficacy and safety of vidian neurectomy in refractory allergic rhinitis

LIU Yijun, GU Yue, GUAN Dayu, YANG Yucheng, SHEN Yang   

  1. Department of Otorhinolaryngology/ Clinical Allergy Center/ Upper Airway Inflammation and Tumor Laboratory, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Published:2025-09-19

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Abstract: Objective To evaluate the long-term clinical efficacy, safety of vidian neurectomy in the treatment of refractory allergic rhinitis(AR). Methods A total of 49 patients with refractory AR were enrolled in the study. The visual analogue scale(VAS)score was used to assess nasal symptoms-including nasal itching, nasal congestion, sneezing and rhinorrhea-before surgery and 1 years postoperatively. Symptom improvement was compared pre- and post-treatment. Postoperative adverse events were recorded to assess the safety of the procedure. The SPSS 22.0 software was used for statistical analysis. Results The VAS scores of both overall and individual nasal symptoms were significantly reduced after vidian neurectomy. The overall effective rate was 85.71%(42/49), showing a statistically significant improvement compared to preoperative scores(P<0.05). The incidence of postoperative adverse reactions was 10%(5/49). Further analysis found no statistically significant correlation between preoperative clinical indicators(both subjective and objective)and postoperative outcomes(P>0.05). Conclusion Vidian neurectomy provides substantial clinical benefit and a favorable safety profile for refractory AR. Furthermore, the effectiveness of the procedure does not appear to be influenced by patients' preoperative subjective symptoms or objective indicators.

Key words: Vidian neurectomy, Allergic rhinitis, Refractory, Efficacy evaluation, Safety

CLC Number: 

  • R765.21
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