Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (1): 109-113.doi: 10.6040/j.issn.1673-3770.1.2018.028

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Therapeutic ecacy of endoscopic elective vidian neurectomy for moderate-severe persistent allergic rhinitis with chronic sinusitis

QI Yan1, LIU Junqi1, PENG Shuya2, LUO Kai1, ZHANG Mingxia1, WANG Zhenlin1   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Hegongye hospital, Beijing 100045, China
  • Online:2019-01-20 Published:2019-01-28

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Abstract: Objective To evaluate the therapeutic efficacy of endoscopic elective vidian neurectomy in the management of moderate-severe persistent allergic rhinitis with chronic sinusitis and to explore its possible mechanism. Methods One hundred thirty-two patients with moderate-severe persistent allergic rhinitis and chronic sinusitis who visited Xuanwu Hospital Capital Medical University from September 2015 to September 2016 were divided into two groups. Endoscopic elective vidian neurectomy was performed in 70 patients in the observation group, including amputation of the posterior nasal nerve and pharyngeal branch; 62 patients in the control group underwent conventional operation and conservative treatment. The visual analogue scale(VAS)score and Lund-Mackay score were assessed at 6 months, 1 year, and 2 years after operation. Results One hundred and six cases had complete follow-up data. The average VAS score decreased significantly from 7.6±2.2 to 2.3±1.2 at 6 months, to 2.6±1.7 at 1 year, and to 2.8±1.8 at 2 years after operation in the observation group(n= 56, P<0.05). The observation group had a complete control rate of 94.6%(53/56), which was significantly lower than the control group(n=50)at the same period after treatment. There was no severe complication such as xeroma and atrophic rhinitis in both groups. Furthermore, the difference in complications in the observation and control groups was not statistically significant(P>0.05). When correlation analysis of therapeutic efficacy 2 years after operation and the allergen test before operation was performed in the observation group, no significant correlation was observed(P>0.05). Conclusion Endoscopic elective vidian neurectomy is an effective and safe technique in the management of moderate-severe persistent allergic rhinitis with chronic sinusitis.

Key words: Nasal endoscopic surgical procedures, operative, Vidian neurectomy, Allergic rhinitis, Chronic sinusitis

CLC Number: 

  • R765
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