Resection of peripheral branches of the posterior nasal nerve compared to conventional posterior neurectomy in severe allergic rhinitis

Kobayashi, Taisuke; Hyodo, Masamitsu; Nakamura, Keisuke; Komobuchi, Hayato; Honda, Nobumitsu

doi:10.1016/j.anl.2011.11.006

Cited by 48 publications

(76 citation statements)

References 7 publications

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“…Of these 18 studies, two‐thirds were case series (12/18). Other original studies also included: 3 case‐control studies, 1 cohort trial, and 2 RCTs …”

Section: Vidian Neurectomymentioning

confidence: 99%

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ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

141

279

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Background Endoscopic skull‐base surgery (ESBS) is employed in the management of diverse skull‐base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence‐based review or evidence‐based review with recommendations format. Subsequently, each topic was written and then reviewed by skull‐base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull‐base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence‐based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull‐base community to embrace these opportunities and collaboratively address these shortcomings.

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“…Of these 18 studies, two‐thirds were case series (12/18). Other original studies also included: 3 case‐control studies, 1 cohort trial, and 2 RCTs …”

Section: Vidian Neurectomymentioning

confidence: 99%

“…Robinson and Wormald used a good response to anticholinergic nasal spray as an indication for a prediction of good response to vidian neurectomy. Eleven studies were performed in patients with allergic rhinitis, or a mixed population …”

Section: Vidian Neurectomymentioning

confidence: 99%

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

141

279

View full text Add to dashboard Cite

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“…, Kobayashi et al 23 also reported similar patient benefits following posterior nasal neurectomy. They concluded that selective resection of peripheral branches of the posterior nerve could reduce allergic symptoms.…”

mentioning

confidence: 71%

Original study. Effectiveness of endoscopic posterior nasal neurectomy for the treatment of intractable rhinitis

Arun

Moideen

Mohan

et al. 2017

Romanian Journal of Rhinology

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Effectiveness of endoscopic posterior nasal neurectomy for the treatment of intractable rhinitis INTRODUCTIONRhinitis is an inflammatory condition affecting the lining of the nose, characterized by nasal congestion, rhinorrhea, itching, sneezing and/or post-nasal discharge 1 . More than 20% of the population is affected by chronic rhinitis [2][3][4] . Depending on whether an allergic etiology is implicated, non-infectious rhinitis can be subdivided into allergic and non-allergic. With 600 million of world's population affected, allergic rhinitis is the most prevalent atopic disorder. The incidence of allergic rhinitis is on steady increase 5 . Various etiological factors have been postulated for chronic rhinitis -these include allergy, occupational exposures, hormonal changes, smoking, xylometazoline abuse, etc. The standard treatment strategy is medical (histamine antagonists, leukotriene receptor antagonists, intranasal corticosteroids, etc.) But many times, these therapies show limited effectiveness and cause substantial burden for treatment cost on the long term. In addition, the symptoms of intractable rhinitis can cause social embarrassment with a profound effect on patients' quality of life.Surgical management can be considered in such patients with intractable rhinitis. Various surgical techniques have been documented including Vidian neurectomy 6 , posterior nasal neurectomy, inferior turbinate reduction, with varying success rates [5][6][7][8] . In view of this, we are studying the effectiveness of posterior nasal neurectomy (PNN) in patients who have intractable rhinitis, refractory to maximum medical therapy. The outcome is assessed with patient's level of satisfac-ABSTRACT BACKGROUND. Chronic rhinitis is a clinical condition affecting more than 20% of the world population. The standard treat-

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“…8 Ikeda et al reported 56 posterior nasal neurectomy procedures in treating recalcitrant allergic rhinitis or non-allergic rhinitis. 9 Remarkable improvement was achieved in 80% of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…6 PNN cauterization was reported to be an effective method in recalcitrant allergic rhinitis. 7,8 In 2007, Kikawada et al described endoscopic nasal neurectomy, reported that the procedure was an effective way of treating recalcitrant rhinitis, and presented over a thousand surgeries with minimal morbidity. 3 The most fearful side effects of vidian neurectomydry eye, keratitis, and even blindness-can be avoided with this selective neurectomy procedure.…”

mentioning

confidence: 99%