The transpalatal approach for Vidian neurectomy in allergic rhinities

Mostafa, Hassan; Abdel-Latif, Salem M.; El-Din, Shabaan Bahig Salah

doi:10.1017/s0022215100077598

Cited by 21 publications

(16 citation statements)

References 9 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reportedly, transantral, transseptal, transpalatal, transethmoidal, and transnasal routes have been used to reach the deep-seated vidian nerve. 12,15,16 Because of the deep location of the vidian nerve at the skull base, there is no entirely satisfactory route of approach. We selected the transnasal transseptal transsphenoidal approach to reach the bilateral masses within the vidian canals.…”

Section: Discussionmentioning

confidence: 99%

Bilateral vidian nerve schwannomas associated with facial palsy

Cheong

Kim

Bak

et al. 2006

JNS

View full text Add to dashboard Cite

Intracranial schwannomas are relatively common benign tumors arising from Schwann cells. Among the cranial nerves, the vestibular division of the vestibulocochlear nerve is the site most commonly affected by these lesions, followed by the trigeminal nerve. The authors report a case of bilateral schwannomas arising from both of the pterygoid canals. A 13-year-old girl presented with intermittent headaches and left-sided facial palsy. Preoperative computerized tomography scans and magnetic resonance images revealed nonenhancing round masses within the bilateral vidian canals, bone erosion, and sclerosis. The transnasal transseptal transsphenoidal approach was used to remove the masses. Postoperatively, the patient recovered uneventfully. On histopathological examination, the masses were confirmed as schwannomas. The clinical presentation and probable histogenesis of schwannomas arising in this location are discussed together with a review of the literature.

show abstract

Section: Discussionmentioning

confidence: 99%

Bilateral vidian nerve schwannomas associated with facial palsy

Cheong

Kim

Bak

et al. 2006

JNS

View full text Add to dashboard Cite

show abstract

“…Once one of those was intervened, such as the vasomotor component, the threshold for a stimulant to cause symptoms might be elevated and lead to reduced symptoms. Because of this, there were some authors advocating the use of vidian neurectomy for managing allergic rhinitis and nasal polyposis [1,3,5]. The vidian neurectomy can inhibit the excessive eVerent stimulation of the parasympathetic system and interrupt cholinergic innervation to the nasal mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…The reXex arc is broken by cutting the parasympathetic Wbers on one side and the reduction of half the aVerent supply leading to a bilateral eVect. Some studies also showed that the denervation will lead to a signiWcant reduction of stromal edema and eosinophilic cellular inWltration, a reduction in mast cell levels and histamine concentrations and a reduction of the contents of the acini of mucosal glands, which were all vital contributors to allergic rhinitis [3,[10][11][12]. These eVects on the nasal mucosa were hypothesized to reduce symptoms of rhinorrhea and nasal congestion.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of the feasibility of the vidian neurectomy using computed tomography

Liu

2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

For around 50 years, various approaches to the vidian neurectomy have been advocated. This indicates that there is no single surgical technique that is superior to all others. In this report, we analyze the included angle between the posterior end of middle turbinate and the anterior opening of the vidian canal. The aim of this paper is to use preoperative CT scanning to find a key anatomical structure to predict the feasibility of the vidian neurectomy. A retrospective research was performed. A total of 63 patients with 106 endoscopic vidian neurectomies between September 2006 and April 2010 were selected. The study population included 50 men and 13 women, with a mean age of 28. A paranasal sinus CT scan was obtained and analyzed. The included angle was measured and compared to the operating success rates. In the successful group (78 sides, 73.58%), the included angle from axial and coronal CT imaging was 30.2 ± 4.9° and 26.4 ± 9.1°, respectively. In the 28 failed sides (26.42%), the value was 33.8 ± 4.8° and 44.3 ± 8.1°, respectively. Statistical analysis confirmed that the difference between those two groups was significant (P < 0.05). The present study reports the relationship between the vidian canal and the middle turbinate, which is represented by their included angle. The findings support the decision to intervene the surgical side with a smaller angle, because of the significantly higher success rate.

show abstract

“…Mostafa et al (1973) and Nomura (1974) extended the indication of the operation to cases of chronic allergic rhinitis resistant to con servative therapy. Terrahe et al (1970) described tire terminal vascular bed of the nasal mucosa in cases of hyperergic reaction.…”

Section: Introductionmentioning

confidence: 99%

The Allergic Nasal Mucosa following Vidian Neurectomy

Toppozada¹,

Talaat²

1976

ORL

View full text Add to dashboard Cite

The fine structure of the allergic nasal mucosa following vidian neurectomy was studied in 15 patients. The structure of the mucous glands, venules, arterioles and tunical cellular elements returned to normal 1 month after the operation, while that of the epithelium and of the capillaries only 3 months post-operatively. The effect of interrupting the hyperactive cholinergic nerve impulses on the various constituents of the nasal mucosa is described.

show abstract

The transpalatal approach for Vidian neurectomy in allergic rhinities

Cited by 21 publications

References 9 publications

Bilateral vidian nerve schwannomas associated with facial palsy

Bilateral vidian nerve schwannomas associated with facial palsy

Evaluation of the feasibility of the vidian neurectomy using computed tomography

The Allergic Nasal Mucosa following Vidian Neurectomy

Contact Info

Product

Resources

About