Surgical management of vasomotor rhinitis: a systematic review

American Journal of Rhinology & Allergy
Ashleigh Halderman, Raj Sindwani

Abstract

Vasomotor rhinitis (VMR) is one of the most prevalent forms of nonallergic rhinitis. In the past, when maximal medical therapy failed, surgical options were limited. Vidian neurectomy (VN) was one option; however, it was fraught with complications and limited success. The advent of endoscopic sinus surgery revitalized interest in surgical procedures for VMR. This study was designed to review the available literature and assess the safety and efficacy of surgery on the vidian and posterior nasal nerves for treatment of VMR and when possible, compare the different approaches to one another in regard to safety and efficacy. A systematic review was performed of English language articles using Ovid and PubMed. Search terms included "endoscopic vidian neurectomy," "vidian neurectomy," "endoscopic posterior nasal neurectomy" (EPNN), and "posterior nasal neurectomy." Only clinical trials performed on humans with safety and or efficacy data were included. Independent extraction of articles by two authors using predefined data fields was performed. Safety defined by complication rates and efficacy defined as objective improvement on outcomes scores along with the overall length of benefit were the primary measures of treatment effect. Th...Continue Reading

Associated Clinical Trials

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Citations

Jan 6, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Opeyemi O Daramola, Robert C Kern
Apr 17, 2016·Immunology and Allergy Clinics of North America·Pavol Surda, Wytske J Fokkens
Jun 21, 2016·Laboratory Investigation; a Journal of Technical Methods and Pathology·Hironobu NishijimaTatsuya Yamasoba
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Mar 6, 2021·American Journal of Otolaryngology·Isaac L SchmaleMartin J Citardi
Feb 19, 2021·Allergy & Rhinology·John A Gerka StuytRohit Garg
Aug 11, 2020·Brazilian Journal of Otorhinolaryngology·Nanditha LakshmanFahad Bapu Thondupadath Assanar

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Methods Mentioned

BETA
dissection

Software Mentioned

EPNN
VMR
Ovid

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