Endoscopic Transnasal Vidian Neurectomy for Intractable Allergic Rhinitis

Jang, Tae Young; Lee, Seung Joon; Kim, Jin; Kim, Bo Young

Abstract

Vidian neurectomy is indicated mainly in resistant cases of vasomotor and allergic rhinitis, and recurrent nasal polyposis. The efficacy of vidian neurectomy in controlling the symptoms of vasomotor and allergic rhinitis is still controversal. Many approches have been suggested for vidian neurectomy, including transantral, transpalatal, transnasal, transseptal. Transnasal vidian neurectomy was suggested by many authors. A decade ago, Kamel advocated the use of nasal endoscope to the vidian nerve through the sphenopalatine foramen which is located behind and slightly above the attachment of posterior end of middle turinate. Nasal endoscopic approach has several advantages over the other approaches. The purpose of this article is to present a case of intractable allergic rhinitis patient who improved after transnasal vidian neurectomy and is to give a special emphasis on the transnasal vidian neurectomy for intractable allergic rhinitis.