Long-term results of bilateral endoscopic vidian neurectomy in the management of moderate to severe persistent allergic rhinitis.

Abstract

OBJECTIVE:

To evaluate the long-term efficacy of bilateral endoscopic vidian neurectomy in the management of moderate to severe persistent allergic rhinitis.

DESIGN:

A prospective reassessment of the postoperative long-term results of bilateral endoscopic vidian neurectomy using the Rhinoconjunctivitis Quality of Life Questionnaire and visual analog scale for patients with moderate to severe persistent allergic rhinitis.

SETTING:

University hospital.

PATIENTS:

A total of 236 patients with moderate to severe persistent allergic rhinitis were divided into the following 3 treatment groups: those who underwent bilateral endoscopic vidian neurectomy (group 1, n = 93), those who underwent partial inferior turbinectomy and/or septoplasty (group 2, n = 51), and those who received conservative therapy (controls, n = 92).

MAIN OUTCOME MEASURE:

The patients' quality of life was assessed at 6 months, 1 year, and 3 years after undergoing the initial selected treatments for moderate to severe persistent allergic rhinitis. The complications were observed after treatment.

RESULTS:

Data from 199 of 236 patients who had complete follow-up documents were statistically analyzed. The average posttreatment bilateral endoscopic vidian neurectomy scores of the Rhinoconjunctivitis Quality of Life Questionnaire and visual analog scale were significantly improved at 6 months, 1 year, and 3 years compared with pretreatment scores for group 1 (P < .00) and for those in groups 2 and 3 during the same period. By the patient's self-evaluation posttreatment, the percentages of much improved, improved, and not improved was 64.7% (55 cases), 24.7% (21 cases), and 10.6% (9 cases), respectively. The percentages were significantly higher for those in group 1 than for those in group 2 (P < .05). No severe complication occurred in all 3 patient groups.

CONCLUSION:

In the hands of a well-trained surgeon bilateral endoscopic vidian neurectomy is an effective and safe technique in the management of moderate to severe persistent allergic rhinitis.

• Authors: Guolin Tan, Yanhong Ma, Heqing Li, Wei Li, Jianjun Wang
• Journal: Archives of otolaryngology--head & neck surgery (Arch Otolaryngol Head Neck Surg) Vol. 138 Issue 5 Pg. 492-7 (May 2012) ISSN: 1538-361X [Electronic] United States
• PMID: 22652948 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Denervation (methods)
• Endoscopy (methods)
• Female
• Humans
• Male
• Middle Aged
• Nasal Septum (surgery)
• Quality of Life
• Rhinitis, Allergic, Perennial (diagnostic imaging, surgery)
• Surveys and Questionnaires
• Tomography, X-Ray Computed
• Treatment Outcome
• Turbinates (surgery)