난치성 비염 치료로 시행된 비내시경적 후방 비 신경절제술 3예
Endoscopic Posterior Nasal Neurectomy for the Treatment of Intractable Rhinitis : Report of Three Cases
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Intractable rhinitis is defined as refractory to maximum medical treatment. Vidian neurectomy was indicated in resistant cases of allergic and vasomotor rhinitis. but recently it is hardly used because of its high incidence of complications such as dry eyes, dental and cheek numbness and blindness. Alternatives to vidian neurectomy have been reported. The endoscopic posterior nasal neurectomy, which resection of the postganglionic parasym- pathetic nerve fibers at the sphenopalatine foramen by mucoperiosteal flap elevation. This surgery gives equal result as of vidian neurectomy with less complications. The author reports three recently encountered cases of endoscopic posterior nasal neurectomy without complications.
Abstract
Intractable rhinitis is defined as refractory to maximum medical treatment. Vidian neurectomy was indicated in resistant cases of allergic and vasomotor rhinitis. but recently it is hardly used because of its high incidence of complications such as dry eyes, dental and cheek numbness and blindness. Alternatives to vidian neurectomy have been reported. The endoscopic posterior nasal neurectomy, which resection of the postganglionic parasym- pathetic nerve fibers at the sphenopalatine foramen by mucoperiosteal flap elevation. This surgery gives equal result as of vidian neurectomy with less complications. The author reports three recently encountered cases of endoscopic posterior nasal neurectomy without complications.
참고문헌 (11)
- International rhinitis management working group, "International consensus report on the diagnosis and management of rhinitis", Allergy, 49(19 Suppl), pp.1~34 (1994)
- Chhabra N, "Surgical options for the allergic rhinitis patient", Curr Opin Otolaryngol Head Neck Surg, 20(3), pp.199~204 (2012)
- Golding-Wood PH, "Observation on petrosal and vidian neurectomy in chronic vasomotor rhinitis", J Laryngol Otol, 75, pp.232~247 (1961)
- Kamel R, "Endoscopic transnasal vidian neurectomy", Laryngoscope, 101(3), pp.316~319 (1991)
- Lee JC, "Endoscopic vidian neurectomy: update on techniques and evidence", Curr Opin Otolaryngol Head Neck Surg, 20(1), pp.66~72 (2012)
- Ikeda K, "Effect of resection of the posterior nasal nerve on functional and morphological changes in the inferior turbinate mucosa", Acta Otolaryngol, 128(12), pp.1337~1341 (2008)
- Mori S, "Submucous turbinectomy decreases no only nasal stiffness but also sneezing and rhinorrhea in patients with perennial allergic rhinitis", Clin Exp Allergy, 29(11), pp.1542~1548 (1999)
- Kikawada T, "Endoscopic posterior nasal neurectomy: an alternative to vidian neurectomy", Oper Tech Otolaryngol, 18(4), pp.297~301 (2007)
- Kawamura S, "Submucosal turbinectomy with posterior-superior nasal neurectomy for patients with allergic rhinitis", Pract Otol Rhino Laryngol, 93(5), pp.367~372 (2000)
- Arun G, "Effectiveness of endoscopic posterior nasal neurectomy for the treatment of intractable rhinitis", Rom J Rhinol, 26(7), pp.85~90 (2017)
- Takahara D, "Management of intractable nasal hyperreactivity by selective resection of posterior nasal nerve branches", Int J Otolaryngol, 2017, pp.1907862~ (2017)