[Treating patients who have failed with desensitization therapy for naso-sinus allergies by surgical section of vidian nerve (author's transl)].
From about thiry cases of surgical section of the Vidian nerve in allergic patients, the ten most long-standing patients were collected. These were severely allergic patients, often with superinfected polyps, diagnosed clinically, tested (especially with cutaneous tests) and desensitized. Specific desensitization was persevered with for a long time before finally failure was recognized in these cases. These patients were then operated by the Lima technique with section of the Vidian nerve by the trans-maxillary route. The results are analyzed after a delay of between two and three and a half years and each case is analyzed symptom by symptom. The results ae excellent in four cases, good in two cases, satisfactory in two cases, and poor or nil in two cases.
D000328:Adult; D000368:Aged; D003714:Denervation; D003888:Desensitization, Immunologic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000209:etiology / Q000628:therapy; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D012130:Respiratory Hypersensitivity / Q000150:complications / Q000628:therapy*; D012882:Skin Tests; D013100:Sphenoid Bone / Q000294:innervation*
Le rattrapage des échecs de la désensibilisation par la chirurgie vidienne dans les allergies naso-sinusiennes.