title: [Effect of posterior nasal neurectomy combined with the inferior turbinate surgery for the patients with perennial allergic rhinitis or vasomotor rhinitis].
abstract: BACKGROUND
  Until recently, Vidian neurectomy had been applied mainly in intractable vasomotor rhinitis and severe perennial allergic rhinitis. Although the results were excellent, the operation has not been applied recently because of the adverse events such as xerophthalmia and trigeminal neuralgia. To resolve these problems, a new surgical technique, posterior nasal neurectomy, was developed. In this report, we examined the effectiveness of posterior nasal neurectomy combined with the inferior turbinate surgery for severe perennial allergic rhinitis and intrinsic rhinitis by questionnaire.
  
  
  METHODS
  Twenty patients who had undergone posterior nasal neurectomy combined with the inferior turbinate surgery between April in 2005 and March in 2009 were enrolled. Numeric Rating Scale was used to evaluate clinical symptoms and quality of life (QOL) of pre- and postsurgery. Frequency of medication (oral administration and nasal spray) was also evaluated.
  
  
  RESULTS
  Questionnaires were collected from 17 patients. As for all patients but one, the surgery significantly reduced rhinorrhea, nasal obstruction, and sneezing. Furthermore, QOL for many symptoms such as sleep disorder and malaise/feebleness was also significantly improved after the surgery. Eighty-one percent of patients were satisfied with the surgery.
  
  
  CONCLUSIONS
  Posterior nasal neurectomy combined with the inferior turbinate surgery is effective in alleviating clinical symptoms and improving QOL in the patients with severe perennial allergic rhinitis and intrinsic rhinitis, although a longer follow-up is needed.
authors.affiliation: Department of Otorhinolaryngology·Allergy Center, Saitama Medical University. atkamijo@saitama-med.ac.jp
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kamijo
authors.forename: Yumi
authors.initials: Y
authors.lastname: Kuroda
authors.forename: Kyousuke
authors.initials: K
authors.lastname: Hatsushika
authors.forename: Motohiro
authors.initials: M
authors.lastname: Moriyama
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Matsuoka
authors.forename: Takanori
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Kase
authors.forename: Keisuke
authors.initials: K
authors.lastname: Masuyama
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059747:Nasal Surgical Procedures / Q000379:methods*; D009666:Nose / Q000294:innervation*; D011788:Quality of Life; D012221:Rhinitis, Allergic, Perennial / Q000601:surgery*; D012223:Rhinitis, Vasomotor / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014420:Turbinates / Q000601:surgery*