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Newer Surgical Options for Nasal Allergy

  • Ahilasamy Nagalingeswaran
  • Rajendran Dinesh KumarEmail author
Original Article
  • 3 Downloads

Abstract

Allergic rhinitis is a common disorder that affects several patients annually and the hallmark symptoms are nasal obstruction, rhinorrhea and sneezing which significantly impacts the quality of life. Many surgical options exist for the treatment of allergic rhinitis which is directed primarily addressing the nasal obstructive component. The purpose of this review article  is to highlight newer surgical options in the management of patients with nasal allergy. Surgical modalities such as endoscopic resection of the posterior nasal nerve and senior author’s own mini inferior turbinoplasty tunnelling technique for patients with nasal allergy is described here. Most of the literature has focused on medical management for patients with allergic rhinitis. Endoscopic Posterior Nasal neurectomy combined with mini inferior turbinoplasty has good overall significant improvement in nasal allergy symptom scores by 60–80%. Although no single modality has evolved as the gold standard for the surgical management of allergic rhinitis. The main stay of surgical intervention targets the inferior turbinate and posterior nasal nerve which is the parasympathetic supply to the nose causing rhinorrhea. This combined technique provides consistent, robust results with long-term relief of nasal symptoms due to allergic and vasomotor rhinitis without additional risk of complication.

Keywords

Nasal obstruction Sneezing Rhinorrhea Inferior turbinate reduction Tunneling Microdebrider Allergic rhinitis Vasomotor rhinitis Posterior nasal nerve  Endoscopic Posterior Nasal Neurectomy  

Notes

Author Contribution

AN Performed surgery, own surgical technique and patient preoperative and postoperative management and follow up; RDN Preparation of the manuscript, literature review and review of manuscript.

Funding

No funding received.

Compliance with Ethical Standards

Conflict of interest

No potential conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

Supplementary material 1 (WMV 10400 kb)

Supplementary material 2 (WMV 19963 kb)

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Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.Ahilasamy ENT CentreChennaiIndia
  2. 2.Department of ENT and Head-Neck SurgeryRajarajeswari Medical College and HospitalBengaluruIndia

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