Rhinitis surgery

Jump to: navigation, search

Rhinitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Rhinitis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Rhinitis surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Rhinitis surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Rhinitis surgery

CDC on Rhinitis surgery

Rhinitis surgery in the news

Blogs on Rhinitis surgery

Directions to Hospitals Treating Rhinitis

Risk calculators and risk factors for Rhinitis surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]

Overview

Surgery is not commonly required for the management of rhinitis. Surgical procedures are however sometimes indicated in the management of structural/mechanical problems, or coexisting comorbid conditions.[1]

Surgery

Surrgery in Allergic Rhinitis[2][3]

Surgical interventions in allergic rhinitis are usually indicated when there are structural conditions causing nasal obstruction, or associated co-morbid disorders that are not responsive to medical therapy. Surgical procedures that can be done include total inferior turbinectomy, radical turbinectomy, submucous turbinectomy, microdebrider turbinoplasty, cryosurgery, laser cautery, endoscopic sinus surgeries, etc. Some of the indications for surgical intervention in allergic rhinitis include:

  • Hypertrophied inferior turbinate that is unresponsive to medical therapy
  • Anatomic variations of the nasal septum with functional relevance
  • Anatomic variations of the bony pyramid with functional/aesthetic relevance
  • Chronic sinusitis, invasive fungal sinus disease
  • A variety of nasal unilateral polyposis or therapy-resistant bilateral nasal polyps
  • Adenoidal hypertrophy

Surgery in Nonallergic Rhinitis[4][5]

Surgical procedures such as posterior nasal nerve resection and vidian nerve neurectomy are occasionally used for the mamagement of some forms of nonallergic rhinitis such as gustatory and vasomotor rhinitis. These procedures are not usually recommended because of the complications that frequently arise, and they have also been shown to have short lasting results. However, with the advent of endoscopic sinus surgeries, better results are being achieved.

  • Endoscopic vidian neurectomy: This is often effective in the surgical management of vasomotor rhinitis, and it is safe and well tolerated in most patients.
  • Endoscopic posterior nasal neurectomy: There is scarce literature on the management of vasomotor rhinitis with endoscopic posterior nasal neurectomy.

References

  1. Sacre-Hazouri JA (2012). "[Chronic rhinosinusitis in children]". Rev Alerg Mex. 59 (1): 16–24. PMID 24007929.
  2. Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A; et al. (2008). "Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen)". Allergy. 63 Suppl 86: 8–160. doi:10.1111/j.1398-9995.2007.01620.x. PMID 18331513.
  3. Chhabra N, Houser SM (2011). "The surgical management of allergic rhinitis". Otolaryngol Clin North Am. 44 (3): 779–95, xi. doi:10.1016/j.otc.2011.03.007. PMID 21621061.
  4. Halderman A, Sindwani R (2015). "Surgical management of vasomotor rhinitis: a systematic review". Am J Rhinol Allergy. 29 (2): 128–34. doi:10.2500/ajra.2015.29.4141. PMID 25785754.
  5. Jovancevic L, Georgalas C, Savovic S, Janjevic D (2010). "Gustatory rhinitis". Rhinology. 48 (1): 7–10. doi:10.4193/Rhin07.153. PMID 20502728.

Linked-in.jpg