Functional inferior turbinosurgery (FITS) for the treatment of resistant chronic rhinitis

Abstract

The patients showed a remarkable improvement of > or = 80%, with the exception of two patients who had an approximately 50% reduction of the total symptomatic scores. Four of eight patients with anosmia subjectively improved whereas the other four patients felt unchanged. All patients who underwent rhinomanometry (n=15) and nasal provocation testing (n = 15) both before and after surgery showed a significant improvement. There were no intraoperative complications. Postoperative epistaxis occurred in one patient. One patient complained of a transient hypesthesia of the soft palate and dry eye. Nasal mucosal tears were observed in approximately 30% of the patients who otherwise showed no severe synechia or persistent crusting.

A New Method of Identifying the Posterior Inferior Nasal Nerve

“…It was advised to locate PNN through the sphenopalatine foramen or through an intraturbinate approach. 9 In our study, PINN was found consistently posterior to the sphenopalatine artery where the inferior turbinate attaches to the lateral nasal wall. After careful dissection and locating the SPA, PINN can be located more easily posterior to the sphenopalatine artery where the inferior turbinate attaches to the lateral nasal wall.…”

“…8 Ikeda et al reported 56 posterior nasal neurectomy procedures in treating recalcitrant allergic rhinitis or non-allergic rhinitis. 9 Remarkable improvement was achieved in 80% of the patients. Effectiveness of PNN resection was demonstrated histologically, and it was reported that resection of PINN causes suppression of secretagogue motor and inhibition of neurogenic inflammation.…”

Cytologic Alterations in Nasal Mucosa after Sphenopalatine Artery Ligation in Patients with Vasomotor Rhinitis

“…5 It may be postulated, therefore, that interruption of autonomic innervation may have an effect on vasomotor symptoms and on nasal mucosa cells, with a reduction in neurogenic inflammation and consequent infiltration of inflammatory cells (eosinophils, neutrophils, etc.). 6 With this prospective study we wanted to evaluate the effect of ESPAL on nasal function and nasal cytology in patients with VR undergoing inferior turbinoplasty (IT) for ITH.…”

Treatment of Idiopathic Gustatory Rhinorrhea by Resection of the Posterior Nasal Nerve

“…1). Since the patient preferred to undergo radical therapy, a selective resection of the posterior nasal nerve was performed through the middle meatus under endoscopic control (Ikeda et al 2006).…”