Comparison Between the Effect of Turbinoplasty With and Without Posterior Nasal Nerve Neuroectomy in Patients of Allergic Rhinitis Not Responding to Medical Treatment | ||
| International Journal of Medical Arts | ||
| Article 11, Volume 6, Issue 4, April 2024, Pages 4329-4337 PDF (1.75 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2024.217912.1710 | ||
| Authors | ||
| Abdallah Elsayed Abdallah Elsayed* 1; Soad Yehia Mostafa2; Hoda Ali Ibrahim2; Mohamed Fathy Elsawy3; Asmaa Fathy Elsayed2 | ||
| 1Department of Otorhinolaryngology, Kobry Elkobba Military Hospital, Ministry of Defense, Cairo, Egypt | ||
| 2Department of Otorhinolaryngology, Faculty of Medicine [for girls], Al-Azhar University, Cairo, Egypt | ||
| 3Department of Otorhinolaryngology, Armed Forces College of Medicine, Cairo, Egypt | ||
| Abstract | ||
| Background: Allergic rhinitis is a common condition that can be challenging to manage, especially when patients do not respond to standard medical treatments. Turbinoplasty is a surgical procedure commonly used to address nasal obstruction in these patients. Posterior nasal nerve neuroectomy is an emerging technique that aims to provide additional symptom relief by targeting nerve endings in the nasal cavity. However, the comparative efficacy of turbinoplasty with and without posterior nasal nerve neuroectomy remains understudied. The aim of the work: This study aims to compare the effectiveness of turbinoplasty with and without posterior nasal nerve neuroectomy in improving symptoms and quality of life in patients with allergic rhinitis who have not responded adequately to medical treatment. Patients and Methods: A prospective comparative study was conducted on a cohort of 60 allergic rhinitis patients who underwent either turbinoplasty alone [30 patients] or turbinoplasty with posterior nasal nerve neuroectomy [30 patients]. Symptom scores and complications were evaluated preoperatively and postoperatively to compare the outcomes between the two groups. Results: There is a statistically significant difference between the studied groups. All cases in both Group A and Group B were relieved from nasal obstruction after the operation. In Group A, 56.7% of patients still had rhinorrhea, while none of the cases in Group B experienced rhinorrhea. Additionally, 46.7% of patients in Group A complained of sneezing after turbinoplasty alone, whereas only 3.3% of cases in Group B had sneezing. Furthermore, 30% of patients in Group A still reported itching after turbinoplasty alone, while 20% of cases in Group B experienced itching. Conclusion: The addition of posterior nasal nerve neuroectomy to turbinoplasty appears to provide superior symptom relief in patients with allergic rhinitis resistant to medical treatment. This combined approach may offer a promising surgical option for patients with persistent allergic rhinitis symptoms. | ||
| Keywords | ||
| Allergic Rhinitis; Turbinoplasty; Neuroectomy | ||
|
Statistics Article View: 138 PDF Download: 144 |
||
