Nasal Reactivity After Radiofrequency Ablation of Peripheral Branches of Posterior Nasal Nerve.

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2022-12-01 DOI:10.4274/tao.2022.2022-10-1
Samy Elwany, Ziad Mandour, Ahmed Aly Ibrahim, Remon Bazak
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Abstract

Objective: Transection or ablation of the posterior nasal nerve (TRPN) has been described as an adjunctive tool to reduce the symptoms of intractable allergic rhinitis (AR). The procedure, however, requires surgical skill and carries the risk of bleeding from the sphenopalatine artery. The aim of the present study is to describe radiofrequency ablation of the peripheral branches of the posterior nasal nerves within the inferior turbinates (RAPN) as an effective easier alternative to TRPN.

Methods: The procedure was performed on 24 patients with intractable AR. Nasal reactivity was tested by cold dry air (CDA) provocation before and 12 months after the radiofrequency procedure. Visual analog scale and acoustic rhinometry were used to measure the changes in nasal reactivity subjectively and objectively.

Results: Worsening of nasal symptoms following CDA provocation had significantly decreased after the RAPN procedure. Likewise, postoperative decrease in nasal volumes and minimal cross-sectional areas after CDA provocation were significantly less than the corresponding preoperative values.

Conclusion: RAPN effectively reduces nasal reactivity in patients with AR. The procedure is simple, minimally invasive, and can be performed under local or general anesthesia.

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鼻后神经外周支射频消融后的鼻反应性。
目的:鼻后神经(TRPN)的横断或消融已被描述为减轻难治性变应性鼻炎(AR)症状的辅助工具。然而,该手术需要手术技巧,并且有蝶腭动脉出血的风险。本研究的目的是描述射频消融后鼻神经周围分支在下鼻甲(RAPN)作为一个有效的更容易的TRPN替代。方法:对24例难治性变应性鼻炎患者进行射频治疗,在射频治疗前和治疗后12个月用冷干空气激发法检测鼻部反应性。采用视觉模拟量表和声学鼻测量法主客观测量鼻反应性的变化。结果:经RAPN手术后,CDA诱发后鼻部症状恶化明显减少。同样,CDA激发后术后鼻体积和最小横截面积的减少也明显小于术前相应值。结论:RAPN可有效降低AR患者的鼻反应性,手术简单,微创,可在局麻或全身麻醉下进行。
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