An Alternative Method of Endoscopic Intrasphenoidal Vidian Neurectomy:

OTO Open

ChangqingZhao¹ 

关键词: vidian neurectomy;    endoscope;    transnasal;    modification;    allergic rhinitis;    vasomotor rhinitis;   

DOI  :  10.1177/2473974X18764862

学科分类：外科医学

来源: Sage Journals

【 摘 要 】

ObjectiveTo develop an easy surgical approach to facilitate clinical management.Study DesignA novel transnasal endoscopic 3-step surgical method for vidian neurectomy was designed and tried in 91 cases with a mild-to-severe degree of allergic and nonallergic rhinitis refractory to routine medical therapy.SettingEndoscopic vidian neurectomy requires accurate localization of the vidian canal. However, it is not easy to localize during surgery because of its deep location and the complex anatomy of the pterygopalatine fossa.Subjects and MethodsThis technique consists of 3 steps, including transnasal endoscopic perforation of the anterior wall of the sphenoidal sinus as the first step and removal of the anterior wall until the exposure of the vidian canal in the junction between the anterior wall and the floor of the sphenoid sinus as the second step. The last step is the accurate resection and cauterization of the vidian nerve. In some cases in which the sphenoid sinus developed well with a big lateral space...

【 授权许可】

CC BY-NC