Two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitis

Abstract This study aimed to evaluate the efficacies of endoscopic vidian neurectomy (VN) and highly selective vidian neurectomy (HSVN) for the treatment of allergic rhinitis (AR) and vasomotor rhinitis (VMR). All AR and VMR patients were divided into two groups, Group VN and Group HSVN. The efficac...

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Main Authors: ShuJuan Sun, AiPing Chen, Li Shi, YuZhu Wan
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-78116-9
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author ShuJuan Sun
AiPing Chen
Li Shi
YuZhu Wan
author_facet ShuJuan Sun
AiPing Chen
Li Shi
YuZhu Wan
author_sort ShuJuan Sun
collection DOAJ
description Abstract This study aimed to evaluate the efficacies of endoscopic vidian neurectomy (VN) and highly selective vidian neurectomy (HSVN) for the treatment of allergic rhinitis (AR) and vasomotor rhinitis (VMR). All AR and VMR patients were divided into two groups, Group VN and Group HSVN. The efficacy evaluation methods were visual analog scale (VAS), rhinoconjunctivitis quality of life questionnaire (RQLQ), and medication score. The efficacy evaluations were used to assess patient rhinitis symptoms, quality of life and drug usage. The time points of follow-up period were preoperative, 3 months, 6 months, 1 year, 2 years, and 3 years post operation. By analyzing pre- and postoperative VAS, medication score and RQLQ score, the results showed that rhinitis symptoms and quality of life in both VN and HSVN groups were significantly improved at 3 years, and the rate of improvement decreased gradually with time. Post operation, there were no significant differences in VAS and medication scores between the VN and HSVN groups. With respect to RQLQ, postoperative 2 years and 3 years improvements in sleep disorders, non-nasal symptoms and eye symptoms were significantly greater in the HSVN group than in the VN group. Improvements in rhinitis symptoms and quality of life in AR and VMR were sustained by VN and HSVN until 3 years post operation, with greater quality of life improvements in the HSVN group.
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spelling doaj-art-bcb7999ca9f6498ab73270aef359131d2025-02-09T12:37:59ZengNature PortfolioScientific Reports2045-23222024-11-011411910.1038/s41598-024-78116-9Two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitisShuJuan Sun0AiPing Chen1Li Shi2YuZhu Wan3Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong UniversityDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong UniversityDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong UniversityDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong UniversityAbstract This study aimed to evaluate the efficacies of endoscopic vidian neurectomy (VN) and highly selective vidian neurectomy (HSVN) for the treatment of allergic rhinitis (AR) and vasomotor rhinitis (VMR). All AR and VMR patients were divided into two groups, Group VN and Group HSVN. The efficacy evaluation methods were visual analog scale (VAS), rhinoconjunctivitis quality of life questionnaire (RQLQ), and medication score. The efficacy evaluations were used to assess patient rhinitis symptoms, quality of life and drug usage. The time points of follow-up period were preoperative, 3 months, 6 months, 1 year, 2 years, and 3 years post operation. By analyzing pre- and postoperative VAS, medication score and RQLQ score, the results showed that rhinitis symptoms and quality of life in both VN and HSVN groups were significantly improved at 3 years, and the rate of improvement decreased gradually with time. Post operation, there were no significant differences in VAS and medication scores between the VN and HSVN groups. With respect to RQLQ, postoperative 2 years and 3 years improvements in sleep disorders, non-nasal symptoms and eye symptoms were significantly greater in the HSVN group than in the VN group. Improvements in rhinitis symptoms and quality of life in AR and VMR were sustained by VN and HSVN until 3 years post operation, with greater quality of life improvements in the HSVN group.https://doi.org/10.1038/s41598-024-78116-9Allergic rhinitisVasomotor rhinitisVidian neurectomyHighly selective vidian neurectomyQuality of life
spellingShingle ShuJuan Sun
AiPing Chen
Li Shi
YuZhu Wan
Two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitis
Scientific Reports
Allergic rhinitis
Vasomotor rhinitis
Vidian neurectomy
Highly selective vidian neurectomy
Quality of life
title Two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitis
title_full Two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitis
title_fullStr Two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitis
title_full_unstemmed Two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitis
title_short Two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitis
title_sort two types of vidian neurectomy show efficacy in treating allergic rhinitis and vasomotor rhinitis
topic Allergic rhinitis
Vasomotor rhinitis
Vidian neurectomy
Highly selective vidian neurectomy
Quality of life
url https://doi.org/10.1038/s41598-024-78116-9
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