Chhabra Nipun, Houser Steven M
Department of Otolaryngology - Head and Neck Surgery, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, Ohio, USA.
Curr Opin Otolaryngol Head Neck Surg. 2012 Jun;20(3):199-204. doi: 10.1097/MOO.0b013e328352b821.
Allergic rhinitis is a very common disorder that affects millions of patients annually and the hallmark complaint of nasal obstruction significantly impacts the quality of life. Many surgical options exist for the treatment of allergic rhinitis, directed primarily at the underlying nasal obstructive component. The purpose of this review is to highlight and discuss the various surgical modalities and their historical efficacy.
Much of the literature has focused on reduction of the inferior turbinate for symptomatic improvement in patients afflicted with allergic rhinitis. Endoscopic sinus surgery and septoplasty play little role in the management of allergic rhinitis, unless when seen in conjunction with other conditions such as rhinosinusitis.
Although no single modality has evolved as the gold standard for the treatment of allergic rhinitis, the mainstay of surgical intervention targets the inferior turbinate. It is very important for the otolaryngologist to be familiar with an armamentarium of surgical techniques.
变应性鼻炎是一种非常常见的疾病，每年影响数百万患者，鼻塞这一标志性症状会显著影响生活质量。治疗变应性鼻炎有多种手术选择，主要针对潜在的鼻阻塞成分。本综述的目的是强调并讨论各种手术方式及其既往疗效。
许多文献都聚焦于通过下鼻甲缩小术来改善变应性鼻炎患者的症状。内镜鼻窦手术和鼻中隔成形术在变应性鼻炎的治疗中作用不大，除非与鼻窦炎等其他疾病同时存在。
尽管尚未有一种单一的手术方式成为治疗变应性鼻炎的金标准，但手术干预的主要手段是针对下鼻甲。耳鼻喉科医生熟悉一系列手术技术非常重要。
