el-Guindy A
Department of Otolaryngology, Tanta University, Egypt.
Arch Otolaryngol Head Neck Surg. 1994 Dec;120(12):1347-51. doi: 10.1001/archotol.1994.01880360045009.
Evaluation of the endoscopic transseptal approach of vidian neurectomy.
A case series, with a follow-up of 12 to 24 months.
A referral center.
A consecutive sample of 11 adult patients with resistant vasomotor rhinitis: eight with severe rhinorrhea and three with recurrent nasal polyposis. All patients had a negative history of allergy and negative skin tests. All patients completed the study.
The rigid nasal endoscope was used through a transseptal approach to reach the sphenopalatine foramen and to cut the vidian nerve.
Intraoperative identification and cutting of the vidian nerve under direct endoscopic vision. Postoperative evaluation of rhinorrhea, sneezing, and recurrent disease.
The vidian nerve was identified and sectioned bilaterally in all cases. Immediate and complete cessation of rhinorrhea uniformly occurred. Paroxysms of sneezing were vastly reduced. No recurrence was detected, except in one case. Three patients complained of dry eyes, but they had symptomatic relief with artificial teardrops.
The technique of endoscopic transseptal vidian neurectomy is a minor surgical procedure with high efficacy and minimal postoperative morbidity. More cases and longer follow-up are necessary to provide long-term results.
评估经鼻中隔途径的翼管神经切除术的内镜手术方法。
病例系列研究，随访12至24个月。
一家转诊中心。
连续选取11例成年血管运动性鼻炎患者：8例有严重鼻溢，3例有复发性鼻息肉。所有患者均无过敏史且皮肤试验阴性。所有患者均完成了研究。
通过经鼻中隔途径使用硬性鼻内镜到达蝶腭孔并切断翼管神经。
在直视内镜下术中识别并切断翼管神经。术后评估鼻溢、打喷嚏及疾病复发情况。
所有病例均双侧识别并切断了翼管神经。鼻溢立即完全停止。打喷嚏发作显著减少。除1例患者外未发现复发。3例患者抱怨眼睛干涩，但使用人工泪液后症状缓解。
经鼻中隔翼管神经切除术是一种疗效高、术后发病率低的小型外科手术。需要更多病例和更长时间的随访以提供长期结果。
