Conflicts of interest: The authors have declared no conflicts of interest.
Endoscopic posterior nasal neurectomy: an alternative to Vidian neurectomy
Article first published online: 15 JUN 2009
© 2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd
Clinical & Experimental Allergy Reviews
Special Issue: Proceedings of the Allergic Rhinitis Forum held in Tokyo, 23 August 2008
Volume 9, Issue 1, pages 24–27, August 2009
How to Cite
Kanaya, T. and Kikawada, T. (2009), Endoscopic posterior nasal neurectomy: an alternative to Vidian neurectomy. Clinical & Experimental Allergy Reviews, 9: 24–27. doi: 10.1111/j.1472-9733.2009.01145.x
- Issue published online: 15 JUN 2009
- Article first published online: 15 JUN 2009
- posterior superior nasal nerve;
- sphenopalatine artery;
- sphenopalatine foramen
Although Vidian neurectomy is very effective as a means of alleviating symptoms of chronic rhinitis (allergic rhinitis and vasomotor rhinitis), it is presently seldom used because of a high incidence of complications such as disturbed lacrimal secretion and sensory disorders of the cheek and gum. In 1997, Kikawada succeeded in endoscopically cutting the posterior nasal nerve (a ramus of the Vidian nerve) at the level of the sphenopalatine foramen under clear vision. This technique has since been improved into one that allows safe and rapid completion of the operation using a bipolar device. This new technique of endoscopic posterior nasal neurectomy with a bipolar device will be presented in this paper.