An Alternative Method of Endoscopic Intrasphenoidal Vidian Neurectomy

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Endoscopic Vidian Neurectomy: The Anatomy Consideration and Preoperative Images Analysis

Although surgery is not a primary treatment for manaing rhinitis, it can have some adjuvant benefit in patients with significant nasal congestion or poor pharmacologic response. It is usually performed by surgical approaches to the inferior turbinate, and the more aggressive procedures such as the vidian neurectomy have not been widely applied. Traditional approaches to the vidian canal necessi...

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Endoscopic vidian neurectomy: the value of preoperative computed tomographic guidance.

OBJECTIVE To explore the vidian nerve anatomy by endoscopy and paranasal sinus computed tomography (CT) to elucidate the appropriate surgical approach based on preoperative CT images. DESIGN Retrospective analysis. SETTING Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China. PATIENTS Sixty-seven patients underwent 106 endoscopic vidian neurecto...

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Endoscopic vidian neurectomy assisted by power instrumentation and coblation.

Vidian neurectomy has been used to manage intractable vasomotor rhinitis for decades. After the introduction of endoscopic sinus surgery in the 1980s, transnasal endoscopic vidian neurectomy (EVN) was subsequently reported. The most common problem in performing EVN was excessive bleeding from the pterygopalatine fossa. The complexity and vascularity of the pterygopalatine fossa can cause bloody...

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Long-Term Effectiveness and Safety of Endoscopic Vidian Neurectomy for the Treatment of Intractable Rhinitis

OBJECTIVES Vidian neurectomy could be considered the treatment of choice for intractable rhinitis, because it is the only method that can permanently block the pathophysiological mechanism of rhinitis. The goal of this study was to evaluate the effect of vidian neurectomy on nasal symptoms and tear production, and to assess for possible complications. METHODS Six patients with intractable rhi...

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Relief of chronic epiphora by transantral vidian neurectomy.

One of the constant side-effects of a successful transantral vidian neurectomy, well-known among otolaryngologists, is the interruption of the secreto-motor nerve supply to the lacrimal gland. Since this secreto-motor nerve supply is concentrated in the nerve of the pterygoid canal (vidian nerve) this is only to be expected. This depression of lacrimation appears to be permanent, yet in some 30...

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ژورنال

عنوان ژورنال: OTO Open

سال: 2018

ISSN: 2473-974X,2473-974X

DOI: 10.1177/2473974x18764862