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<p>Hypertrophy of the inferior turbinates is a primary cause of nasal obstruction in allergic rhinitis. Allergic inflammation leads to vasoreactive engorgement of the turbinate tissue and mucosal inflammation. Surgical treatments include vidian neurectomy, inferior turbinate reduction, and posterior nasal nerve neurectomy (PNNN), which selectively transects vidian nerve branches. The objective of this study was to compare outcomes of partial inferior turbinectomy vs partial inferior turbinectomy with posterior nasal nerve neurectomy in treating allergic rhinitis. Sixty patients with symptoms of sneezing, rhinorrhea, nasal blockage, and headache, who were diagnosed with allergic rhinitis, inferior turbinate hypertrophy, and non-allergic rhinitis, were enrolled. Diagnosis was confirmed through anterior rhinoscopy and nasal endoscopy. Patients were randomly divided into two groups: Group A (PIT) and Group B (PIT + PNNN). Pre- and post-treatment evaluations included the Sino-Nasal Outcome Test (SNOT-22) and total IgE levels. Statistics were used to compare the outcomes of the two surgical techniques in this study both before and after the procedure. The study’s participants’ gender, side, extra procedure, and age factors did not show a statistically significant difference between groups A and B (<i>p</i> &lt; 0.05). According to the age, gender, side, and homogeneous distribution throughout the groups. No statistically significant difference was discovered between groups A and B in any of the measurements taken from study participants during the follow-up period: Pre-op Sino nasal outcome test (SNOT 22), Post-op 3rd month SNOT 22, Pre-op total IgE, Post-op 6th month total IgE, and Post-op 1st year total IgE (<i>p</i> &lt; 0.05). A statistically significant difference between the groups was discovered in each of the Pre-op period and post-op 6th month SNOT 22, Post-op 1st year SNOT 22 assessments (<i>p</i> &lt; 0.05). There was statistically significant difference between the two studied surgeries; partial inferior turbinectomy along with posterior nasal nerve neurectomy is effective in the treatment of Allergic rhinitis.</p>

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Partial Inferior Turbinectomy Versus with Posterior Nasal Nerve Neurectomy in Allergic Rhinitis

  • 期刊论文

  • 发表日期：

    2025年6月7日

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  • Jaya Sandeep Siripalli,
  • Dheeraj S. Pillai,
  • Suchitra Sheelan

摘要

Hypertrophy of the inferior turbinates is a primary cause of nasal obstruction in allergic rhinitis. Allergic inflammation leads to vasoreactive engorgement of the turbinate tissue and mucosal inflammation. Surgical treatments include vidian neurectomy, inferior turbinate reduction, and posterior nasal nerve neurectomy (PNNN), which selectively transects vidian nerve branches. The objective of this study was to compare outcomes of partial inferior turbinectomy vs partial inferior turbinectomy with posterior nasal nerve neurectomy in treating allergic rhinitis. Sixty patients with symptoms of sneezing, rhinorrhea, nasal blockage, and headache, who were diagnosed with allergic rhinitis, inferior turbinate hypertrophy, and non-allergic rhinitis, were enrolled. Diagnosis was confirmed through anterior rhinoscopy and nasal endoscopy. Patients were randomly divided into two groups: Group A (PIT) and Group B (PIT + PNNN). Pre- and post-treatment evaluations included the Sino-Nasal Outcome Test (SNOT-22) and total IgE levels. Statistics were used to compare the outcomes of the two surgical techniques in this study both before and after the procedure. The study’s participants’ gender, side, extra procedure, and age factors did not show a statistically significant difference between groups A and B (p < 0.05). According to the age, gender, side, and homogeneous distribution throughout the groups. No statistically significant difference was discovered between groups A and B in any of the measurements taken from study participants during the follow-up period: Pre-op Sino nasal outcome test (SNOT 22), Post-op 3rd month SNOT 22, Pre-op total IgE, Post-op 6th month total IgE, and Post-op 1st year total IgE (p < 0.05). A statistically significant difference between the groups was discovered in each of the Pre-op period and post-op 6th month SNOT 22, Post-op 1st year SNOT 22 assessments (p < 0.05). There was statistically significant difference between the two studied surgeries; partial inferior turbinectomy along with posterior nasal nerve neurectomy is effective in the treatment of Allergic rhinitis.