Management of Intractable Rhinitis: Posterior Nasal Neurectomy with or Without Posterior Turbinectomy: Comparative Study | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 18 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.425860.4208 | ||
| Authors | ||
| Yehia Aly Aboshab1; Sherif Mohammad Askar1; Ahmed Elsayed Mohamed Elsayed* 2; Ashraf Elsayed Elmalt3 | ||
| 1Professor of Otorhinolaryngology department, Faculty of Medicine, Zagazig University, Egypt | ||
| 2Otorhinolaryngology Department, Faculty of Medicine, Zagazig University, Egypt | ||
| 3Assistant professor of Otorhinolaryngology department, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: Intractable allergic rhinitis significantly affects patients’ quality of life, and surgical interventions such as posterior nasal neurectomy (PNN), with or without posterior turbinectomy, are considered for symptom relief. This study aimed to improve the symptoms of intractable rhinitis through posterior nasal neurectomy and to compare the outcomes of PNN alone versus PNN combined with posterior turbinectomy. Methods: This retrospective study included 30 patients aged 18–35 years, divided equally into two groups: Group A underwent PNN with posterior turbinectomy, and Group B underwent PNN alone. Demographic, laboratory, and clinical parameters including irritation symptoms, nasal obstruction, rhinorrhea, gustatory rhinorrhea, smell function, lacrimation, saccharine test, and pain (VAS) were assessed preoperatively and at 1, 3, and 6 months postoperatively. Statistical analyses included Cochran's Q test for repeated measures and comparison between groups using appropriate tests. Results: Both groups showed significant postoperative improvements in all assessed symptoms. Group A demonstrated faster and greater improvement in nasal obstruction and saccharine test times at 3 and 6 months (p < 0.05), as well as earlier reduction in lacrimation. There were no significant differences in gustatory rhinorrhea, smell recovery, and VAS pain scores between the groups over time. Both procedures were safe, with minimal complications. Conclusion: Endoscopic-assisted posterior nasal neurectomy, with or without posterior turbinectomy, is an effective and safe treatment for intractable rhinitis. The addition of posterior turbinectomy provides faster and superior relief in nasal obstruction and mucociliary function, suggesting it may be preferable for patients with prominent nasal blockage. | ||
| Keywords | ||
| Posterior nasal neurectomy; posterior turbinectomy; allergic rhinitis; nasal obstruction; rhinorrhea | ||
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