Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-20T15:39:38.515Z Has data issue: false hasContentIssue false
  • English
  • Français

A systematic review of the evidence base for vidian neurectomy in managing rhinitis

Published online by Cambridge University Press:  04 August 2016

T Marshak ,
W K Yun ,
C Hazout ,
R Sacks  and
R J Harvey
T Marshak*
Affiliation:
Rhinology and Skull Base, Applied Medical Research Centre, University of New South Wales, Sydney, Australia Department of Otolaryngology, Head and Neck Surgery, Galilee Medical Center, Nahariya, Israel Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel
W K Yun
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Concord General Hospital, University of Sydney, Australia
C Hazout
Affiliation:
Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel
R Sacks
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Concord General Hospital, University of Sydney, Australia Department of Otolaryngology, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia
R J Harvey
Affiliation:
Rhinology and Skull Base, Applied Medical Research Centre, University of New South Wales, Sydney, Australia Department of Otolaryngology, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia
*
Address for correspondence: Dr Tal Marshak, Department of Otolaryngology, Head and Neck Surgery, Galilee Medical Center, Nahariya 22100, Israel Fax: +972 4 910 7671 E-mail: talmarshak@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Vidian neurectomy has been proposed as a surgical option for rhinitis refractory to medical treatment. However, the evidence base for its benefit remains controversial.

Methods:

A systematic review was performed. Studies reporting original data on patients with rhinitis treated by vidian neurectomy were included. Patient-reported outcome measures were the primary outcome investigated; specific peri-operative morbidities were the secondary outcome.

Results:

A total of 1012 articles fulfilled the search criteria, 32 of which were included in the study. Patient-reported outcome measures were compared before and after surgery in eight studies. There were 529 patients represented in these trials. Significant improvement in rhinorrhoea was reported in all eight studies. Temporary dry eyes was reported in 24.63 per cent of cases (272 out of 1104 cases). There was no report of cranial nerve deficit or eye movement disturbance.

Conclusion:

Endoscopic vidian neurectomy does have a role in the surgical management of refractory rhinitis, particularly in patients with non-allergic rhinitis, but a well-designed cohort trial would be advantageous to clarify long-term outcomes.

Keywords

RhinitisAllergicPerennial; RhinitisAllergicSeasonal; RhinitisAtrophic; RhinitisVasomotor; Vidian; Neurectomy
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Supplement S4 , July 2016 , pp. S7 - S28
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the 61st American Rhinologic Society annual meeting, 26 September 2015, Dallas, Texas, USA.

References

1 Wallace, DV, Dykewicz, MS, Bernstein, DI, Blessing-Moore, J, Cox, L, Khan, DA et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol 2008;122:S1–84 CrossRefGoogle ScholarPubMed
2 Kaliner, MA. Nonallergic rhinopathy (formerly known as vasomotor rhinitis). Immunol Allergy Clin North Am 2011;31:441–55Google Scholar
3 Rondon, C, Campo, P, Galindo, L, Blanca-Lopez, N, Cassinello, MS, Rodriguez-Bada, JL et al. Prevalence and clinical relevance of local allergic rhinitis. Allergy 2012;67:1282–8Google Scholar
4 Robinson, SR, Wormald, PJ. Endoscopic vidian neurectomy. Am J Rhinol 2006;20:197–202 CrossRefGoogle ScholarPubMed
5 Scarupa, MD, Kaliner, MA. Nonallergic rhinitis, with a focus on vasomotor rhinitis: clinical importance, differential diagnosis, and effective treatment recommendations. World Allergy Organ J 2009;2:20–5Google Scholar
6 Van Rijswijk, JB, Boeke, EL, Keizer, JM, Mulder, PG, Blom, HM, Fokkens, WJ. Intranasal capsaicin reduces nasal hyperreactivity in idiopathic rhinitis: a double-blind randomized application regimen study. Allergy 2003;58:754–61CrossRefGoogle ScholarPubMed
7 Osawa, S, Rhoton, AL Jr, Seker, A, Shimizu, S, Fujii, K, Kassam, AB. Microsurgical and endoscopic anatomy of the vidian canal. Neurosurgery 2009;64:385–411 Google Scholar
8 Golding-Wood, PH. Observations on petrosal and vidian neurectomy in chronic vasomotor rhinitis. J Laryngol Otol 1961;75:232–47Google Scholar
9 Tan, G, Ma, Y, Li, H, Li, W, Wang, J. Long-term results of bilateral endoscopic vidian neurectomy in the management of moderate to severe persistent allergic rhinitis. Arch Otolaryngol Head Neck Surg 2012;138:492–7Google Scholar
10 Su, WF, Liu, SC, Chiu, FS, Lee, CH. Antegrade transsphenoidal vidian neurectomy: short-term surgical outcome analysis. Am J Rhinol Allergy 2011;25:217–20Google Scholar
11 Lee, JC, Lin, YS. Endoscopic vidian neurectomy: update on techniques and evidence. Curr Opin Otolaryngol Head Neck Surg 2012;20:66–72 Google Scholar
12 Liu, SC, Wang, HW, Su, WF. Endoscopic vidian neurectomy: the value of preoperative computed tomographic guidance. Arch Otolaryngol Head Neck Surg 2010;136:595–602 Google Scholar
13 Lee, JC, Kao, CH, Hsu, CH, Lin, YS. Endoscopic transsphenoidal vidian neurectomy. Eur Arch Otorhinolaryngol 2011;268:851–6Google Scholar
14 Georgalas, C, Jovancevic, L. Gustatory rhinitis. Curr Opin Otolaryngol Head Neck Surg 2012;20:9–14 Google Scholar
15 Moher, D, Liberati, A, Tetzlaff, J, Altman, DG, Group, P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 2009;62:1006–12Google Scholar
16 Higgins, JP, Green, S (eds). Cochrane Handbook for Systematic Reviews of Interventions, Version 5.1.0 (updated March 2011). Cochrane Collaboration (online), 2011 Google Scholar
17 The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. In: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp [5 February 2013]Google Scholar
18 Kobayashi, T, Hyodo, M, Nakamura, K, Komobuchi, H, Honda, N. Resection of peripheral branches of the posterior nasal nerve compared to conventional posterior neurectomy in severe allergic rhinitis. Auris Nasus Larynx 2012;39:593–6Google Scholar
19 Cassano, M, Marioni, G, Russo, L, Cassano, P. Sphenopalatine artery ligation with nerve resection in patients with vasomotor rhinitis and polyposis: a prospective, randomized, double-blind investigation. Acta Otolaryngol 2012;132:525–32Google Scholar
20 Ikeda, K, Yokoi, H, Saito, T, Kawano, K, Yao, T, Furukawa, M. Effect of resection of the posterior nasal nerve on functional and morphological changes in the inferior turbinate mucosa. Acta Otolaryngol 2008;128:1337–41Google Scholar
21 Ma, Y, Tan, G, Zhao, Z, Li, W, Huang, L, Liu, G. Therapeutic effectiveness of endoscopic vidian neurectomy for the treatment of vasomotor rhinitis. Acta Otolaryngol 2014;134:260–7CrossRefGoogle ScholarPubMed
22 Zhang, H, Micomonaco, DC, Dziegielewski, PT, Sowerby, LJ, Weis, E, Wright, ED. Endoscopic vidian neurectomy: a prospective case series. Int Forum Allergy Rhinol 2015;5:423–30CrossRefGoogle ScholarPubMed
23 Fernandes, CM. Bilateral transnasal vidian neurectomy in the management of chronic rhinitis. J Laryngol Otol 1994;108:569–73Google Scholar
24 El-Guindy, A. Endoscopic transseptal vidian neurectomy. Arch Otolaryngol Head Neck Surg 1994;120:1347–51Google Scholar
25 O'Flynn, P, Cumberworth, V, Milford, C, Mackay, I. Transnasal electrocoagulation of the vidian nerve. Rhinology 1993;31:73–5Google Scholar
26 El Shazly, MA. Endoscopic surgery of the vidian nerve. Preliminary report. Ann Otol Rhinol Laryngol 1991;100:536–9CrossRefGoogle ScholarPubMed
27 Sadanaga, M. Clinical evaluation of vidian neurectomy for nasal allergy. Auris Nasus Larynx 1989;16(suppl 1):S53–7 CrossRefGoogle ScholarPubMed
28 Ogale, SB, Shah, A, Rao, SC, Shah, KL. Is vidian neurectomy worthwhile? J Laryngol Otol 1988;102:62–3CrossRefGoogle ScholarPubMed
29 Greenstone, MA, Stanley, PJ, Mackay, IS, Cole, PJ. The effect of vidian neurectomy on nasal mucociliary clearance. J Laryngol Otol 1988;102:894–5Google Scholar
30 Fernandes, CM. The management of intractable vasomotor rhinorrhoea by transnasal vidian neurectomy. S Afr Med J 1988;74:280–2Google Scholar
31 Kirtane, MV, Prabhu, VS, Karnik, PP. Transnasal preganglionic vidian nerve section. J Laryngol Otol 1984;98:481–7CrossRefGoogle ScholarPubMed
32 Williams, JD. Laser vidian neurectomy. Ann Otol Rhinol Laryngol 1983;92:281–3CrossRefGoogle ScholarPubMed
33 Krant, JN, Wildervanck de Blecourt, P, Dieges, PH, de Heer, LJ. Long-term results of vidian neurectomy. Rhinology 1979;17:231–5Google ScholarPubMed
34 Konno, A, Togawa, K. Vidian neurectomy for allergic rhinitis. Evaluation of long-term results and some problems concerning operative therapy. Arch Otorhinolaryngol 1979;225:67–77 Google Scholar
35 Agarwal, PN. Bilateral vidian neurectomy--indications and results. J Laryngol Otol 1977;91:235–9Google Scholar
36 Montserrat, JM. Vidian neurectomy. Rhinology 1975;13:11–23 Google ScholarPubMed
37 Mostafa, HM, Abdel-Latif, SM, el-Din, SB. The transpalatal approach for vidian neurectomy in allergic rhinitis. J Laryngol Otol 1973;87:773–80Google Scholar
38 Golding-Wood, PH. Vidian neurectomy: its results and complications. Laryngoscope 1973;83:1673–83Google Scholar
39 Minnis, NL, Morrison, AW. Trans-septal approach for vidian neurectomy. J Laryngol Otol 1971;85:255–60Google Scholar
40 Jarvis, JF, Marais, JL, Milner, RJ. Vidian neurectomy for vasomotor rhinitis: a review of 47 cases. S Afr Med J 1970;44:403–5Google ScholarPubMed
41 Gregson, AE. Experiences with vidian neurectomy. J Laryngol Otol 1970;84:221–4Google Scholar
42 Chandra, R. Transpalatal approach for vidian neurectomy. Arch Otolaryngol 1969;89:542–5CrossRefGoogle ScholarPubMed
43 Chasin, WD, Lofgren, RH. Vidian nerve section for vasomotor rhinitis. Arch Otolaryngol 1967;86:103–9CrossRefGoogle ScholarPubMed
44 Hiranandani, NL Jr. Treatment of chronic vasomotor rhinitis with clinico-pathological study of vidian nerve section in 150 cases. J Laryngol Otol 1966;80:902–32CrossRefGoogle ScholarPubMed
45 Halderman, A, Sindwani, R. Surgical management of vasomotor rhinitis: a systematic review. Am J Rhinol Allergy 2015;29:128–34Google Scholar
46 Bernstein, JA, Levin, LS, Al-Shuik, E, Martin, VT. Clinical characteristics of chronic rhinitis patients with high vs low irritant trigger burdens. Ann Allergy Asthma Immunol 2012;109:173–8Google Scholar
47 Brandt, D, Bernstein, JA. Questionnaire evaluation and risk factor identification for nonallergic vasomotor rhinitis. Ann Allergy Asthma Immunol 2006;96:526–32Google Scholar
48 Bernstein, JA. Allergic and mixed rhinitis: epidemiology and natural history. Allergy Asthma Proc 2010;31:365–9Google Scholar
49 Nozad, CH, Michael, LM, Betty Lew, D, Michael, CF. Non-allergic rhinitis: a case report and review. Clin Mol Allergy 2010;8:1 CrossRefGoogle ScholarPubMed
50 Salib, RJ, Harries, PG, Nair, SB, Howarth, PH. Mechanisms and mediators of nasal symptoms in non-allergic rhinitis. Clin Exp Allergy 2008;38:393–404 CrossRefGoogle ScholarPubMed
51 Greiner, AN, Meltzer, EO. Pharmacologic rationale for treating allergic and nonallergic rhinitis. J Allergy Clin Immunol 2006;118:985–98Google Scholar
52 Van Gerven, L, Alpizar, YA, Wouters, MM, Hox, V, Hauben, E, Jorissen, M et al. Capsaicin treatment reduces nasal hyperreactivity and transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) overexpression in patients with idiopathic rhinitis. J Allergy Clin Immunol 2014;133:1332–9Google Scholar
53 Bousquet, J, Khaltaev, N, Cruz, AA, Denburg, J, Fokkens, WJ, Togias, A et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy 2008;63(suppl 86):8–160 CrossRefGoogle Scholar
54 Su, WF, Liu, SC, Hsu, WC, Chen, YC. Randomized, double-blind, controlled study to evaluate the effect of vidian nerve cauterization on lacrimation. Am J Rhinol Allergy 2014;28:255–9Google Scholar