Clinical Efficacy of Posterior Nasal Neurotomy in the Treatment of Allergic Rhinitis

  • Zhou Wan Department of Otolaryngology, Head and Neck Surgery, Shaanxi Provincial People's Hospital
  • Dong Lin
Keywords: Allergic Rhinitis; Drug Therapy; Posterior Nasal Neurotomy; Nasal Conjunctivitis Quality of Life Scale; Nasal and Sinus Outcome Test


Objective: To analyze the clinical efficacy of posterior nasal neurotomy in the treatment of allergic rhinitis. Method: 100 patients with allergic rhinitis who received treatment at Shaanxi Provincial People's Hospital from January 2021 to January 2022 were selected as the study subjects. According to different treatment methods, patients were divided into an experimental group and a control group. There were 50 patients in each group, of which the control group was treated with drug therapy, including nasal spray of Siqing Bio rational Sea Salt Water (twice a day), nasal Fluticasone propionate nasal spray (once a day), and oral lupatadine fumarate tablets (10mg each time, once a day). The experimental group of patients underwent posterior nasal neurotomy combined with medication for treatment. After obtaining the patient's consent, track the VAS, RQLQ, and SNOT-20 scores of the patient before treatment, 3 months after treatment, and 6 months after treatment. Observe the postoperative complications in the experimental group and investigate the occurrence of adverse reactions to drugs in both groups of patients. Results: The main effect differences between VAS, RQLQ, and SNOT-20 scoring groups and time points were statistically significant (P The RQLQ and SNOT-20 scores were lower than before treatment (P<0.05). At the same time, the scores of the experimental group compared with the control group were lower than those of the control group. The experimental group will lose their sense of smell and experience complications such as atrophic rhinitis within two weeks after surgery. During drug treatment, there was no statistically significant difference in the total incidence of adverse reactions between the two groups of drugs. Conclusion: Posterior rhinotomy can alleviate clinical symptoms and further improve the quality of life of patients with allergic rhinitis. The short-term treatment effect is good, and no serious complications have occurred.


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Original Research Article