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난치성 비염 치료로 시행된 비내시경적 후방 비 신경절제술 3예

Endoscopic Posterior Nasal Neurectomy for the Treatment of Intractable Rhinitis : Report of Three Cases

임상이비인후과 2019년 30권 2호 p.266 ~ 269
배교한 ( Bae Gyo-Han ) - 메리놀병원 이비인후과

김민준 ( Kim Min-Joon ) - 메리놀병원 이비인후과
김정석 ( Kim Jung-Suk ) - 메리놀병원 이비인후과
정태영 ( Jung Tae-Young ) - 메리놀병원 이비인후과

Abstract


Intractable rhinitis is defined as refractory to maximum medical treatment. Vidian neurectomy was indicated in resistant cases of allergic and vasomotor rhinitis. but recently it is hardly used because of its high incidence of complications such as dry eyes, dental and cheek numbness and blindness. Alternatives to vidian neurectomy have been reported. The endoscopic posterior nasal neurectomy, which resection of the postganglionic parasym- pathetic nerve fibers at the sphenopalatine foramen by mucoperiosteal flap elevation. This surgery gives equal result as of vidian neurectomy with less complications. The author reports three recently encountered cases of endoscopic posterior nasal neurectomy without complications.

키워드

알레르기성 비염; 내시경; 신경절제술; 혈관운동성 비염
Allergic rhinitis; Endoscopy; Neurectomy; Vasomotor rhinitis
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