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Endoscopic vidian neurectomy

Raymond Sacks, Rahuram Sivasubramaniam

    Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

    Abstract

    Transnasal endoscopic vidian neurectomy is a key procedure performed for treatment of vasomotor rhinitis. Understanding the anatomy of the vidian canal is a key element to the surgery. Wide maxillary antrostomy and ligation of the sphenopalatine artery provide the initial steps to accessing the nerve. The pharyngeal nerves and the vidian nerve are then identified and divided. Application of bone wax prevents delayed reanastomosis of the neural fibers. Symptomatic dry eye as a result of the procedure typically resolves within 1 month.

    Original languageEnglish
    Title of host publicationAtlas of endoscopic sinus and skull base surgery
    EditorsAlexander G. Chiu, James N. Palmer, Nithin D. Adappa
    Place of PublicationPhiladelphia, PA
    PublisherElsevier
    Chapter23
    Pages191-194.e1
    Number of pages5
    EditionSecond
    ISBN (Electronic)9780323476645
    ISBN (Print)9780323553452
    DOIs
    Publication statusPublished - 1 Jan 2018

    Keywords

    • rhinitis
    • rhinorrhea
    • vasomotor rhinitis
    • vidian nerve
    • vidian neurectomy

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