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Posterior Nasal Neurectomy
Posterior Nasal Neurectomy
Posterior Nasal Neurectomy
allergy or vasomotor rhinitis. I share this attached video for a case operated by our team in
minia university hospital. I prefer to name this surgery as selective surgical para-
sympathectomy. As presented in video; we cut and/or cauterize the two main branches of the
sphenoethemoidal postganglionic ramus of the pterygopalatine ganglion which gives a
parasympathetic supply to the posterolateral part of nasal mucosa; superior branch correctly
named sphenopalatine branch which wrongly known as superior branch of posterior lateral
nasal nerve (SPLN) and inferior branch correctly named posterior lateral nasal nerve which
wrongly known as inferior branch of posterior lateral nasal nerve (IPLN)
Excellent demonestration
What is the effect of this procedure on the allergic nasal symptoms .... does all symptoms
improve ??
and for how long ??
We have now about 9 months follow up for about 20 cases with marvellous results . It is about
90% for all allegic symptoms such PND, anterior rhino rhea, pruritus and sneezing. We are
working on a new research about using this tecةhnique for managing intractable sever nasal
allergy depending on the concept of doing selective parasympathetctomy for the posterolateral
part of nasal mucosa, mucus glands
excellent job Dr mostafa .... but I believe that like most nasal surgeries .... the follow up period
should be at least 2 years .... so that you can call the effect ... perminant
Great job
Great surgeon and anaesthiologist
But iwant to ask some questions
I- for allergic and non allergic rhinitis or not
2.duration and type of treatment allergic rhinitis that can i do this surgery after
3.is it good for nasal obstruction
And you do turbinoplasty with it or not
4is it a must to dissect the nerve or can i cauterize it
5.what is your opinion about this device
It is near impossible to get nasal dryness with this technique thus it called selective
parasympathetctomy of nasal mucosa as compared with vidian neurectomy which represents
near total parasympathectomy not only for nasal mucosa but also for lacrimal apparatus
Vidian neurectomy was designed for management of "vasomotor rhinitis" which is cancelled
now due to reasons, the most important is the suspiciousness of existance of this category of
diease or at least it is difficult to have a sure diagnosis of it. In our dept. 30 years ago one of our
respectable Prof. tried to extend the indication of vidian neurectomy to management of allergi
rhinitis and I made my MS thesis on this topic as well as Dr. Mah Abd Aziz, but actually in my
follow up of the few cases done " transpalatal", the effects in allergic rhinitis was not
satisfactory.