ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the efficacy of endoscopic vidian neurectomy in the management of moderate-severe persistent allergic rhinitis, and to explore its possible mechanism.</p><p><b>METHODS</b>One hundred and ninety-one patients with moderate-severe persistent allergic rhinitis were divided into three groups: endoscopic vidian neurectomy was carried out in 71 patients (group A), partial inferior turbinectomy and/or septal-plasty in 39 patients (group B), and 81 patients were as control (group C). The life quality was assessed at 6 month, 1 year and 3 years after operation using rhinoconjunctivitis quality of life questionnaire (RQLQ) and visual analogue scale (VAS).</p><p><b>RESULTS</b>Among 191 cases, one hundred and forty-five cases had complete follow-up documents. The average score of RQLQ and VAS score (x(-) ± s) were significantly decreased at the time of 6 months (0.84 ± 0.41, 2.55 ± 1.57), 1 year (0.91 ± 0.43, 2.63 ± 1.71) and 3 years (1.03 ± 0.46, 2.81 ± 1.75) after endoscopic vidian neurectomy than scores before operation (2.25 ± 0.49, 7.34 ± 1.11), F = 115.45, 133.09, respectively, P < 0.001, and also significantly lower than scores in patients in group B or control group at the same period after treatment. By patient's self-evaluation, the ratio of greatly-improved, improved and not-improved was respectively, 65.5% (38 cases), 24.1% (14 cases), 10.4% (6 cases), and significantly higher in patients in group A than in patients in group B (U = 237.0, P < 0.001) and group C (U = 246.0, P < 0.001). There was no severe complication in all patients observed.</p><p><b>CONCLUSION</b>Endoscopic vidian neurectomy is an effective and safe technique in the management of moderate-severe persistent allergic rhinitis.</p>
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Denervation , Methods , Endoscopy , Rhinitis, Allergic, Perennial , General Surgery , Rhinitis, Vasomotor , General Surgery , Treatment OutcomeABSTRACT
To formulate the theory and experiences of physicians of successive dynasties on moxibustion for treatment of fabei, the medical cases and theory of ancient physicians are analyzed. It is found that moxibustion treatment has unique efficiency on fabei, which can come back to life, advert a danger, be easy to implement with low cost and be well worth studying futher and promoting the application. The concrete manipulation of the moxibustion treatment are garlic separated moxibustion, direct moxibustion, mori moxibustion and so on.