Transantral vidian neurectomy: a new ophthalmic indication

Vidian neurectomy is a relatively recent procedure used by the etolaryngologist to treat vasomotor rhinitis and sphenopalatine neuralgia. The procedure also interrupts the visceral motor [parasympathetic] nerve supply to the lacrimal gland and therefore has been in the treatment of crocodile tears following a seventh nerve palsy [Where tympanic neurectomy is impracticable or has failed]. In this paper we propose an additional indication for this operation namely epiphora caused by absence or stenosis of the lacrimal punotum and canaliculi; following dacryocystectomy or due to chronic dacryocystitis