Surgical Indications and Procedures in Allergic Rhinitis

—Clinical Results and Tips in Submucosal Turbinectomy with Selective Posterior Nasal Neurectomy

Abstract

Surgery in allergic rhinitis (AR) is viewed as a last resort. Surgical procedures and instruments depend on the depth of the target organ, and on the approach from outside or inside the inferior turbinate.
Among the most effective types of surgery are submucosal turbinectomy and posterior nasal neurectomy. The inferior turbinate bone has 3 or 4 canal-like structures including a cord-like structure with vessels and the most peripheral palatine nerve. Selective excision of cord-like structure of the inferior turbinate with submucosal turbinectomy provides better clinical results than submucosal turbinectomy alone, and comparable results with submucosal turbinectomy combined with posterior nasal neurectomy.