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Posterior nasal neurectomy may effectively manage chronic Rhinosinusitis with Nasal Polyposis
Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP) can be effectively managed by posterior nasal neurectomy as per a recent study that was published in the journal European Archives of Oto-Rhino-Laryngology.
Due to the chronicity of the disease and its intractable course, it is very difficult to treat Chronic Rhinosinusitis with Nasal Polyposis. The symptoms of CRSwNP can be relieved by using a posterior nasal neurectomy (PNN). Hence researchers conducted a study to know the effectiveness of PNN for CRSwNP.
Between August 2019 to April 2022, a study was conducted in a tertiary care referral hospital on 46 patients. There were 23 patients of CRSwNP and 23 in the control group. Patients in the study group were treated with endoscopic sinus surgery (ESS) and PNN while patients in the control group were treated with ESS. The symptoms and quality-of-life improvement were assessed at 1, 4, 12, and 24 weeks after the surgery.
Results:
- Preoperative and postoperative scores (SNOT-22, RSDI, and LK Score) found a significant difference for each on intragroup analysis (p < 0.05).
- At weeks 1 and 4, a significant difference was obtained for SNOT-22 and RSDI scores, when the improvement of outcome scores was compared between the two groups (p < 0.05).
- There was no significant difference found for the duration of surgery/complications between the two groups (p = 1.00).
Researchers concluded from the study that PNN can be an effective add-on procedure in patients with CRSwNP in alleviating short-term control of the symptoms and the quality of life. But they advised a larger sample size with long-term follow-up may be for a better understanding of the efficacy of the PNN in patients with CRSwNP.
To read more, click here: https://doi.org/10.1007/s00405-022-07722-y
Mittal, Y., Pradhan, P., Sarkar, S. et al. Posterior nasal nerve neurectomy for the treatment of chronic rhinosinusitis with nasal polyposis: a randomized controlled trial. Eur Arch Otorhinolaryngol (2022).
BDS, MDS
Dr.Niharika Harsha B (BDS,MDS) completed her BDS from Govt Dental College, Hyderabad and MDS from Dr.NTR University of health sciences(Now Kaloji Rao University). She has 4 years of private dental practice and worked for 2 years as Consultant Oral Radiologist at a Dental Imaging Centre in Hyderabad. She worked as Research Assistant and scientific writer in the development of Oral Anti cancer screening device with her seniors. She has a deep intriguing wish in writing highly engaging, captivating and informative medical content for a wider audience. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751