医学
神经切除术
耐火材料(行星科学)
队列研究
队列
随机对照试验
外科
临床试验
回顾性队列研究
循证医学
内科学
替代医学
天体生物学
物理
病理
作者
Tal Marshak,Wang Yun,C Hazout,Raymond Sacks,Richard J. Harvey
出处
期刊:Journal of Laryngology and Otology
[Cambridge University Press]
日期:2016-07-01
卷期号:130 (S4): S7-S28
被引量:36
标识
DOI:10.1017/s0022215116008008
摘要
Abstract Background: Vidian neurectomy has been proposed as a surgical option for rhinitis refractory to medical treatment. However, the evidence base for its benefit remains controversial. Methods: A systematic review was performed. Studies reporting original data on patients with rhinitis treated by vidian neurectomy were included. Patient-reported outcome measures were the primary outcome investigated; specific peri-operative morbidities were the secondary outcome. Results: A total of 1012 articles fulfilled the search criteria, 32 of which were included in the study. Patient-reported outcome measures were compared before and after surgery in eight studies. There were 529 patients represented in these trials. Significant improvement in rhinorrhoea was reported in all eight studies. Temporary dry eyes was reported in 24.63 per cent of cases (272 out of 1104 cases). There was no report of cranial nerve deficit or eye movement disturbance. Conclusion: Endoscopic vidian neurectomy does have a role in the surgical management of refractory rhinitis, particularly in patients with non-allergic rhinitis, but a well-designed cohort trial would be advantageous to clarify long-term outcomes.
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