scholarly journals Relation between volume of sphenoid sinuses and protrusion of Vidian nerve: possible applications to Vidian neurectomy

2020 ◽  
Vol 42 (5) ◽  
pp. 583-587 ◽  
Author(s):  
Daniele Gibelli ◽  
Michaela Cellina ◽  
Stefano Gibelli ◽  
Annalisa Cappella ◽  
Antonio Giancarlo Oliva ◽  
...  
Keyword(s):  
Vidian Nerve ◽  
Vidian Neurectomy ◽  
Sphenoid Sinuses

Role of the Vidian Nerve in Nasal Allergy

1979 ◽  
Vol 88 (2) ◽  
pp. 258-266 ◽  
Author(s):  
Akiyoshi Konno ◽  
Kiyoshi Togawa
Keyword(s):  
Nasal Cavity ◽  
Contralateral Side ◽  
Nasal Allergy ◽  
Chemical Mediator ◽  
Vidian Nerve ◽  
Vidian Neurectomy ◽  
Nasal Glands ◽  
Apparent Influence ◽  
Stimulation Of

Clinical studies were performed to evaluate the role of the vidian nerve at onset of symptoms in nasal allergy. A localized area of one side of the nasal cavity was stimulated with known allergen and 0.1% histamine chloride in patients with perennial nasal allergy. The effect of unilateral vidian neurectomy and sensory anesthesia on glandular and vascular response was evaluated. With localized nasal stimulation, hyperrhinorrhea was seen in both sides of the nasal cavity before vidian neurectomy. Unilateral vidian neurectomy blocked hyperrhinorrhea only in that nasal cavity in which the nerve was sectioned. However, hyperrhinorrhea from the contralateral side, with an intact vidian nerve, was blocked with sensory anesthesia of the opposite side of the nasal cavity where the stimulation was applied. Nasal hypersecretion in allergic rhinitis was assumed to be mostly due to stimulation of sensory receptors by a chemical mediator and reflexive stimulation of the nasal glands. Vidian neurectomy, however, did not have any apparent influence on the swelling of the nasal mucosa caused by localized stimulation of allergen and histamine.

A Case of Vidian Nerve Schwannoma: Resection by Endoscopic Sinus Surgery

2014 ◽  
Vol 57 (1) ◽  
pp. 50 ◽  
Author(s):  
Hyun Pyo Hong ◽  
Sung Won Yoon ◽  
Min Joon Park ◽  
Soo-Chan Jung
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Vidian Nerve

Utility of current sialendoscopes in the sinonasal cavity

2015 ◽  
Vol 129 (9) ◽  
pp. 870-873
Author(s):  
C R Kieliszak ◽  
T R Khoury ◽  
A Singh ◽  
A S Joshi
Keyword(s):  
Drug Delivery ◽  
Minimally Invasive ◽  
Paranasal Sinuses ◽  
Sphenoid Sinus ◽  
Mucosal Biopsy ◽  
Before And After ◽  
Invasive Method ◽  
Cannulation Success ◽  
Cadaveric Model ◽  
Sphenoid Sinuses

AbstractObjectives:This study assessed the utility of current sialendoscopes in the paranasal sinuses in a cadaveric model and evaluated novel uses for sialendoscopes.Methods:Currently available sialendoscopes were used for visualisation and performing interventions in the paranasal sinuses. Ten cadaver heads were studied before and after dissection. Outcomes included ostia identification, sinus cannulation, success of mucosal biopsy collection and image clarity.Results:Marchal and Erlangen sialendoscopes were found to be effective for both visualising and cannulating the sphenoid sinuses before and after dissection. Both types demonstrated poor maxillary ostia visualisation without dissection, but did allow treatment after antrostomy. Larger diameter sialendoscopes were associated with the lowest image distortion during maxillary ostia assessment. Mucosal biopsy collection within the sphenoid sinus, but not in the maxillary sinus, was possible before dissection.Conclusion:Sialendoscopes can be used for visualisation and performing interventions in the sinonasal cavity, but their utility is mainly limited to the sphenoid sinus. They may be considered a minimally invasive method for drug delivery and/or biopsy collection in the post-operative setting for all sinuses. Design improvements are suggested.

Obliteration of maxillary and sphenoid sinuses in Gaucher's disease.

1997 ◽  
Vol 70 (833) ◽  
pp. 533-535 ◽  
Author(s):  
N Karabulut ◽  
A Ahmetoglu ◽  
M Ariyürek ◽  
C Erol ◽  
F Gürakan
Keyword(s):  
Gaucher's Disease ◽  
Gaucher’S Disease ◽  
Sphenoid Sinuses

Vidian Neurectomy for Management of Chronic Cluster Headache

Neurosurgery ◽  
2018 ◽  
Vol 84 (5) ◽  
pp. 1059-1064 ◽  
Author(s):  
Shao-Cheng Liu ◽  
Ming-Chang Kao ◽  
Yun-Chen Huang ◽  
Wan-Fu Su
Keyword(s):  
Cluster Headache ◽  
Chronic Cluster Headache ◽  
Preliminary Evaluation ◽  
Sphenopalatine Ganglion ◽  
Attack Frequency ◽  
Pain Disability Index ◽  
Pain Disability ◽  
Vidian Neurectomy ◽  
Headache Onset ◽  
Attack Intensity

Abstract BACKGROUND Management of chronic cluster headache (CCH) remains a challenging endeavor, and the optimal surgical approach for medically refractory CCH remains controversial. OBJECTIVE To conduct a preliminary evaluation of the efficacy and safety of vidian neurectomy (VN) in patients with medically refractory CCH. METHODS Between March 2013 and December 2015, 9 CCH patients, all of whom had failed to respond to conservative therapy, underwent VN with a precise nerve cut and maximal preservation of the sphenopalatine ganglion. Data included demographic variables, cluster headache onset and duration, mean attack frequency, mean attack intensity, and pain disability index measures pre- and through 12-mo postsurgery. RESULTS Seven of the 9 cases (77.8%) showed immediate improvement. Improvement was delayed by 1 mo in 1 patient, after which the surgical effects of pain relief were maintained throughout the follow-up period. One patient (11.1%) did not improve after surgery. One year after VN, patients’ mean attack frequency, mean attack intensity, and pain disability index decreased by 54.5%, 52.9%, and 56.4%, respectively. No patient experienced treatment-related side effects or complications. CONCLUSION VN is an effective treatment method for CCH patients. Precise Vidian nerve identification and maximal preservation of the sphenopalatine ganglion may achieve good surgical outcomes and dramatically improve quality of life among patients, without significant adverse events.

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