scholarly journals Endoscopic Vidian Neurectomy: The Anatomy Consideration and Preoperative Images Analysis

10.5772/21900 ◽  
2012 ◽  
Author(s):  
Wan-Fu Su ◽  
Shao-Cheng Liu ◽  
Hsing-Won Wang
Keyword(s):  
Vidian Neurectomy

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.

scholarly journals Intranasal Vidian neurectomy

1977 ◽  
Vol 70 (7) ◽  
pp. 683-685 ◽  
Author(s):  
Kiyoshi Togawa
Keyword(s):  
Vidian Neurectomy

Antegrade Transsphenoidal Vidian Neurectomy: Short-Term Surgical Outcome Analysis

2011 ◽  
Vol 25 (6) ◽  
pp. e217-e220 ◽  
Author(s):  
Wan-Fu Su ◽  
Shao-Cheng Liu ◽  
Feng-Shiang Chiu ◽  
Chia-Hsuan Lee
Keyword(s):  
Allergic Rhinitis ◽  
Surgical Outcomes ◽  
Transsphenoidal Approach ◽  
Type I ◽  
Type Ii ◽  
Short Term ◽  
Surgical Morbidity ◽  
Simple Method ◽  
Vidian Neurectomy

Background Vidian neurectomy was an option for treating allergic rhinitis in the past but outcomes varied. A modified transsphenoidal approach is proposed to simplify endoscopic vidian neurectomy. The postoperative evaluation of rhinorrhea, sneezing, and recurrence was investigated. Methods A total of 317 patients with refractory allergic rhinitis underwent 414 transsphenoidal vidian neurectomies from September 2006 to December 2010. A rigid nasal endoscope was used through a transsphenoidal approach to reach the vidian canal inside the sphenoid sinus (type I) or through its anterior opening into the pterygopalatine fossa (type II) and to cut or cauterize the vidian nerve. The surgical outcomes were analyzed for patients with at least 6 months of follow-up. Results Our approach was successful in 90.3% of the 414 vidian neurectomies. Vidian neurectomy was successful via the type I approach in 27 sides and type II approach in 347 sides. The short-term surgical outcomes of 163 patients who underwent a total of 236 vidian neurectomies with at least 6 months of follow-up were analyzed. Immediate, complete cessation of sneezing and rhinorrhea occurred uniformly. Three recurrences were detected during the 1–2 years of follow-up. The symptom of dry eye was reported for 172 surgical sides, but only 6 had persistent symptoms for > 6 months. Conclusion The transsphenoidal approach in a vidian neurectomy is a simple method that removes the need for sphenopalatine artery ligation and causes less surgical morbidity. However, the possibility of recurrence of this condition in the long term needs further investigation.

Effect of transnasal bilateral vidian neurectomy on vasomotor rhinitis

1985 ◽  
Vol 37 (3) ◽  
pp. 99-101
Author(s):  
J. M. Bakhshi ◽  
K. Mahapatra ◽  
R. C. Kocher
Keyword(s):  
Vasomotor Rhinitis ◽  
Vidian Neurectomy

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

Endoscopic transsphenoidal vidian neurectomy

2011 ◽  
Vol 268 (6) ◽  
pp. 851-856 ◽  
Author(s):  
Jih-Chin Lee ◽  
Chuan-Hsiang Kao ◽  
Chiang-Hung Hsu ◽  
Yaoh-Shiang Lin
Keyword(s):  
Vidian Neurectomy

Vidian Neurectomy In Vasomotor Rhinitis

1973 ◽  
Vol 76 (1-6) ◽  
pp. 366-371 ◽  
Author(s):  
Z. Krajina
Keyword(s):  
Vasomotor Rhinitis ◽  
Vidian Neurectomy

Endoscopic vidian neurectomy. An on-line video tutorial: how to do it

2010 ◽  
Vol 35 (6) ◽  
pp. 496-499 ◽  
Author(s):  
J-C. Lee ◽  
C-H. Kao ◽  
C-H. Hsu
Keyword(s):  
Video Tutorial ◽  
Vidian Neurectomy ◽  
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