Chronic rhinitis is a common condition affecting roughly 60 million Americans [1, 2]. It can be classified as allergic or non-allergic based on IgE testing, yet both types present with four cardinal symptoms: nasal congestion, rhinorrhea/postnasal drip, nasal pruritus, and sneezing [1]. Chronic rhinitis has been shown to negatively impact job performance, quality of life, and overall psychosocial wellbeing [3]. While medical management in the form of intranasal saline, intranasal corticosteroids, oral/topical antihistamines, and/or oral/topical decongestant is the first-line therapy, not all patients respond well to medical therapy alone. In these recalcitrant cases or in cases where patients cannot comply with medical therapy, procedural interventions can be considered. For nasal congestion, inferior turbinate reduction is an option. For patients mostly suffering from rhinorrhea or postnasal drainage, interventions targeting the parasympathetic system in the nasal cavity may be helpful.

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Cryoablation and Radiofrequency Ablation of Posterior Nasal Nerve

  • Neil N. Patel,
  • Patricia A. Loftus

摘要

Chronic rhinitis is a common condition affecting roughly 60 million Americans [1, 2]. It can be classified as allergic or non-allergic based on IgE testing, yet both types present with four cardinal symptoms: nasal congestion, rhinorrhea/postnasal drip, nasal pruritus, and sneezing [1]. Chronic rhinitis has been shown to negatively impact job performance, quality of life, and overall psychosocial wellbeing [3]. While medical management in the form of intranasal saline, intranasal corticosteroids, oral/topical antihistamines, and/or oral/topical decongestant is the first-line therapy, not all patients respond well to medical therapy alone. In these recalcitrant cases or in cases where patients cannot comply with medical therapy, procedural interventions can be considered. For nasal congestion, inferior turbinate reduction is an option. For patients mostly suffering from rhinorrhea or postnasal drainage, interventions targeting the parasympathetic system in the nasal cavity may be helpful.