Abstract
Vasomotor rhinitis has been treated with multiple regimens with varied success. We have used intranasal cryosurgery to freeze the postganglionic parasympathetics as a definitive therapeutic procedure. A total of 154 cryoneurolysis procedures were performed in a 7-year period. Complete data was evaluable for 144 patients. Concomitant outfracture and cautery of their inferior turbinates was performed for visual access. Initially, 93% of patients treated had significant improvement in their nasal obstruction. Surveys were sent to all patients, with 70% responding. Of the responders, 86% would recommend the procedure to others. On a scale of 1–10, nasal breathing scores improved from a mean of 2.9 preoperatively to 8.0 at present. Data from this patient cohort revealed cryoneurolysis to be an effective alternative to vidian neurectomy and turbinectomy, with a high rate of patient satisfaction and a low recurrence rate.
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