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Surgical options for the allergic rhinitis patient
Abstract
Purpose of review Allergic rhinitis is a very common disorder that affects millions of patients annually and the hallmark complaint of nasal obstruction significantly impacts the quality of life. Many surgical options exist for the treatment of allergic rhinitis, directed primarily at the underlying nasal obstructive component. The purpose of this review is to highlight and discuss the various surgical modalities and their historical efficacy. Recent findings Much of the literature has focused on reduction of the inferior turbinate for symptomatic improvement in patients afflicted with allergic rhinitis. Endoscopic sinus surgery and septoplasty play little role in the management of allergic rhinitis, unless when seen in conjunction with other conditions such as rhinosinusitis. Summary Although no single modality has evolved as the gold standard for the treatment of allergic rhinitis, the mainstay of surgical intervention targets the inferior turbinate. It is very important for the otolaryngologist to be familiar with an armamentarium of surgical techniques.
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Surgical treatment improves nasal permeability in certain cases of rhinitis with turbinate hypertrophy when pharmacological treatment maintained for at least 3 months has failed.
“In certain cases of rhinitis with turbinate hypertrophy, surgical treatment has been shown to improve nasal permeability when pharmacological treatment maintained for at least 3 months has failed [134,188-190].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [190]
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Ameli, F., Brocchetti, F., Tosca, M. A., Signori, A., & Ciprandi, G. (2011) · The Laryngoscope · doi:10.1002/lary.22156 · Cited by 36
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Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76
Metadata
- Authors
- Chhabra, N., & Houser, S. M.
- Affiliations
- University Hospitals Cleveland Medical Center (US)
- MetroHealth (US)
- Corresponding author
- Houser, Steven M.
- ORCID
- Chhabra, Nipun
- Venue
- Current Opinion in Otolaryngology & Head and Neck Surgery
- Published
- 2012-06
- Volume
- 20
- Issue
- 3
- Pages
- 199-204
- ISSN
- 1068-9508 (ISSN-L)
- OpenAlex
- W2024850038
- Cited by
- 23
- References
- 3
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 2 · 2015: 1 · 2014: 2 · 2013: 1
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Otolaryngology & Head & Neck Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Keywords
- allergic rhinitis, inferior turbinate reduction, nasal obstruction, endoscopic sinus surgery, septoplasty, sinusitis, quality of life
- MeSH terms
- Debridement, Endoscopy, Humans, Microsurgery, Nasal Mucosa, Nasal Septum, Paranasal Sinuses, Sensory Receptor Cells, Rhinitis, Allergic, Perennial, Sinusitis, Turbinates, Nasal Obstruction, Treatment Outcome, Autonomic Pathways, Laser Therapy, Pulsed Radiofrequency Treatment, Rhinitis, Allergic
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