Abstract：
BACKGROUND: Surgical treatment is recommended for patients with severe allergic rhinitis (AR) refractory to medical treatment. Endoscopic posterior nasal neurectomy (PNN) is primarily performed to improve rhinorrhea in severe perennial AR, however studies on its long-term prognosis are lacking.
OBJECTIVE: This study aimed to investigate the long-term prognosis of PNN.
METHODS: A questionnaire survey was administered to 17 patients (12 men and 5 women) at least 1 year after PNN. Nasal symptoms and medications, as well as patient satisfaction with surgery at the time of survey, were scored. Furthermore, scores were compared between patients with postoperative periods of >5 years and <5 years.
RESULTS: Nasal symptoms and medication scores significantly improved after surgery. There was no significant difference between patients with a postoperative period of >5 years and <5 years in both preoperative and postoperative nasal symptoms and medication scores. No correlation was found between patient satisfaction with surgery and postoperative period.
CONCLUSIONS: PNN improved nasal symptoms and medication scores in patients with severe perennial AR. Furthermore, the study results suggest that the long-term effect of PNN for perennial AR lasts for >5 years. J. Med. Invest. 71 : 62-65, February, 2024.
OBJECTIVE: This study aimed to investigate the long-term prognosis of PNN.
METHODS: A questionnaire survey was administered to 17 patients (12 men and 5 women) at least 1 year after PNN. Nasal symptoms and medications, as well as patient satisfaction with surgery at the time of survey, were scored. Furthermore, scores were compared between patients with postoperative periods of >5 years and <5 years.
RESULTS: Nasal symptoms and medication scores significantly improved after surgery. There was no significant difference between patients with a postoperative period of >5 years and <5 years in both preoperative and postoperative nasal symptoms and medication scores. No correlation was found between patient satisfaction with surgery and postoperative period.
CONCLUSIONS: PNN improved nasal symptoms and medication scores in patients with severe perennial AR. Furthermore, the study results suggest that the long-term effect of PNN for perennial AR lasts for >5 years. J. Med. Invest. 71 : 62-65, February, 2024.
摘要：
背景：对于药物治疗难以治疗的重度过敏性鼻炎（AR）患者，建议进行手术治疗。鼻内镜下鼻后神经切除术（PNN）主要用于改善重度常年性AR的鼻漏，然而，缺乏对其长期预后的研究。
目的：本研究旨在探讨PNN的长期预后。
方法：在PNN后至少1年对17名患者（12名男性和5名女性）进行问卷调查。鼻部症状和药物治疗,以及调查时患者对手术的满意度，得分了。此外，比较术后时间>5年和<5年的患者的评分。
结果：手术后鼻部症状和药物评分明显改善。术后>5年和<5年的患者术前和术后鼻部症状和药物评分均无显著差异。患者对手术的满意度与术后时间无相关性。
结论：PNN改善了重度常年性AR患者的鼻部症状和药物评分。此外，研究结果表明，PNN对常年AR的长期作用持续>5年。J.Med.投资。71:62-65,二月,2024.
目的：本研究旨在探讨PNN的长期预后。
方法：在PNN后至少1年对17名患者（12名男性和5名女性）进行问卷调查。鼻部症状和药物治疗,以及调查时患者对手术的满意度，得分了。此外，比较术后时间>5年和<5年的患者的评分。
结果：手术后鼻部症状和药物评分明显改善。术后>5年和<5年的患者术前和术后鼻部症状和药物评分均无显著差异。患者对手术的满意度与术后时间无相关性。
结论：PNN改善了重度常年性AR患者的鼻部症状和药物评分。此外，研究结果表明，PNN对常年AR的长期作用持续>5年。J.Med.投资。71:62-65,二月,2024.
