Allergy Asthma Respir Dis.  2013 Mar;1(1):29-34. 10.4168/aard.2013.1.1.29.

Surgical treatment for allergic rhinitis

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. hjdhong@skku.edu

Abstract

Allergic rhinitis refractory to medical therapy may be challenging. Inferior turbinate hypertrophy has been suggested as a major cause of nasal obstruction. In addition, nasal septal deviation and chronic rhinosinusitis are possible causes. Various procedures exist for surgical reduction of inferior turbinate volume, including lateral out fracture, partial turbinectomy, submucosal resection, laser-assisted turbinoplasty, radiofrequency-assisted turbinoplasty, and microdebrider-assisted turbinoplasty. In recent years, conservative turbinate surgery has been widely applied to decrease the risk of complications such as empty nose syndrome, crust formation, osteitis, and synechia. In some cases, septoplasty would be an important treatment method for allergic rhinitis when patients have coexisting nasal septal deviation. Recently, highly selective neurectomy to reduce the function of inferior turbinate is being implemented. Standard surgical treatment for allergic rhinitis has not been established, But a variety of surgery for patients who do not respond to appropriate medication can help relieve allergic symptoms. Because surgical management for allergic rhinitis may cause troublesome complications, these effective but invasive procedures should be chosen carefully.

Keyword

Allergic rhinitis; Turbinate; Hypertrophy; Surgery
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