{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:25:39Z","timestamp":1777623939995,"version":"3.51.4"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":117,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Posterior nasal neurectomy (PNN), a procedure used to manage intractable allergic rhinitis, requires precise identification of the posterior nasal nerve and associated neurovascular bundles within the posterior nasal region, including the sphenoid artery. Mastery of reliable surgical techniques and considerable experience are imperative for successful execution.<\/jats:p>\n                  <jats:p>We describe a novel surgical strategy for posterior nasal neurectomy that circumvents the need to directly identify the posterior nasal nerve directly.<\/jats:p>\n                  <jats:p>To clarify the effects of PNN, pre- and post-operative symptoms, including rhinorrhea, sneezing, and nasal obstruction, were evaluated in patients who underwent PNN using scores derived from the Practical Guidelines for Management of Allergic Rhinitis in Japan 2020. Additionally, preoperative and postoperative (&gt;12 months) medication status and postoperative PNN complications were meticulously documented.<\/jats:p>\n                  <jats:p>This retrospective study included 80 patients who underwent PNN between January 2016 and December 2021; 46 of the 80 patients agreed to participate in the survey questionnaire, and the responses of these 46 patients were used for the analysis. Postoperatively, all patients were followed up in the outpatient clinic for &gt;12 months (mean, 18 months). Among the 46 patients, the scores for all allergic symptoms showed significant improvement at 12 months postoperatively compared with the preoperative scores. The proportion of patients who received daily anti-allergic medications decreased from 93.5% (43\/46) preoperatively to 15.2% (7\/46) postoperatively. No severe complications occurred in any patient.<\/jats:p>\n                  <jats:p>This innovative surgical approach demonstrated efficacy in ameliorating the symptoms associated with allergic rhinitis without concomitantly escalating procedural risks.<\/jats:p>","DOI":"10.1055\/s-0045-1808242","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:07:47Z","timestamp":1777417667000},"page":"001-005","source":"Crossref","is-referenced-by-count":0,"title":["Novel Surgical Approach to Posterior Nasal Neurectomy without Identifying the Posterior Nasal Nerve"],"prefix":"10.1055","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0439-2040","authenticated-orcid":false,"given":"Hirotaka","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Tenri Hospital, Nara, Japan"},{"name":"Senbayashiomiya Hara ENT Clinic, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6024-8161","authenticated-orcid":false,"given":"Tsuyoshi","family":"Kojima","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Tenri Hospital, Nara, Japan"},{"name":"Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9856-7157","authenticated-orcid":false,"given":"Ryusuke","family":"Hori","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Tenri Hospital, Nara, Japan"},{"name":"Department of Otolaryngology-Head and Neck Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1080\/00016489.2019.1654132","article-title":"Efficacy of posterior nasal neurectomy for allergic rhinitis combined with chronic rhinosinusitis with nasal polyps","volume":"139","author":"S Li","year":"2019","journal-title":"Acta Otolaryngol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.otot.2007.05.010","article-title":"Endoscopic posterior nasal neurectomy: An alternative to vidian neurectomy","volume":"18","author":"T Kikawada","year":"2007","journal-title":"Oper Tech Otolaryngol\u2013Head Neck Surg"},{"issue":"09","key":"ref3","first-page":"825","article-title":"[Endoscopic posterior nasal neurectomy]","volume":"133","author":"N Ahilasamy","year":"2019","journal-title":"J Laryngol Rhinol 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chronic rhinitis","volume":"48","author":"S Sonoda","year":"2021","journal-title":"Auris Nasus Larynx"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.alit.2020.04.001","article-title":"Japanese guidelines for allergic rhinitis 2020","volume":"69","author":"K Okubo","year":"2020","journal-title":"Allergol Int"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1288\/00005537-195107000-00005","article-title":"Submucous resection of the inferior turbinal bone","volume":"61","author":"H P House","year":"1951","journal-title":"Laryngoscope"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1038\/bmt.2012.244","article-title":"Investigation of the freely available easy-to-use software 'EZR' for medical statistics","volume":"48","author":"Y Kanda","year":"2013","journal-title":"Bone Marrow Transplant"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/j.otc.2018.05.010","article-title":"Surgical management of nonallergic rhinitis","volume":"51","author":"C H Yan","year":"2018","journal-title":"Otolaryngol Clin North Am"},{"issue":"01","key":"ref11","first-page":"e111","article-title":"Inferior turbinate reduction during rhinoplasty: Is there any effect on rhinitis symptoms?","volume":"26","author":"J PT Garcia","year":"2021","journal-title":"Int Arch Otorhinolaryngol"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.otohns.2008.10.006","article-title":"Old and new aspects of middle turbinate histopathology","volume":"140","author":"G Berger","year":"2009","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["International Archives of 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