{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T20:46:59Z","timestamp":1782938819548,"version":"3.54.5"},"reference-count":96,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100011824","name":"European Academy of Allergy and Clinical Immunology","doi-asserted-by":"publisher","award":["#1606"],"award-info":[{"award-number":["#1606"]}],"id":[{"id":"10.13039\/501100011824","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Allergy"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Non\u2010allergic rhinitis is a frequent yet underdiagnosed cause of chronic nasal symptoms, including nasal congestion, rhinorrhoea, and upper airway hyperreactivity. Its pathophysiology involves neurogenic dysregulation, leading to excessive mucus production and vasodilation. While medical therapy remains first\u2010line, some patients experience persistent symptoms requiring surgical intervention. This review outlines key surgical options for refractory non\u2010allergic rhinitis: inferior turbinate (IT) reduction, vidian neurectomy, and posterior nasal nerve (PNN) ablation. IT reduction\u2014performed using cold instruments, radiofrequency, laser, coblation, or microdebrider\u2014remains the cornerstone treatment for nasal obstruction, offering durable symptom relief with low complication rates. Vidian neurectomy effectively reduces rhinorrhoea but carries risks of ocular dryness and transient facial numbness, limiting its indication to severe, refractory cases. PNN interventions, including cryotherapy, cold\u2010instrument techniques, and radiofrequency, provide a minimally invasive, outpatient alternative that selectively targets nasal parasympathetic and sensory fibers while sparing lacrimal innervation, yielding significant and lasting symptom improvement. Surgical management of non\u2010allergic rhinitis is effective and safe when tailored to symptom profile, anatomy, and prior medical treatment response. Advances in endoscopic and minimally invasive approaches have reduced complications, establishing these procedures as integral options in comprehensive non\u2010allergic rhinitis care.<\/jats:p>","DOI":"10.1111\/all.70424","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T20:41:02Z","timestamp":1782938462000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Management of Non\u2010Allergic Rhinitis\u2014An\n                    <scp>EAACI<\/scp>\n                    Task Force Position Paper"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7803-5826","authenticated-orcid":false,"given":"Marie","family":"Lundberg","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Helsinki University Hospital and University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2579-013X","authenticated-orcid":false,"given":"Julie","family":"van Waterschoot","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Hospitals Leuven  Leuven Belgium"},{"name":"Department of Microbiology, Immunology and Transplantation, Lab of Allergy and Clinical Immunology KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathilde","family":"Moyaert","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Hospitals Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Chaker","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Center for Allergy and Environment, TUM School of Medicine TUM University Hospital Rechts der Isar, Technische Universit\u00e4t M\u00fcnchen  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1629-8468","authenticated-orcid":false,"given":"Philippe","family":"Gevaert","sequence":"additional","affiliation":[{"name":"Department of Head and Skin, Upper Airways Research Laboratory Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9846-7850","authenticated-orcid":false,"given":"Jan","family":"Hagemann","sequence":"additional","affiliation":[{"name":"Center for Rhinology and Allergology  Wiesbaden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"Hox","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Cliniques Universitaires Saint\u2010Luc  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten","family":"Kleijwegt","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Skull Base Surgery Leiden University Medical Center  Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2455-0192","authenticated-orcid":false,"given":"Ludger","family":"Klimek","sequence":"additional","affiliation":[{"name":"Center for Rhinology and Allergology  Wiesbaden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devyani","family":"Lal","sequence":"additional","affiliation":[{"name":"Division of Rhinology Mayo Clinic in Arizona  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Maza\u2010Solano","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Rhinology and Skull Base Unit University Hospital Virgen del Roc\u00edo  Seville Spain"},{"name":"Department of Surgery University of Seville  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Pfaar","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy University Hospital Marburg, Philipps University of Marburg  Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9388-2289","authenticated-orcid":false,"given":"Fabio Simon","family":"Ryser","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Inselspital Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4718-5984","authenticated-orcid":false,"given":"Michele","family":"Shiappoli","sequence":"additional","affiliation":[{"name":"Allergy Department &amp; Asthma Center Medico Chirurgo, Azienda Ospedaliera Universitaria Integrata Verona Universit\u00e0 Degli Studi di Padova  Verona Veneto Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Silva","sequence":"additional","affiliation":[{"name":"Allergy and Clinical Immunology Department ULS S\u00e3o Jo\u00e3o\u2010S\u00e3o Jo\u00e3o University Hospital  Porto Portugal"},{"name":"Pathology Department, Immunology Unit Faculty of Medicine of Porto University  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0890-6686","authenticated-orcid":false,"given":"Sanna","family":"Toppila\u2010Salmi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Eastern Finland  Joensuu and Kuopio Finland"},{"name":"Department of Otorhinolaryngology Wellbeing Services County of Pohjois\u2010Savo  Kuopio Finland"},{"name":"Department of Allergology, Inflammation Center Helsinki University Hospital and University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9722-805X","authenticated-orcid":false,"given":"Johanna","family":"Wikst\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Helsinki University Hospital and University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sietze","family":"Reitsma","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\/Head\u2010Neck Surgery, Amsterdam University Medical Center University of Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5325-7956","authenticated-orcid":false,"given":"Laura","family":"Van Gerven","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Hospitals Leuven  Leuven Belgium"},{"name":"Department of Microbiology, Immunology and Transplantation, Lab of Allergy and Clinical Immunology KU Leuven  Leuven Belgium"},{"name":"Department of Neurosciences, Experimental Otorhinolaryngology, Rhinology Research KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"issue":"2","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.iac.2015.12.006","article-title":"Nonallergic Rhinitis: Diagnosis","volume":"36","author":"Greiwe J.","year":"2016","journal-title":"Immunology and Allergy Clinics of North America"},{"issue":"11","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1111\/all.13200","article-title":"Non\u2010Allergic Rhinitis: Position Paper of the European Academy of Allergy and Clinical Immunology","volume":"72","author":"Hellings P. 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