If you have chronic clear nasal drip and/or postnasal drip that has not responded to traditional nasal steroid sprays (flonase), antihistamine sprays, or anti-cholinergic sprays you may be a candidate for a vidian neurectomy. The vidian nerve is responsible for the production of mucous in the nose and tears in the eye. In some cases, if the excessive production of mucous in the nose can’t be controlled with medications, a vidian neurectomy is required to cut the nerve. It is a last resort if traditional nasal sprays or freezing of the sphenopalatine ganglion with the clarifix procedure has not yielded satisfactory results.
The most important factor in recommending a vidian neurectomy is patient selection. It is critical to be evaluated for different causes of a clear nasal drip including allergies, cerebrospinal fluid leak, and chronic or vasomotor rhinitis. Once all medical treatment options for the clear nasal drip have been exhausted the determination for a vidian neurectomy can be made. With so many complicated causes of clear nasal drip you should seek the expertise of a Rhinologist like Dr. Kuperan who has extensive experience performing all procedures to relieve chronic rhinitis including the ClariFix procedure, and if this fails, a vidian neurectomy.
Vidian neurectomy at Houston Advanced Nose & Sinus is a unique experience. Every procedure is performed using the latest technology at our state-of-the-art facility by Dr. Kuperan who is one of the few fellowship certified nose and sinus experts in all of Texas. In addition, the procedure is done using an endoscope (small camera) in the nose that allows for superior visualization of the vidian nerve that is transected, and it is all done through the natural nostril opening without any visible cuts or scars. This is a highly advanced and technically challenging procedure that is typically only performed by fellowship certified rhinologists. If you are interested in a vidian neurectomy evaluation, call us at (832) 720-NOSE or email us.