Nasal Allergy Treatments: Nerve Resection and Surgery Options - Otolaryngology

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Nasal allergies can be a significant burden for many individuals, and it seems that you have been dealing with this issue for quite some time. Your history of undergoing nasal surgery, including septoplasty and polypectomy, indicates that you have already taken steps to address your nasal issues. However, the persistence of your symptoms suggests that further intervention may be necessary.
To address your questions:
1. Will nasal septum surgery always recur?
Nasal septum surgery, or septoplasty, is performed to correct a deviated septum, which can contribute to nasal obstruction and sinus issues. While many patients experience significant improvement after surgery, it is possible for the septum to shift back over time due to factors such as trauma, growth, or natural anatomical changes. Additionally, the presence of chronic inflammation or other underlying conditions, such as allergies or sinusitis, can lead to a recurrence of symptoms. Regular follow-up with an ENT specialist is essential to monitor the condition of the nasal passages and to determine if further surgical intervention is needed.

2. Is the wing nerve resection the same as posterior nasal nerve resection?
The terms "wing nerve resection" and "posterior nasal nerve resection" refer to different surgical procedures targeting different nerves. The wing nerve (or pterygopalatine ganglion) is involved in the autonomic regulation of nasal secretions and can be targeted in procedures aimed at reducing excessive nasal mucus production. On the other hand, the posterior nasal nerve is primarily responsible for sensation in the nasal cavity and may be involved in pain perception.
Wing nerve resection is often performed to alleviate symptoms of allergic rhinitis by reducing the overactivity of the nasal mucosa, thereby decreasing mucus production and nasal congestion. This procedure can be beneficial for patients with severe allergic rhinitis who do not respond well to medical management.
Posterior nasal nerve resection, while less common, may be considered in specific cases where pain or discomfort is a primary concern. It is essential to consult with an ENT specialist who can evaluate your specific symptoms and determine which procedure, if any, would be most appropriate for your condition.

In addition to surgical options, it is crucial to consider comprehensive management of nasal allergies. This may include:
- Medications: Antihistamines, nasal corticosteroids, and leukotriene receptor antagonists can help manage allergy symptoms effectively. These medications can reduce inflammation, decrease mucus production, and alleviate nasal congestion.


- Allergen Avoidance: Identifying and avoiding triggers is a critical component of managing allergies. This may involve environmental modifications, such as using air purifiers, keeping windows closed during high pollen seasons, and minimizing exposure to dust mites and pet dander.

- Immunotherapy: Allergy shots or sublingual immunotherapy can help desensitize the immune system to specific allergens over time, potentially providing long-term relief from symptoms.

- Nasal Irrigation: Saline nasal rinses can help clear allergens and mucus from the nasal passages, providing symptomatic relief.

In conclusion, while surgical options like wing nerve resection and posterior nasal nerve resection may offer relief for certain patients, it is essential to have a thorough discussion with your ENT specialist regarding the best approach for your specific situation. Combining surgical interventions with medical management and allergen avoidance strategies can lead to the most effective control of nasal allergy symptoms.