New Treatments for Chronic Nasal Allergies: A Medical Insight - Otolaryngology

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Treatment for nasal allergies


Hello, Dr.
Hsu.
I would like to ask for your professional opinion on the following news.
I have chronic rhinitis and am considering surgery.
Can it really provide a cure? Dr.
Li Hong-Hsin from the ENT department of Chung Shan Medical University Hospital stated that patients with nasal allergies have highly developed nasal allergy nerves, and theoretically, removing these nerves can alleviate symptoms.
In the past, surgery required incisions through the lip or inside the nose, which often damaged the nasal mucosa.
Currently, techniques such as electrocautery, laser, or infrared ablation performed within the nostrils can be effective in the short term, but symptoms may recur in the next season.
Therefore, new technologies have emerged.
This procedure is not covered by health insurance and costs approximately NT$40,000, suitable for severe cases.
Dr.
Li mentioned that this new technique is guided by an endoscope, where a probe is inserted deep into the nasal cavity, and then low-temperature radiofrequency waves are used to gradually heat the nasal allergy nerves and blood vessels, rendering them ineffective.
This approach aims to eliminate severe sneezing and excessive nasal congestion, achieving a cure that is less likely to recur.

Xiao Qi, 20~29 year old female. Ask Date: 2005/10/13

Dr. Xu Jiazhen reply Otolaryngology


Hello: In response to your question, the symptoms of nasal mucosal hypertrophy, congestion, and rhinorrhea are associated with local vasodilation.
The dilation of blood vessels is indeed related to the autonomic nervous system and vascular function.
However, in the case of allergic rhinitis, it is primarily related to allergens, while the control by the nervous system plays a partial role.
Understanding this can be helpful in clinical practice.

Reply Date: 2005/10/13

More Info


Chronic nasal allergies, often characterized by symptoms such as nasal congestion, sneezing, and postnasal drip, can significantly impact the quality of life for many individuals. The recent advancements in treatment options, particularly those involving minimally invasive techniques, have sparked interest in their potential effectiveness and long-term outcomes.

The statement from Dr. Li Hong-Hsin regarding the new treatment for nasal allergies highlights a promising approach that utilizes radiofrequency ablation guided by endoscopy. This technique aims to selectively target and destroy the nerve endings responsible for allergic reactions in the nasal passages. By heating these nerves, the procedure potentially reduces the hypersensitivity that leads to symptoms of nasal allergies.
Historically, treatments for chronic nasal allergies have included pharmacological options such as antihistamines, corticosteroids, and decongestants, which can provide symptomatic relief but do not address the underlying cause. Surgical interventions, such as turbinate reduction or polypectomy, have also been employed, but these can carry risks of complications and may not provide lasting relief.

The new technique described by Dr. Li offers several advantages. Firstly, it is performed under endoscopic guidance, which allows for precise targeting of the affected areas while minimizing damage to surrounding tissues. This is crucial, as traditional surgical methods often involve more extensive procedures that can lead to complications such as scarring or changes in nasal function. Secondly, the use of radiofrequency energy at low temperatures is designed to be less invasive, potentially resulting in quicker recovery times and fewer side effects compared to more aggressive surgical options.

However, it is essential to consider the limitations and potential risks associated with this new treatment. While the initial results may be promising, long-term efficacy and the possibility of recurrence remain critical factors to evaluate. As Dr. Li mentioned, even with advanced techniques, there is a chance that symptoms may return, particularly with seasonal allergies. Therefore, ongoing management and follow-up care are vital components of treatment.

Moreover, the cost of the procedure, which is not covered by health insurance, may be a barrier for some patients. It is crucial for individuals considering this option to weigh the potential benefits against the financial implications and to discuss these factors thoroughly with their healthcare provider.

In conclusion, the new radiofrequency ablation technique for treating chronic nasal allergies represents a significant advancement in the field of otolaryngology. While it holds promise for providing relief from symptoms and improving the quality of life for patients, further research is needed to establish its long-term effectiveness and safety. Patients should engage in open discussions with their healthcare providers to explore all available treatment options, including this innovative approach, and to develop a comprehensive management plan tailored to their specific needs.

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