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July 1967

Vidian Nerve Section for Vasomotor Rhinitis

Author Affiliations

From the Department of Otolaryngology, Beth Israel Hospital (Dr. Chasin), and the Massachusetts Eye and Ear Infirmary (Dr. Lofgren), Boston.

Arch Otolaryngol. 1967;86(1):103-109. doi:10.1001/archotol.1967.00760050105022

THE OTOLARYNGOLOGIST needs an adequate method of treatment for those patients who suffer with vasomotor rhinitis so severe that it defies conventional forms of therapy. It is frequently impossible to differentiate in a patient with a perennial problem, whether he suffers from true allergic vasomotor rhinitis. The diagnosis and management of seasonal allergic rhinitis is fairly satisfactory. The cause of perennial rhinitis is frequently elusive. If the physician and patient cooperatively discover the offending allergens or irritants, control of the disorder is possible. All too often, however, despite extensive allergic testing and food elimination tests no cause is found. In such instances one has to resort to less rational forms of therapy, such as the administration of drugs and performance of various intranasal procedures to produce a larger nasal airway.

In this discussion we are concerned, then, with the patient who has chronic or frequently recurring nasal obstruction, watery rhinorrhea,

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