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Surgical Treatment for the Refractory Allergic Rhinitis: State of the Art

1
Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, 95123 Catania, Italy
2
Department of Head-Neck Surgery, Otolaryngology, Head-Neck, and Oral Surgery Unit, 47121 Forlì, Italy
3
Department of ‘Organi di Senso’, University “Sapienza”, 00185 Rome, Italy
*
Author to whom correspondence should be addressed.
Received: 24 December 2020 / Revised: 5 February 2021 / Accepted: 18 February 2021 / Published: 25 February 2021
Nasal obstruction is a frequent disorder that interferes with the daily patient’s quality of life. The key element in the pathophysiology of the disorder is the inferior turbinate hypertrophy related to multiple conditions such as allergic rhinitis (AR). Many patients are managed using conventional drug therapies such as antihistamines, decongestants, and intranasal steroid sprays, anticholinergic agents, mast cell stabilizers, and desensitizing vaccines. When traditional therapy failed to relieve AR symptoms, surgical inferior turbinate reduction (ITR) is indicated. A vast variety of surgical techniques have been reported in the literature for AR such as resectioning, coagulating, and laser procedures. We aimed to revise all surgical options in AR management. We confirm that no ideal standard technique for turbinate reduction has been developed so far regarding the multitude of different surgical procedures. Furthermore, no prospective and comparable long-term studies are present in the literature; it is challenging to recommend evidence-based surgical techniques. View Full-Text
Keywords: nasal surgery; allergy; turbinate surgery; allergic rhinitis; radiofrequency ablation; laser; neurectomy nasal surgery; allergy; turbinate surgery; allergic rhinitis; radiofrequency ablation; laser; neurectomy
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MDPI and ACS Style

Maniaci, A.; Di Luca, M.; La Mantia, I.; Grillo, C.; Grillo, C.M.; Privitera, E.; Vicini, C.; Iannella, G.; Renna, C.; Bannò, V.; Migliore, F.; Cocuzza, S. Surgical Treatment for the Refractory Allergic Rhinitis: State of the Art. Allergies 2021, 1, 48-62. https://0-doi-org.brum.beds.ac.uk/10.3390/allergies1010005

AMA Style

Maniaci A, Di Luca M, La Mantia I, Grillo C, Grillo CM, Privitera E, Vicini C, Iannella G, Renna C, Bannò V, Migliore F, Cocuzza S. Surgical Treatment for the Refractory Allergic Rhinitis: State of the Art. Allergies. 2021; 1(1):48-62. https://0-doi-org.brum.beds.ac.uk/10.3390/allergies1010005

Chicago/Turabian Style

Maniaci, Antonino, Milena Di Luca, Ignazio La Mantia, Calogero Grillo, Caterina M. Grillo, Elio Privitera, Claudio Vicini, Giannicola Iannella, Claudia Renna, Vittoria Bannò, Francesca Migliore, and Salvatore Cocuzza. 2021. "Surgical Treatment for the Refractory Allergic Rhinitis: State of the Art" Allergies 1, no. 1: 48-62. https://0-doi-org.brum.beds.ac.uk/10.3390/allergies1010005

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