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Acta Oto-Laryngologica Volume 96, 1983 - Issue 1-2
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Original Article

Cryosurgery on Postganglionic Fibers (Posterior Nasal Branches) of the Pterygopalatine Ganglion for Vasomotor Rhinitis

A. Terao Department of Otolaryngology, University of Tokyo School of Medicine, Tokyo, Japan
,
K. Meshitsuka Department of Otolaryngology, University of Tokyo School of Medicine, Tokyo, Japan
,
H. Suzaki Electron Microscopy Laboratory, University of Tokyo School of Medicine, Tokyo, Japan
&
S. Fukuda Electron Microscopy Laboratory, University of Tokyo School of Medicine, Tokyo, Japan
Pages 139-148 | Published online: 08 Jul 2009
 
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Abstract

Clinical experience with a newly designed device for cryosurgery on autonomic nerves in cases of vasomotor rhinitis is reported. The device consists of a handy spray of liquid nitrogen and a slender probe 2.5 mm in diameter. The posterior nasal branches of the pterygo-palatine ganglion were destructed by freezing for 5–8 sec with a jet of supercooled nitrogen gas delivered onto the pterygopalatine foramen under anesthesia with 4% lido-caine. Satisfactory results were obtained by this procedure in 77 of 102 cases of vasomotor rhinitis which had failed to respond to antihistaminics. This original technique of cryosurgery which is not time-consuming and can be performed on an ambulatory basis will prove useful in clinical practice.

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