Observations on petrosal and vidian neurectomy in chronic vasomotor rhinitis.

Observations on petrosal and vidian neurectomy in chronic vasomotor rhinitis.
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DOI:
10.1017/s0022215100057716
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发表时间:
1961-03-01
期刊:
The Journal of laryngology and otology
影响因子:
--
通讯作者:
GOLDING-WOOD, P H
GOLDING-WOOD, P H
中科院分区:
其他
文献类型:
--
作者:
GOLDING-WOOD, P H

文献摘要

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直到最近,文献普遍传达这样的印象:慢性血管舒缩性鼻炎起源于过敏,可以通过抗组胺药缓解,并通过特定脱敏治疗治愈。然而,一般经验与此相矛盾,现在一些权威人士认为,这种常见且令人痛苦的疾病实际上主要是自主神经失衡的表现(Walsh,1960;Malcomson,1959;Wilson,1960)。 1943年,Fowler报告了同侧星状神经节切除术后发生的不寻常但显着的单侧血管舒缩性鼻炎,这表明实验性手术可能会揭示血管舒缩性鼻炎的基本机制。现在看来,我们有理由相信这一希望已经实现。
UNTIL recently the literature has generally conveyed the impression that chronic vasomotor rhinitis is allergic in origin, relieved by antihistamines and cured by specific desensitization. General experience, however, has contradicted this and several authorities now suggest that this common and distressing disorder is in fact _primarily an expression of autonomic imbalance (Walsh, i960; Malcomson, 1959; Wilson, i960). In 1943, Fowler, reporting an unusual but significant unilateral vasomotor rhinitis following ipsilateral stellate ganglionectomy suggested that experimental surgery might uncover the fundamental mechanism of vasomotor rhinitis. It now seems reasonable to believe that this hope has been realized.