Vidian neurectomy is done for ?
Allergic rhinitis
Atrophic rhinitis
Vasomotor rhinitis
Chronic hyperophic rhinitis
Ans. is 'c' i.e., Vasomotor rhinitis Vasomotor rhinitis Vasomotor is a nonallergic condition that involves a constant runny nose, sneezing and nasal congestion, i.e., the nose is stuffy or runny for reasons other than allergies and infections. The exact etiology is unknown, but triggers include emotions, odors, poor air quality, spicy foods, and medication side effects. Pathogenesis include:- Parasympathetic overactivity Hyperactive nasal mucosa to several non-specific stimuli especially in women of 20-40 years. Symptoms of vasomotor rhinitis include excessive clear rhinorrhoea, nasal obstruction/congestion, irritation, paroxysmal sneezing and post-nasal drip. Nasal mucosa is hyperophied & congested; and mucosa of turbinates may give mulberry like appearance and is pale to dusky red in colour. Complications of vasomotor rhinitis include hyperophic rhinitis & sinusitis, and nasal polyp. Treatment Treatment of vasomotor rhinitis includes : - 1. Conservative treatment Avoidance of physical factors which provoke symptoms. Antihistaminics and oral or nasal decongestants. Topical or systemic steroids 2. Surgical treatment Nasal obstruction can be relieved by measures which reduce the size of hyperophied nasal turbinate : -Cryosurgery, submucosal diathermy, Linear cauterization, paial or total turbinectomy, submucosal resection of turbinate. Excessive rhinorrhoea in vasomotor Rhinitis not corrected by medical therapy and bothersome to the patient, is relieved by sectioning the parasympathetic secretomotor fibres to nose i.e., vidian neurectomy.