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Procedure Name

Endoscopic vidian neurectomy
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Surgery Type

Minimally Invasiva
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Hospital Stay

Nil
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Duration of Surgery

1-2 Hours
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Type of Anaesthesia

General Anesthesia/Local Anesthesia
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Full Recovery

6-8 Weeks

Overview

Chronic rhinitis and certain types of migraines can be debilitating, often resistant to conventional treatments. For those who experience persistent symptoms despite trying various therapies, an Endoscopic Vidian Neurectomy (EVN) may provide much-needed relief. This specialized surgical procedure targets the Vidian nerve, which plays a significant role in nasal congestion and certain headache syndromes. In this blog, we’ll explore what Endoscopic Vidian Neurectomy is, who can benefit from it, how it’s performed, and what recovery looks like.

What is Endoscopic Vidian Neurectomy?

Endoscopic Vidian Neurectomy is a minimally invasive surgical procedure that involves cutting or removing the Vidian nerve, a nerve that carries signals responsible for nasal secretions and certain types of headaches. By interrupting these nerve signals, the procedure aims to reduce symptoms of chronic rhinitis, such as persistent nasal congestion and excessive mucus production, as well as alleviate specific headache disorders like cluster headaches.

Who is a Candidate for Endoscopic Vidian Neurectomy?

Particularly those with non-allergic rhinitis who have not found relief through medications or other less invasive treatments.

Some patients with chronic, severe cluster headaches, which are often linked to autonomic nerve dysfunction, may benefit from this procedure.

Ideal candidates are those who have tried and failed conservative treatments, such as nasal sprays, medications, or other surgical options.

How is Endoscopic Vidian Neurectomy Performed?

  1. Preoperative Assessment: Before the surgery, patients undergo a comprehensive evaluation, including a review of their medical history, symptoms, and response to previous treatments. Imaging studies like CT or MRI scans are often performed to plan the surgery.
  2. Anesthesia: The procedure is performed under general anesthesia, ensuring the patient is unconscious and free from pain during the surgery.
  3. Endoscopic Access: Using an endoscope inserted through the nose, the surgeon gains access to the sphenoid sinus, where the Vidian nerve is located. The endoscope provides a clear view of the surgical area on a monitor, allowing for precise manipulation.
  4. Nerve Severing: The Vidian nerve is identified and carefully cut or removed using specialized instruments. This action disrupts the nerve signals that contribute to nasal congestion and certain headache types.
  5. Closure and Recovery: Since the surgery is performed endoscopically, there are no external incisions, and the nasal cavity heals naturally. The procedure typically lasts between 1 to 2 hours.

Recovery After Endoscopic Vidian Neurectomy

Patients may experience mild nasal discomfort, dryness, or congestion immediately after surgery, but these symptoms usually resolve within a few days to weeks.

EVN is often an outpatient procedure, so most patients can go home the same day after a brief observation period.

Regular follow-up visits are necessary to monitor healing and ensure that the procedure has effectively reduced symptoms. Any persistent or new symptoms should be discussed with the surgeon.

Most patients experience significant relief from symptoms within a few weeks to months, though full recovery can take longer. Adherence to postoperative care instructions is crucial for optimal results.

Benefits of Endoscopic Vidian Neurectomy

  • Symptom Relief: EVN can provide significant relief from chronic nasal symptoms and severe headaches, improving patients' quality of life.
  • Minimally Invasive: The endoscopic approach allows for precise surgery with minimal disruption to surrounding tissues, leading to a quicker recovery and fewer complications.
  • Improved Quality of Life: Patients who undergo EVN often report a marked improvement in their daily functioning, sleep, and overall well-being.

Risks and Considerations

While Endoscopic Vidian Neurectomy is generally safe, there are potential risks and considerations:

  • Nasal Dryness: Some patients may experience chronic dryness in the nose after the procedure, which can usually be managed with nasal moisturizers.
  • Incomplete Symptom Relief: In some cases, the procedure may not completely eliminate symptoms, particularly if there are other contributing factors to the condition.
  • Rare Complications: As with any surgery, there is a small risk of infection, bleeding, or complications related to anesthesia.

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital and the finest doctor, for an Endoscopic vidian neurectomy at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin! 

The power of Medfin in patient’s words

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“ Got to know about them from my friend. They got an appointment for only 299. Once the doctor confirmed that I needed the surgery they got me a fixed cost which included ALL the costs. No extra amounts were charged. Thank you Medfin”

Suresh Menon Hyderabad 8 days ago
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“ After my consultation with the doctor, MEDFIN representative got me a fixed package cost that included my mothers initial tests, surgery cost. They also gave me stockings free for Rs. 3000 post the surgery. They kept up their promise they made”

Radhika Iyer Mumbai 8 days ago
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“ Thank you Medfin. They ensured the whole process from selecting a very experienced doctor to offering the latest procedure at a very reasonable price. They also arranged a follow up post my surgery with the doctor to ensure my recovery was on track. Thank you for being there throughout”

Deepa Shree Bangalore 8 days ago
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