Evidence map›Paper›PMID 39708722›Full record

ArticleInternational journal of surgery case reports2025

Endoscopic Vidian neurectomy for treating postcoital unilateral hydrorhinorrhea: A case report and literature review.

H Massegur, A Carrera, J R Gras-Cabrerizo, R S Tubbs, F Reina

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Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

H MassegurOtorhinolaryngology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
A CarreraClinical Anatomy, Embryology and Neuroscience Research Group (NEOMA), Medical Sciences Department, Faculty of Medicine, University of Girona, Spain; Medical Sciences Department, Faculty of Medicine, University of Girona, Spain.
J R Gras-CabrerizoOtorhinolaryngology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
R S TubbsDepartment of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA; Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA; Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA; Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA; Department of Anatomical Sciences, St. George's University, Grenada.
F ReinaClinical Anatomy, Embryology and Neuroscience Research Group (NEOMA), Medical Sciences Department, Faculty of Medicine, University of Girona, Spain; Medical Sciences Department, Faculty of Medicine, University of Girona, Spain. Electronic address: francisco.reina@udg.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceHydrorhinorrhea in response to sexual intercourse and orgasm (honeymoon rhinitis) is an underreported clinical presentation producing physical and behavior discomfort. Vidian neurectomy has been proposed for treating this condition when pharmacological treatment fails. CASE PRESENTATION: We present a case of honeymoon rhinitis consisting of a 48 years-old male patient with left unilateral nasal discharge mainly present during sexual intercourse and orgasm. Exploratory nasal endoscopy, CT and MRI were normal. Beta-trace test and all allergy tests were negative. The response to antihistamines and corticosteroids had been negative. A Vidian endoscopic neurectomy was carried out. CLINICAL DISCUSSION: Using Vidian neurectomy, a complete sympathetic-parasympathetic denervation of the nasal mucosa was achieved. After a follow-up of 15 days, the patient stated that his symptoms had improved. Nasal obstruction, sneezing, and rhinorrhea had decreased without showing symptoms either in the morning or during sexual intercourse. After two years of follow-up, the symptoms were still resolved without any complaints related to his preoperative "honeymoon rhinitis." Anatomical structural relationships between the activation of the autonomic nervous system in the pelvic region and the stimulation of sympathetic-parasympathetic neurons in the nasal mucosa is unknown. However, the use of Vidian neurectomy for treating these cases reveals they may be mediated by a possible disbalance of the autonomic activity.

conclusionThis case report gives background on the autonomic innervation of the nasal mucosa and how its imbalance causes a clinical condition that we suggest it could be solved by the Vidian neurectomy when other therapeutic measures fail.

Indexed as

AnatomyAutonomic nervous system diseasesCase reportsRhinitisSurgical endoscopy

Identifiers

PMID39708722
PMCPMC11862840

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