October 16, 2009

Botox Treatment for Vasomotor Rhinitis (Idiopathic or Non-Allergic Rhinitis)

A new research paper has been published Oct 16, 2009 in Head & Face Medicine entitled "Minimally invasive application of botulinum toxin A in patients with idiopathic rhinitis" in which researchers successfully treated patients with a persistent runny nose not due to any known problems like allergy. Such a condition is called vasomotor rhinitis or idiopathic rhinitis or non-allergic rhinitis.

In this new described method of treatment, a sponge soaked with 40 Units of botulinum toxin type A was inserted into a patient's nose and left in place for 30 minutes. Apparently, this did result in a significant reduction in rhinitis (but not congestion) and lasted for as long as 12 weeks.

Read the abstract here.

Of course, this is a non-FDA approved use of Botox.

Historically, this condition is often treated with nasal sprays (ie, astelin) and decongestants with some success in some patients, but not all patients respond.

Surgical treatment include turbinate reduction which reduces (usually about 50%), but does not cure this condition.

Before you ask... NO we do not offer this procedure until further research and data becomes available.
Fauquier blog
Fauquier ENT

Dr. Christopher Chang is a private practice otolaryngology, head & neck surgeon specializing in the treatment of problems related to the ear, nose, and throat. Located in Warrenton, VA about 45 minutes west of Washington DC, he also provides inhalant allergy testing/treatment, hearing tests, and dispenses hearing aids.

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