Topics

Deviated Nasal Septum and Septoplasty
Osteoma
Snoring and Upper Airway Resistance
Vasomotor Rhinitis

Auditory Neuropathy Spectrum Disorder and Auditory Processing Disorder38

Management of the Hearing-Impaired Child19
Paediatric Hearing Loss1

Deviated Nasal Septum and Septoplasty
Osteoma
Snoring and Upper Airway Resistance
Vasomotor Rhinitis

Auditory Neuropathy Spectrum Disorder and Auditory Processing Disorder38

Management of the Hearing-Impaired Child19
Paediatric Hearing Loss1

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HomeNotesVasomotor Rhinitis

Rhinology

Vasomotor Rhinitis

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Definition and Classification Epidemiology Pathophysiology Triggers Clinical Features Investigations and Diagnosis Medical Management — General Approach Medical Management — Pharmacological Agents Surgical Management Vidian Neurectomy — Anatomy and Technique

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Deviated Nasal Septum and Septoplasty Osteoma Snoring and Upper Airway Resistance

Key points

1Vasomotor rhinitis, also known as hyperreflexive rhinopathy, is defined by changes in vascular tone and permeability of the nose and sinuses that result in rhinitis provoked by multiple triggers.
2Vasomotor rhinitis is more common in older adults than in younger patients.
3The condition arises secondary to overactive parasympathetic activity within the nasal mucosa, although the precise underlying mechanism remains unknown.
4Environmental triggers include changes in humidity and temperature, dust, smoke, pollution and spicy food.
5Symptoms resemble allergic rhinitis and comprise clear watery rhinorrhoea, characteristically morning rhinorrhoea, nasal congestion that often alternates between sides, and pale nasal mucosa on examination.
6Vasomotor rhinitis is a diagnosis of exclusion confirmed by a negative allergy workup.
7First-line management is to eliminate irritants and address any causal factors wherever this is possible.
8Anticholinergic nasal sprays, specifically ipratropium bromide, are a mainstay of treatment.