Surgical Management of Non‐Allergic Rhinitis—An <scp>EAACI</scp> Task Force Position Paper

Lundberg, Marie;Van Waterschoot, Julie;Moyaert, Mathilde;Chaker, Adam;Van Gerven, Laura;et.al.
(2026) Allergy — Vol. 0, p. 1-18 (2026)

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Authors
  • Lundberg, Marieorcid-logoDepartment of Otorhinolaryngology, Head and Neck Surgery Helsinki University Hospital and University of Helsinki Helsinki Finland
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  • Van Waterschoot, Julieorcid-logoDepartment of Otorhinolaryngology, Head and Neck Surgery University Hospitals Leuven Leuven Belgium
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  • Moyaert, MathildeDepartment of Otorhinolaryngology, Head and Neck Surgery University Hospitals Leuven Leuven Belgium
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  • Chaker, AdamDepartment of Otorhinolaryngology and Center for Allergy and Environment, TUM School of Medicine TUM University Hospital Rechts der Isar, Technische Universität München Munich Germany
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  • Van Gerven, Lauraorcid-logoDepartment of Otorhinolaryngology, Head and Neck Surgery University Hospitals Leuven Leuven Belgium
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Abstract
Non-allergic rhinitis is a frequent yet underdiagnosed cause of chronic nasal symptoms, including nasal congestion, rhinorrhoea, and upper airway hyperreactivity. Its pathophysiology involves neurogenic dysregulation, leading to excessive mucus production and vasodilation. While medical therapy remains first-line, some patients experience persistent symptoms requiring surgical intervention. This review outlines key surgical options for refractory non-allergic rhinitis: inferior turbinate (IT) reduction, vidian neurectomy, and posterior nasal nerve (PNN) ablation. IT reduction-performed using cold instruments, radiofrequency, laser, coblation, or microdebrider-remains the cornerstone treatment for nasal obstruction, offering durable symptom relief with low This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
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Lundberg, M., Van Waterschoot, J., Moyaert, M., Chaker, A., Gevaert, P., Hagemann, J., Hox, V., Kleijwegt, M., Klimek, L., Lal, D., Maza‐solano, J., Pfaar, O., Ryser, F., Shiappoli, M., Silva, D., Toppila‐salmi, S., Wikstén, J., Reitsma, S., Van Gerven, L., & et al. (2026). Surgical Management of Non‐Allergic Rhinitis—An <scp>EAACI</scp> Task Force Position Paper. Allergy, 0, 1-18. https://doi.org/10.1111/all.70424 (Original work published 2026)