Symptomatic Keratoconjunctivitis Sicca Is Rare after Vidian Neurectomy during Expanded Endonasal Skull Base Approaches.

This article discusses the safety of vidian neurectomy, a surgical procedure that involves removing the vidian nerve, during endoscopic endonasal skull base surgery. The objective of the study was to determine the incidence of symptomatic dry eyes (Keratoconjunctivitis Sicca or KCS) in patients who underwent vidian neurectomy. The study reviewed the cases of 13 patients who underwent the procedure and found that none of them reported symptomatic dry eyes at follow-up visits. The authors concluded that vidian neurectomy is well-tolerated and does not lead to KCS symptoms in patients. [Extracted from the article]