Chronic runny nose, or rhinitis, can be secondary to multiple etiologies. One way to address chronic rhinitis not responsive to local medical therapies such as steroid or antihistamine sprays is selective postganglionic pterygopalatine parasympathectomy (SP3 for short). Using a small camera known as an endoscope in the nose, the surgeon performs a maxillary antrostomy, lifts a flap off the lateral nasal sidewall, identifies the sphenopalatine artery, and then elevates the rest of the mucosal flap off the lateral nasal sidewall, identifying terminal parasympathetic branches to the nasal mucosa. These nerve branches are lysed and a graft material such as alloderm placed between the mucosal flap and the bone. When medical therapies and cryotherapy don’t work, the SP3 procedure can be incredibly effective.
Satish Govindaraj, MD Chief of Rhinology; Vice Chair of Clinical Affairs, Department of Otolaryngology – Head and Neck Surgery Mount Sinai Health System Associate Professor, Otolaryngology, and Neurosurgery Icahn School of Medicine at Mount Sinai
Daniel Alicea Delgado, MD Assistant Professor, Department of Otolaryngology-Head and Neck Surgery Mount Sinai Health System
Anthony Del Signore, MD, PharmD Assistant Professor, Otolaryngology Mount Sinai Health System Director of Rhinology and Endoscopic Skull Base Surgery Mount Sinai Union Square
Alfred M.C. Iloreta, Jr., MD Assistant Professor, Otolaryngology, Neurosurgery The Mount Sinai Hospital New York Eye and Ear Infirmary of Mount Sinai Mount Sinai Morningside and Mount Sinai West
Madeleine R. Schaberg, MD Assistant Professor, Otolaryngology Mount Sinai Health System Director, Rhinology and Skull Base Surgery New York Eye and Ear Infirmary of Mount Sinai
Calvin Wei, MD Assistant Professor, Department of Otolaryngology-Head and Neck Surgery Mount Sinai Health System
Zachary G. Schwam, MD Assistant Professor, Department of Otolaryngology-Head and Neck Surgery Division of Otology-Neurotology, Lateral Skull Base Surgery Mount Sinai Health System
