Cryotherapy for a runny nose

Written in association with: Mr Okechukwu Okonkwo
Published: | Updated: 12/12/2024
Edited by: Karolyn Judge

Chronic runny nose, medically known as rhinorrhoea, can be an incredibly frustrating condition that impacts daily life. It may stem from various causes, including allergic rhinitis, non-allergic rhinitis or conditions like chronic sinusitis. Cryotherapy, a minimally invasive treatment, has emerged as an effective option for addressing this issue, particularly when traditional treatments fail to provide relief.

Cryotherapy is a useful treatment for those who experience a chronic runny nose.

 

What is cryotherapy for a runny nose?

 

Cryotherapy involves the application of controlled cold temperatures to specific areas within the nasal passages. In the case of rhinorrhoea, cryotherapy targets the posterior nasal nerve (PNN), a key contributor to the overproduction of mucus. By freezing the PNN, the therapy disrupts the nerve signals that trigger excessive mucus production, offering long-lasting relief.

 

 

Who is cryotherapy suitable for?

 

ENT specialists may recommend cryotherapy for patients with:

  • Chronic rhinorrhoea that does not respond to medications like antihistamines or nasal sprays.
  • Non-allergic rhinitis where triggers such as strong smells or temperature changes cause a runny nose.
  • Mixed rhinitis, a combination of allergic and non-allergic factors.
  • Conditions where other treatments, including surgery, are not suitable or desired.

 

 

What does the procedure involve?

 

Cryotherapy for rhinorrhoea is typically performed in an outpatient setting by an ENT specialist. Here’s what patients can expect:

  1. Preparation: A local anaesthetic is applied to numb the nasal cavity, ensuring patient comfort during the procedure.
  2. Cryotherapy application: Using a small cryotherapy probe, the ENT specialist targets the PNN at the back of the nasal cavity. The probe freezes the nerve for a few seconds, reducing its ability to send signals that cause excess mucus production.
  3. Recovery: The procedure is quick, usually lasting around 20 minutes, and patients can often return home the same day.

 

 

Benefits of cryotherapy for rhinorrhoea

 

Cryotherapy offers several advantages over traditional treatments:

  • Minimally invasive: No incisions or significant downtime are required.
  • Long-lasting relief: Many patients experience improvement in symptoms for up to a year or longer.
  • Safe: The procedure carries a low risk of side effects, with most patients reporting only mild nasal congestion or crusting, which resolves within days.
  • Quick recovery: Patients can typically resume normal activities within 24 hours.

 

 

Are there any risks or side effects?

 

Cryotherapy is generally well-tolerated, but some patients may experience minor side effects, including:

  • Temporary nasal congestion or dryness.
  • Mild discomfort or a sensation of pressure during or after the procedure.
  • Rarely, changes in nasal sensitivity or temporary numbness.

 

For individuals struggling with chronic rhinorrhoea, cryotherapy offers an effective, minimally invasive solution. ENT specialists can evaluate the underlying causes of your symptoms and determine if this treatment is appropriate for you. By targeting the source of the problem - the posterior nasal nerve - cryotherapy can significantly improve quality of life, reducing the impact of a runny nose on daily activities. If you're considering this treatment, consult a qualified ENT specialist to explore your options.

By Mr Okechukwu Okonkwo
Otolaryngology / ENT

Mr Okechukwu Okonkwo is a leading consultant ENT surgeon based in Gloucester. His areas of expertise include the management of sinusitis, nasal polyps, rhinitis, and blocked nose, as well as smell and taste disorders, hay fever, and allergies. He is highly proficient in sinus surgery, rhinoplasty, septoplasty, and the treatment of skin cancers of the head and neck.

Mr Okonkwo consults privately at Ramsay Winfield Hospital, at Nuffield Health Cheltenham Hospital, and at Gloucestershire Royal Hospital. Notably, Mr Okonkwo established the South West of England’s first specialist NHS clinic dedicated to the diagnosis and treatment of smell and taste disorders at Gloucestershire Royal Hospital, in collaboration with the Fifth Sense charity.

With over 15 years’ experience, Mr Okonkwo originally qualified with an MBBS and a Master’s in Medical Research from Newcastle University. He undertook specialist training in Manchester, before going on to complete two prestigious fellowships. This included a fellowship in facial aesthetics and reconstructive medicine in London and a fellowship in complex sinus and anterior skull-base surgery in Birmingham.

Mr Okonkwo holds esteemed fellowship in otolaryngology - head and neck surgery to the Royal College of Surgeons and he is also a council member of the British Rhinology Society. Furthermore, he holds a Postgraduate Certificate in Medical Education from Edge Hill University and he is an honorary lecturer and examiner at the University of Bristol, along with being involved as faculty in national ENT courses. He has additionally published numerous publications in peer-reviewed medical journals.

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