Sense of smell examination before and after surgery for nasal polyposis

Czech version

Authors: P. Fundová ¹; O. Vorobiov ¹; J. Holubová ¹; L. Svobodová ¹; J. Astl ¹; T. Belšan ²; M. Májovský ³; V. Masopust ³; D. Netuka ³
Authors‘ workplace: Klinika otorhinolaryngologie a maxilofaciální, chirurgie 3. LF UK a ÚVN, Praha ¹; Radiodiagnostické oddělení ÚVN, Praha ²; Neurochirugická a neuroonkologická, klinika 1. LF UK a ÚVN, Praha ³
Published in: Cesk Slov Neurol N 2019; 82(4): 396-400
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2019396

Overview

Aim: To verify improvement of olfactory function in patients with chronic rhinosinusitis with nasal polyps and concurrent sense of smell deterioration after functional endoscopic sinus surgery.

Materials and methods: This study included patients who underwent functional endoscopic sinus surgery, either pansinus surgery, supraturbinal antrostomy (STA) and anterior ethmoidectomy or limited STA in a study period from 2013 to 2016. Sniffin Sticks test was applied to study the sense of smell before surgery and during follow up 3, 6 and 12 months after surgery.

Results: Cohort consisted of 257 patients. Altogether, pansinus surgery was performed in 181 cases, STA and anterior ethmoidectomy in 49 cases and only limited STA in 27 cases. The sense of smell was improved one year after the surgery, when we assume a stabilized and final state, as follows: in the first group it was 59.6%, in the second it was 55.1% and in the third it was 29.6% of patients.

Conclusions: In our cohort, the best results were observed in cases of primary pansinus surgery in patients who suffered preoperative anosmia. The improvement of sense of smell, in some cases even normalization of sense of smell, improved the quality of life of patients including even their safety.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

鼻息肉手术前后的嗅觉检查

目的：探讨鼻内镜鼻窦手术后鼻息肉合并慢性鼻-鼻窦炎患者嗅觉功能的改善。

材料和方法：本研究包括2013年至2016年研究期间接受功能性内窥镜鼻窦手术、全鼻窦手术、膀胱上腔窦造口术(STA)和前筛窦切除术或有限的STA的患者。术前、术后3个月、6个月、12个月分别用嗅液棒试验研究患者的嗅觉。

结果：队列包括257例患者。共有181例接受了全鼻窦手术，49例接受了STA和筛前切除术，仅27例接受了有限的STA。术后一年嗅觉得到改善，假设是稳定的最终状态，如下:第一组为59.6%，第二组为55.1%，第三组为29.6%。

结论：在我们的队列中，最好的结果出现在术前出现嗅觉缺失的患者的原发全鼻窦手术中。嗅觉的改善，在某些情况下甚至是嗅觉的正常化，改善了病人的生活质量，甚至包括他们的安全。

关键字：慢性鼻-鼻窦炎–鼻息肉–气味–功能性内窥镜鼻窦手术– Lund-Mackay CT评分–鼻窦CT –失眠–失眠

Keywords:

chronic rhinosinusitis – nasal polyps – smell – functional endoscopic sinus surgery – Lund-Mackay CT score – nasal sinuses CT – hyposmia – anosmia

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