| Olfactory function in patients with chronic rhinosinusitis before and after functional endoscopic sinus surgery. | |
| | |
MedLine Citation:
|
PMID: 18702914 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The olfactory loss in patients with chronic rhinosinusitis has been measured by different methods. However, the results have been variable and it is not clear whether functional endoscopic sinus surgery (FESS) significantly improves olfactory function. This study was performed to evaluate the influences of FESS on olfactory function in patients with chronic rhinosinusitis using three different types of olfactory tests. METHODS: Seventy patients with chronic rhinosinusitis were administered the University of Pennsylvania Smell Identification Test (UPSIT), a single staircase phenyl ethyl alcohol odor detection threshold test (STT), and a short-term odor memory/discrimination test a day before and 6 months after FESS. A questionnaire inquiring about the patients' self-perception of olfactory function was administered also. Independent ratings of the severity of chronic rhinosinusitis before FESS were established from CT scans. RESULTS: Fifty-two (74.3%) of the patients reported that their olfactory function was impaired before surgery, and 68.6% of the patients reported impaired olfactory function after surgery, a difference that was not significant. No meaningful changes in any of the olfactory test scores were noted 6 or more months after FESS. Preoperatively, small correlations between CT scores and the symptom scores (r = 0.278; p = 0.024), threshold scores (r = -0.27; p = 0.031), and UPSIT scores (r = -0.36; p = 0.003) were observed. CONCLUSION: In patients with severe rhinosinusitis, FESS had little impact on the ability to smell, regardless of the method for assessing smell function. Subtle associations between olfactory function and the severity of chronic rhinosinusitis determined by CT were observed, however, preoperatively. The olfactory test measures were correlated with one another both pre- and postoperatively. |
| | |
Authors:
|
Rong-San Jiang; Fung-Jou Lu; Kai-Li Liang; Jiun-Yi Shiao; Mao-Chang Su; Chung-Han Hsin; Wen-Kang Chen |
Related Documents
:
|
10388194 - Acoustic neuroma surgery in geriatric patients. 6969994 - Hyperactive vestibular response of peripheral origin. 16808984 - Hearing disturbances in hypertrophic cardiomyopathy. is the sensorineural disorder neur... 21195884 - Urinary nerve growth factor levels in overactive bladder syndrome and lower urinary tra... 6733284 - Erythroid progenitors in adult chronic pure red cell aplasia: relationship of in vitro ... 7201294 - Darier's disease and vitamin a. concentrations of retinoids in serum and epidermis of u... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: American journal of rhinology Volume: 22 ISSN: 1050-6586 ISO Abbreviation: Am J Rhinol Publication Date: 2008 Jul-Aug |
Date Detail:
|
Created Date: 2008-08-15 Completed Date: 2008-10-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8807268 Medline TA: Am J Rhinol Country: United States |
Other Details:
|
Languages: eng Pagination: 445-8 Citation Subset: IM |
Affiliation:
|
Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan. rsjiang@vghtc.gov.tw |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Child Chronic Disease Endoscopy* Female Follow-Up Studies Humans Male Middle Aged Otorhinolaryngologic Surgical Procedures / methods* Questionnaires Rhinitis / complications, physiopathology*, surgery Severity of Illness Index Sinusitis / complications, physiopathology*, surgery Smell / physiology* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Revision septoplasty: review of sources of persistent nasal obstruction.
Next Document: Is there a rationale for bladder cancer screening?