2004, Number 2
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Otorrinolaringología 2004; 49 (2)
Comparison between olfatory function pre- and postoperatory in nasal surgery secundary to rhinoseptal deformity
Campos-Navarro LA, Tejedo-Cota GV
Language: Spanish
References: 21
Page: 22-29
PDF size: 66.79 Kb.
ABSTRACT
A prospective cohort study was carried out to compare pre- and postoperatory hyposmias, evaluated by Nbutyl alcohol test in patients with rhinoseptal deformity who underwent septoplasty. Fifty-eight patients were included; all had pre- and postoperatory nasal olfactory test (between 30 and 47 postoperatory days). Pre and postoperatory patient results with and without preoperatory hyposmia were compared. A modification of Connecticut Chemosensory Clinical Research Center N-butyl alcohol test was used. At the preoperatory, fifty-eight patients were included, 36 with hyposmia and 22 patients without hyposmia. Incidence of hyposmia in patients with deviated septum was 47%. The mean rate of preoperatory and postoperatory hyposmia was 3.32 and 5.42, respectively. In patients with normal preoperatory olfactory sense, mean rate was 6.36, and 6.28 in the postoperatory. We concluded that patients with septum deviation who are candidates for surgical treatment present hyposmia, and there are great possibilities of improving their olfactory capacity after septoplasty. Patients with normal preoperatory olfactory sense have few possibilities of their olfaction being affected after surgery.
REFERENCES
Jones N, Rog D. Olfaction: a review. J Laryngol Otol 1998;12:11-24.
Dawes PJ. Clinical tests of olfaction. Clin Otolaryngol 1998;23:484-490.
Davidson TM, Murphy C. Rapid clinical evaluation of anosmia. Arch Otolaryngol Head Neck Surg 1997;123:591-594.
Smith DV. Disfunción gustativa y olfatoria. En: Paparella MM, Schumrick DA, Gluckman JL, Meyerhoff WL. Otorrinolaringología. Buenos Aires. Ed. Panamericana. 1994. pp. 2234-2263.
Leopold DA. Olfactory function and disorders. En: Bailey BJ, Johnson JT, Kohut RI, Pillsbury HC, Tardy ME. Head neck surg-otolaryngology, Philadelphia, E.U. Ed. Lippincott. 1993. pp. 250-261.
Apter AJ, Mott AE, Cain WS, Spiro JD, Barwick MC. Olfactory loss and allergic rhinitis. J Allergy Clin Immunol 1992;90(4):670-680.
Leopold DA. Physiology of olfaction. En: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE. Otolaryngology head and neck surgery. St. Louis, Missouri, E.U. Ed. Mosby. 1993. pp. 640-664.
Robson AK, Woolons AC, Ryan J, Horrocks C, Williams S, Dawes PJ. Validation of the combined olfactory test. Clin Otolaryngol 1996;21:512-518.
Kimmelman CP. Alteraciones del gusto y del olfato. Soc Mex Otorrinolaringol y Cirugía de Cabeza y Cuello. 1996. pp. 13-32.
Foulkes MA. Design issues in chemosensory trials. Arch Otolaryngol Head Neck Surg 1990;116:65-8.
Schiffman SS. Taste and smell in disease. N Engl J Med 1983;308(21):1275-1279.
Li C, Yousem DM, Doty RL, Kennedy DW. Neuroimaging in patients with olfactory disfunction. AJR 1994;162:411- 418.
Jafek BW, Murrow B, Johnson EW. Olfaction and endoscopic sinus surgery. ENT J 1994;73(8):548-552.
Ogawa T, Rutka J. Olfactory dysfunction in head injured workers. Acta Otolaryngol (Stockh) 1999;Suppl 540:50-57.
Nordin S, Murphy C, Davidson T, Quiñonez C, Jalowayski AA, Ellison DW. Prevalence and assessment of qualitative olfactory dysfunction in different age groups. Laryngoscope 1996;106:739-744.
Leopold DA. The relationship between nasal anatomy and human olfaction. Laryngoscope 1988; 98:1232- 1238.
Stevens MH, Jafek BW. Olfaction. Instruction course given to American Academy of Otolaryngology – Head and Neck Surgery. Chicago. 1987.
Jafek BW, Hill DP. Surgical management of chemosensory disorders. ENT J 1989;68:399-404.
Hornung DE, Leopold DA. Relationship between uninasal anatomy and uninasal olfactory ability. Arch Otolaryngol Head Neck Surg 1999;125 (1):53-58.
Hill DP, Jafek BW. Initial Otolaryngologic assessment of patients with taste and smell disorders. ENT J 1989;68:362-370.
Cain WS. Testing olfaction in a clinical setting. ENT J 1989;68:316-328.