Effects of Endoscopic Sinus Surgery on Olfactory Function.

IF 5.4 2区医学 Q1 ALLERGY Current Allergy and Asthma Reports Pub Date : 2023-12-01 DOI:10.1007/s11882-023-01115-9

L Stefano Ramirez-Gil, J J Ley-Tomas, J C Hernaiz-Leonardo, Isam Alobid, Joaquim Mullol, J C Ceballos-Cantu

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Abstract

Purpose of review: To review the effects of endoscopic sinus surgery and endonasal approaches to the skull base on olfaction.

Recent findings: Advancements in endonasal endoscopic approaches to the sinuses and skull base allow for direct treatment of a variety of sinonasal and skull base diseases. However, these extended approaches will often require manipulation of normal anatomical structures and the olfactory neuroepithelium. Depending on the planned procedure and extent of disease, the prognosis of olfactory perception can vary significantly among patients. Endoscopic sinonasal surgical procedures may impact olfaction. Optimizing olfactory function requires proper surgical techniques, gentle handling of tissue, and perioperative care. Surgeons must discuss objectives and manage patient expectations. Routine olfactory assessment is crucial in surgical work-up and follow-up. Preserving anatomical structures while addressing the obstruction of the olfactory cleft helps to prevent decreased olfactory threshold. However, smell identification and discrimination do not always correlate with sinonasal anatomy.

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鼻内窥镜手术对嗅觉功能的影响。

回顾目的:回顾鼻窦内窥镜手术和鼻内入路颅底对嗅觉的影响。最近发现:鼻内窥镜入路鼻窦和颅底的进展允许直接治疗各种鼻窦和颅底疾病。然而，这些扩展入路通常需要操作正常解剖结构和嗅神经上皮。根据计划的手术和疾病的程度，嗅觉感知的预后在患者之间可能有很大差异。鼻内窥镜手术可能影响嗅觉。优化嗅觉功能需要适当的手术技术、轻柔的组织处理和围手术期护理。外科医生必须讨论目标和管理病人的期望。常规嗅觉评估在外科检查和随访中至关重要。保留解剖结构，同时解决嗅觉间隙阻塞有助于防止嗅觉阈值下降。然而，嗅觉识别和辨别并不总是与鼻解剖相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Allergy and Asthma Reports 医学-过敏

CiteScore

11.20

自引率

1.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The aim of Current Allergy and Asthma Reports is to systematically provide the views of highly selected experts on current advances in the fields of allergy and asthma and highlight the most important papers recently published. All reviews are intended to facilitate the understanding of new advances in science for better diagnosis, treatment, and prevention of allergy and asthma. We accomplish this aim by appointing international experts in major subject areas across the discipline to review select topics emphasizing recent developments and highlighting important new papers and emerging concepts. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. Over a one- to two-year period, readers are updated on all the major advances in allergy and asthma.

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