鼻中隔瓣抬高经蝶窦入路后嗅觉功能的长期恢复模式。

IF 1 Q3 OTORHINOLARYNGOLOGY International Archives of Otorhinolaryngology Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI:10.1055/s-0043-1761168
Bon Min Koo, Jong In Jeong
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摘要

介绍 鼻中隔瓣广泛用于颅底重建,以防止颅底病变手术后脑脊液渗漏。鼻中隔瓣抬高术后嗅觉功能障碍是否比传统的经蝶入路更严重一直存在争议。客观的 比较鼻中隔瓣和传统经蝶窦入路的长期恢复模式。方法 受试者被分为常规经蝶窦入路组和鼻中隔瓣抬高组。我们使用韩国版Sniffin Stick测试II的视觉模拟量表和阈值辨别识别(TDI)评分对自我报告的嗅觉评分进行了12个月的随访,并进行了嗅觉训练。后果 该研究包括31名接受经蝶窦入路的患者。与术前状态相比,常规经蝶入路组的平均视觉模拟量表和TDI评分在术后2个月恢复,而鼻中隔瓣抬高组的视觉模拟量和TDI评分分别在术后6个月和3个月恢复。术后12个月,常规经蝶入路组的视觉模拟量表和TDI评分为9.3 ± 0.5和28.5 ± 4.3,鼻中隔瓣抬高组为8.9 ± 1.5和27.2 ± 4.7(p = 0.326;0.473)。鼻中隔瓣抬高组中只有一名患者存在永久性嗅觉功能障碍。结论 鼻中隔瓣抬高组的嗅觉功能恢复比传统经蝶入路组更为缓慢,但6个月后两组之间没有差异。
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Long-term Recovery Patterns of Olfactory Function after Trans-sphenoidal Approach with Nasoseptal Flap Elevation.

Introduction  Nasoseptal flap is widely used in reconstruction of the skull base to prevent cerebrospinal fluid leakage after surgery for skull base lesions. There has been a debate on whether more severe olfactory dysfunction occurs after nasoseptal flap elevation than the conventional trans-sphenoidal approach. Objective  To compare the long-term recovery patterns associated with nasoseptal flap and the conventional trans-sphenoidal approach. Methods  The subjects were divided into the conventional trans-sphenoidal approach group and the nasoseptal flap elevation group. We followed up self-reported olfactory score using the visual analogue scale and threshold discrimination identification (TDI) score of the Korean Version of the Sniffin Stick test II for 12 months, with olfactory training. Results  The study included 31 patients who underwent the trans-sphenoidal approach. Compared with preoperative status, the mean visual analogue scale and TDI scores in the conventional trans-sphenoidal approach group recovered 2 months postoperatively, while in the nasoseptal flap elevation group the visual analogue scale and TDI scores recovered 6 months and 3 months after surgery, respectively. Twelve months after surgery, the visual analogue scale and TDI scores in the conventional trans-sphenoidal approach group were 9.3 ± 0.5 and 28.5 ± 4.3, while those from the nasoseptal flap elevation group were 8.9 ± 1.5 and 27.2 ± 4.7 ( p  = 0.326; 0.473). Only one of the patients in the nasoseptal flap elevation group had permanent olfactory dysfunction. Conclusion  The olfactory function recovered more gradually in the nasoseptal flap elevation group than in the conventional trans-sphenoidal approach group, but there was no difference between the two groups after 6 months.

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CiteScore
2.80
自引率
0.00%
发文量
84
审稿时长
12 weeks
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