Evaluation of olfactory function in patients undergoing endoscopic skull base surgery with nasoseptal flap
| العنوان: | Evaluation of olfactory function in patients undergoing endoscopic skull base surgery with nasoseptal flap |
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| المؤلفون: | Davi Sousa Garcia, Paulo Roberto Lazarini, Américo Rubens Leite dos Santos, Williams Escalante Encinas, Daniela Akemi Tateno, Ricardo Landini Lutaif Dolci, Jeniffer Cristina Kozechen Rickli, Ana Carolina Mayor de Carvalho |
| المصدر: | Brazilian Journal of Otorhinolaryngology, Vol 88, Iss 1, Pp 15-21 (2022) Brazilian Journal of Otorhinolaryngology v.88 n.1 2022 Brazilian Journal of Otorhinolaryngology Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF) instacron:ABORL-CCF Brazilian Journal of Otorhinolaryngology, Volume: 88, Issue: 1, Pages: 15-21, Published: 11 MAR 2022 |
| بيانات النشر: | Elsevier, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Olfactory system, medicine.medical_specialty, Distúrbios de olfação, Olfaction, Olfaction disorders, 03 medical and health sciences, 0302 clinical medicine, Medicine, Humans, In patient, Pituitary Neoplasms, Prospective Studies, 030223 otorhinolaryngology, Surgical flap, Retrospective Studies, Procedimento cirúrgico nasal, business.industry, Endoscopy, Plastic Surgery Procedures, Base do crânio, Surgery, Smell, Skull, Skull base, medicine.anatomical_structure, Treatment Outcome, Nasal surgical procedure, Retalho cirúrgico, Otorhinolaryngology, RF1-547, Patient classification, Skull base surgery, Prospective research, Olfato, business, 030217 neurology & neurosurgery |
| الوصف: | Introduction Endoscopic transnasal access to the skull base, both for treatment and reconstruction, can cause olfactory morbidity. Knowing the main consequences of this intervention is essential to have objective criteria for decision-making regarding the appropriate surgical technique. Objectives The aim of this study is to determine the impact on olfactory function of the endonasal endoscopic access to the skull base with the creation of the nasoseptal flap. Methods A prospective research was carried out in which 22 patients who underwent endoscopic transnasal surgery at the skull base, with the creation of a nasoseptal flap. The Connecticut Chemosensory Clinical Research Center test was applied before and at the 1st, 3rd and 6th postoperative months. Results The results showed that only in the first month of follow-up the mean patient classification was statistically worse than at the other evaluation moments (p < 0.05), but there was no mean difference in the Connecticut score classification between the other moments (p > 0.05); that is, patients showed worsening in the 1st month and returned to the preoperative mean after the 3rd month of follow-up. Conclusion The present study showed that the postoperative decrease in olfaction is transient, since the patient's sense of smell returns to pre-surgical values in the 3rd postoperative month. Resumo Introdução O acesso transnasal endoscópico à base do crânio, tanto no tratamento quanto na reconstrução, pode ocasionar morbidade olfatória. Conhecer as principais consequências dessa intervenção é fundamental para se dispor de elementos objetivos para a decisão da técnica cirúrgica adequada. Objetivo Determinar o impacto na função olfatória do acesso endoscópico endonasal à base do crânio com confecção do retalho nasosseptal. Método Foi feita pesquisa prospectiva na qual foram incluídos 22 pacientes submetidos à cirurgia endoscópica transnasal à base do crânio com confecção de retalho nasosseptal. Foi aplicado o teste Connecticut chemosensory clinical research center antes e após o 1°, 3° e 6° meses da cirurgia. Resultados Os resultados evidenciaram que apenas no 1° mês de seguimento a classificação média dos pacientes foi estatisticamente pior do que nos demais momentos de avaliação (p < 0,05), mas entre os demais momentos não houve diferença média na classificação do escore de Connecticut (p >0,05), ou seja, os pacientes pioraram no 1° mês e voltaram à média pré-operatória a partir do 3° mês de seguimento. Conclusão No presente estudo, demonstramos que a diminuição do olfato pós-operatória é transitória, já que, no 3° mês depois da cirurgia, o olfato do paciente retorna aos valores pré-cirúrgicos. |
| وصف الملف: | text/html |
| اللغة: | English |
| تدمد: | 1808-8694 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::76edb6ae0e51f814fea55ae6b3bf6698 http://www.sciencedirect.com/science/article/pii/S1808869420300525 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....76edb6ae0e51f814fea55ae6b3bf6698 |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 18088694 |
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