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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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Olfaction following endoscopic skull base surgery.

Zara M Patel1, John M DelGaudio

  • 1aDepartment of Otolaryngology, Stanford University School of Medicine, Palo Alto, California bDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, Georgia, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery
|December 19, 2015
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Summary
This summary is machine-generated.

Endoscopic skull base surgery may impact olfaction, affecting patient quality of life. Objective testing and awareness are crucial for managing olfactory dysfunction risks.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Quality of Life Studies

Background:

  • Endoscopic skull base surgery is increasingly common.
  • Olfactory dysfunction is a significant complication impacting patient quality of life.
  • This complication is often overlooked by physicians.

Purpose of the Study:

  • To review the risks and complications of endoscopic skull base surgery.
  • To highlight the impact of olfactory dysfunction.
  • To emphasize the importance of recognizing and managing olfactory deficits.

Main Methods:

  • Literature review on olfactory dysfunction after endoscopic skull base surgery.
  • Analysis of existing evidence regarding olfactory deficits.
  • Discussion of the debate surrounding the prevalence and severity of olfactory loss.

Main Results:

  • Evidence on olfactory dysfunction post-surgery is conflicting, with some studies reporting no loss, others temporary deficits, and some long-term damage.
  • Standardized testing and heightened awareness are recommended.
  • Olfactory dysfunction remains a debated topic in the literature.

Conclusions:

  • Surgeons should implement objective olfactory testing pre- and post-surgery.
  • Collecting data on dysfunction rates is essential.
  • Offering and tracking treatment options for olfactory dysfunction is a future goal.