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Establishing the PM<sub>2.5</sub>-associated inflammatory endotype of chronic rhinosinusitis.

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Chronic rhinosinusitis and endoscopic sinus surgery.

Opeyemi O Daramola1, Rakesh K Chandra2

  • 1Rhinology, Sinus and Skull Base Surgery, Division of Otolaryngology-Head and Neck Surgery, Crystal Run Healthcare, 2 Centerock Rd, West Nyack, NY 10994, USA.

World Journal of Otorhinolaryngology - Head and Neck Surgery
|July 24, 2018
PubMed
Summary
This summary is machine-generated.

Endoscopic sinus surgery (ESS) improves smell in chronic rhinosinusitis (CRS) patients. Nasal polyps and eosinophilia predict better outcomes, while careful surgical technique preserves olfactory function.

Keywords:
HyposmiaNasal polyposisOlfactionRhinosinusitisSinus surgerySmell

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Olfactory Neuroscience

Background:

  • Olfactory dysfunction is a primary symptom in chronic rhinosinusitis (CRS).
  • Surgical intervention for CRS necessitates careful monitoring of olfactory function due to its impact on quality of life and sensory perception.
  • Understanding the effects of endoscopic sinus surgery (ESS) on olfaction is crucial for patient counseling and informed consent.

Purpose of the Study:

  • To review the impact of endoscopic sinus surgery (ESS) on olfactory function in various presentations of chronic rhinosinusitis (CRS).
  • To identify factors predicting olfactory improvement after ESS.
  • To provide guidance on surgical techniques to minimize olfactory complications.

Main Methods:

  • Review of existing literature on endoscopic sinus surgery (ESS) and olfactory function in chronic rhinosinusitis (CRS).
  • Analysis of quantitative olfactory testing and subjective patient reports.
  • Identification of key surgical considerations for preserving olfactory epithelium.

Main Results:

  • Endoscopic sinus surgery (ESS) demonstrates improvement in olfaction across all CRS subtypes.
  • Nasal polyposis (NP) and eosinophilia are significant predictors of enhanced postoperative olfactory function.
  • Judicious partial resection of the middle turbinate can improve olfaction without long-term complications.

Conclusions:

  • Endoscopic sinus surgery (ESS) is effective in improving olfactory function for patients with chronic rhinosinusitis (CRS).
  • Specific patient factors like nasal polyposis and eosinophilia are associated with better surgical outcomes.
  • Meticulous surgical technique, particularly in the olfactory cleft and frontal sinus recess, is vital to prevent olfactory complications.