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Effects of Endoscopic Sinus Surgery on Olfactory Function.

L Stefano Ramirez-Gil1, J J Ley-Tomas2, J C Hernaiz-Leonardo3

  • 1Department of Otolaryngology-Head and Neck Surgery, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Vasco de Quiroga 15 Tlalpan, CDMX 14080, Mexico.

Current Allergy and Asthma Reports
|December 1, 2023
PubMed
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Endoscopic sinus surgery can affect smell function. Careful surgical techniques and patient expectation management are key to preserving olfactory perception after sinonasal and skull base procedures.

Keywords:
Endoscopic sinus surgeryOlfactory disordersRhinosinusitisSense of smellSkull base surgery

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Olfactory Neuroscience

Background:

  • Endoscopic endonasal approaches are increasingly used for sinonasal and skull base diseases.
  • These procedures may involve manipulation of olfactory structures.
  • Olfactory outcomes can vary significantly based on surgical extent and disease.

Purpose of the Study:

  • To review the impact of endoscopic sinus surgery and endonasal skull base approaches on olfaction.
  • To identify factors influencing olfactory outcomes post-surgery.

Main Methods:

  • Literature review of studies examining olfactory function after endoscopic sinonasal and skull base surgery.
  • Analysis of surgical techniques, patient factors, and olfactory assessment methods.

Main Results:

  • Endoscopic sinonasal procedures can alter olfactory perception.
  • Optimizing olfactory function depends on surgical technique, tissue handling, and perioperative care.
  • Preserving the olfactory cleft is important, but smell identification may not always correlate with anatomy.

Conclusions:

  • Surgeons must manage patient expectations regarding olfactory outcomes.
  • Routine olfactory assessment is vital for surgical work-up and follow-up.
  • Careful surgical planning and execution are crucial for preserving olfactory function.