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Endoscopic sinus surgery with partial middle turbinate resection: effects on olfaction
M Friedman1, D D Caldarelli, T K Venkatesan
1Department of Otolaryngology and Bronchoesophagology, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center; Chicago, IL 60612, USA.
The Laryngoscope
|August 1, 1996
Summary
Middle turbinate resection during endoscopic sinus surgery (ESS) does not significantly impact olfaction. This study found no correlation between surgical manipulation of the middle turbinate and changes in smell identification test scores.
Area of Science:
- Otolaryngology
- Rhinology
- Olfactory Research
Background:
- Endoscopic sinus surgery (ESS) is a common procedure for sinonasal diseases.
- The impact of ESS, particularly middle turbinate manipulation, on olfaction remains unclear.
- Olfactory dysfunction is a significant concern for patients undergoing sinonasal surgery.
Purpose of the Study:
- To investigate the effect of middle turbinate resection during ESS on olfactory function.
- To compare olfactory outcomes between patients who underwent middle turbinate resection and those who did not.
- To identify factors influencing olfactory changes after ESS.
Main Methods:
- Prospective study involving 64 patients undergoing ESS.
- Utilized the University of Pennsylvania Smell Identification Test (UPSIT) for olfactory assessment.
- Collected data via patient questionnaires and endoscopic examinations.
Main Results:
- No statistically significant difference in median UPSIT score decrease between patients with and without middle turbinate resection (1.4 vs. 0.5).
- No correlation found between olfactory changes and follow-up duration, patient sex, or subjective olfactory assessment.
- Olfactory function was evaluated approximately 8 weeks post-surgery.
Conclusions:
- Middle turbinate resection during ESS does not appear to adversely affect olfactory function.
- Surgical technique regarding the middle turbinate may not be a critical determinant of postoperative olfaction.
- Further research may explore other surgical factors influencing olfaction after ESS.