鼻腔结构对嗅觉裂气流的影响:系统性审查
Lina Chen1,2, Yuxing Liu1,2, Dawei Wu1
1Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing, People's Republic of China.
American journal of rhinology & allergy
|November 12, 2024
概括
鼻子结构异常显著影响到嗅觉裂 (OC) 的空气流,影响嗅觉. 识别这些结构是评估嗅觉功能障碍和改善嗅觉丧失治疗的关键.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统生理学 呼吸系统生理学
- 医疗成像医学成像
背景情况:
- 导电性嗅觉损失通常与嗅觉裂 (OC) 阻塞和空气流量减少有关.
- 了解鼻腔解剖和OC气流之间的关系对于诊断和治疗嗅觉障碍至关重要.
研究的目的:
- 为了研究异常的鼻腔结构和嗅觉裂 (OC) 空气流动模式之间的联系.
- 确定影响臭分子运输到OC的特定解剖学因素.
主要方法:
- 系统的文献搜索,遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括11项研究,研究鼻腔结构对OC空气流和嗅觉的影响.
主要成果:
- 鼻腔前庭形态和变异直接影响着气味的运输到OC.
- 管切除术,隔膜偏差和下管缩改变了OC空气流动力学和速度.
- 鼻息肉 (NP) 的效果有所不同:位于中部肌肉中的息肉可能会增加气流,但不能增加嗅觉,而在嗅觉区域内或前部的息肉会减少气流和嗅觉.
- 在没有NP的患者中,狭窄的OC形状显著降低了OC内的吸入速度和流量.
结论:
- 不同的鼻腔解剖学因素极大地影响了OC气流和嗅觉功能.
- 识别特定的限制空气流的鼻腔结构有助于全面评估导电嗅觉功能障碍.
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