后部切除术对内镜内外科手术中嗅觉的影响
Jae Yoon Lee1, Jae Sung Park2, Sin Soo Jeun2
1Department of Otolaryngology-Head and Neck Surgery, Seoul Saint Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
PloS one
|January 2, 2025
概括
在垂体腺瘤手术期间鼻腔隔膜的广泛切除会显著损害嗅觉功能. 尽量减少隔膜切除对于保持气味和减少术后嗅觉损失至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 嗅觉神经科学是一种神经科学.
背景情况:
- 内镜内外科手术是垂体腺瘤的标准.
- 切除后上鼻隔膜引起了人们对手术后嗅觉功能的担忧.
研究的目的:
- 调查鼻腔隔膜切除程度与嗅觉结果之间的相关性.
- 为了告知外科手术技术的优化,以保持嗅觉功能.
主要方法:
- 对295名下垂体腺瘤手术患者的回顾性分析.
- 量化鼻腔隔膜切除的程度.
- 使用跨文化嗅觉识别测试 (CCSIT),中鼻结果测试-22 (SNOT-22) 和视觉模拟尺度 (VAS) 评估嗅觉功能.
主要成果:
- 较大的隔膜切除与CCSIT分数的显著降低相关.
- 广泛的切除导致患者报告的不适和嗅觉损失增加 (较高的SNOT-22和VAS得分).
- 突出了鼻腔隔膜在空气流和嗅觉中的作用.
结论:
- 广泛的后部切除术会对嗅觉结果产生不利影响.
- 建议尽量减少隔膜切除,以保持嗅觉功能.
- 手术策略应优先考虑隔膜完整性,以减轻术后嗅觉损伤.
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