Impaired sense of smell in patients with nasal surgery
Impaired sense of smell in patients with nasal surgery
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DOI：
10.1046/j.1365-2273.2003.00735.x
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发表时间：
2003-10-01
影响因子：
2.1
通讯作者：
Jones, N
中科院分区：
文献类型：
--
作者：
Briner, HR;Simmen, D;Jones, N
该研究的目的是确定鼻窦和副鼻窦手术前后嗅觉障碍的发生率。这是一项前瞻性观察性研究。在6个月的时间里，所有被列入鼻窦和副鼻窦手术的患者都进行了术前和术后嗅觉评估。使用问卷调查和“嗅觉测试”来评估嗅觉。研究了184名患者。术前嗅觉受损19例（10.3%），其中鼻中隔成形术前嗅觉受损8.1%，鼻成形术前嗅觉受损6.1%，鼻内镜手术前嗅觉受损17.1%。这些患者中只有16人（84%）意识到他们的嗅觉受损。手术后，4例（2.5%）术前正常的患者在询问时出现嗅觉受损，这得到了测试的支持。在鼻中隔成形术的亚组中，与鼻成形术后1例（2.6%）和内窥镜鼻窦手术后1例（3%）相比，没有患者出现低通气。没有患者出现嗅觉缺失。术前，10.3%的患者有嗅觉改变，这是值得记录的，以避免术后声称这是由手术引起的。它还有助于审核手术结果。
The aim of the study was to determine the incidence of olfactory disorders before and following nasal and paranasal sinus surgery. It was a prospective observational study. Over a 6-month period, all patients who had been listed for nasal and paranasal sinus surgery underwent preoperative and postoperative evaluation of their sense of smell. A questionnaire and the `Smell Diskettes Test' were used to assess olfaction. One hundred and eighty-four patients were studied. Preoperatively, 19 patients (10.3%) had an impaired sense of smell (8.1% before septoplasty, 6.1% before rhinoplasty and 17.1% before endoscopic sinus surgery). Only 16 (84%) of these patients were aware of their impaired sense of smell. Following surgery, four patients (2.5%) who were normal preoperatively developed impaired olfaction on questioning, and this was supported by testing it. In the subgroup that had a septoplasty, no patient developed hyposmia compared to one patient (2.6%) after rhinoplasty and one patient (3%) after endoscopic sinus surgery. No patient developed anosmia. Preoperatively, 10.3% of patients had an altered sense of smell, making it desirable that this is documented in order to avoid postoperative claims that this was caused by surgery. It also helps to audit the results of surgery.