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[Assessment of olfactory disturbances in the patients with rhinosinusitis and polypi nasi treated by endoscopic sinus surgery].
Pol Merkur Lekarski. 2010 Apr; 28(166):273-6.PM

Abstract

One of the most common symptoms of chronic rhinosinusitis with polyps is smell deterioration. Polypectomy and mechanical restoration of patency of the nose not always and not to the same degree leads to the sense of smell improvement. THE AIM OF STUDY was to assess the sense of smell and nasal patency in patients with chronic rhinosinusitis with polyps treated endoscopically during the healing period and the process of functional normalization of the nasal mucosa.

MATERIAL AND METHODS

30 patients suffering from chronic rhinosinusitis with polyps treated endoscopically were included in the study. Nasal resistance (anterior rhinomanometry), smell (smell threshold and identification tests) and rhinoscopic findings were assessed and analyzed 1, 3, 6 and 12 months postoperatively.

RESULTS

The most conspicuous decrease of mean nasal resistance was observed in the first control examination (1 month postoperatively) and then further slight improvement continued until sixth postoperative month. Restoration of the patency of the nose yielded only inconsiderable improvement of smell in first postoperative month. Significant improvement of smell could be detected as late as in third and sixth month after the operation. In the twelfth postoperative month slight deterioration of the mean results of smell and nasal patency tests was noted. At the same time control endoscopic examination revealed recurrent polyposis in 26.6% of patients whereas the improvement in mean smell test result in comparison to preoperative results was observed in over 66.6% of patients.

CONCLUSIONS

The smell improvement in patients with rhinosinusitis with polyps after endoscopic surgery occurs later than the nasal patency improvement what may be attributed to the process of healing and functional normalization of the nasal mucosa. On average after a year in some patients first clinical symptoms of recurrent disease emerges. Taking in to the consideration chronic and complex nature of the disease it seems reasonable to assess nasal resistance and smell during longer follow up period.

Authors+Show Affiliations

Klinika Otolaryngologii Uniwersytetu Medycznego w Białymstoku. mrkud@op.plNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

pol

PubMed ID

20491336

Citation

Rózańska-Kudelska, Małgorzata, et al. "[Assessment of Olfactory Disturbances in the Patients With Rhinosinusitis and Polypi Nasi Treated By Endoscopic Sinus Surgery]." Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego, vol. 28, no. 166, 2010, pp. 273-6.
Rózańska-Kudelska M, Sieśkiewicz A, Rogowski M, et al. [Assessment of olfactory disturbances in the patients with rhinosinusitis and polypi nasi treated by endoscopic sinus surgery]. Pol Merkur Lekarski. 2010;28(166):273-6.
Rózańska-Kudelska, M., Sieśkiewicz, A., Rogowski, M., & Godlewska-Zoładkowska, K. (2010). [Assessment of olfactory disturbances in the patients with rhinosinusitis and polypi nasi treated by endoscopic sinus surgery]. Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego, 28(166), 273-6.
Rózańska-Kudelska M, et al. [Assessment of Olfactory Disturbances in the Patients With Rhinosinusitis and Polypi Nasi Treated By Endoscopic Sinus Surgery]. Pol Merkur Lekarski. 2010;28(166):273-6. PubMed PMID: 20491336.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Assessment of olfactory disturbances in the patients with rhinosinusitis and polypi nasi treated by endoscopic sinus surgery]. AU - Rózańska-Kudelska,Małgorzata, AU - Sieśkiewicz,Andrzej, AU - Rogowski,Marek, AU - Godlewska-Zoładkowska,Katarzyna, PY - 2010/5/25/entrez PY - 2010/5/25/pubmed PY - 2010/7/3/medline SP - 273 EP - 6 JF - Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego JO - Pol. Merkur. Lekarski VL - 28 IS - 166 N2 - UNLABELLED: One of the most common symptoms of chronic rhinosinusitis with polyps is smell deterioration. Polypectomy and mechanical restoration of patency of the nose not always and not to the same degree leads to the sense of smell improvement. THE AIM OF STUDY was to assess the sense of smell and nasal patency in patients with chronic rhinosinusitis with polyps treated endoscopically during the healing period and the process of functional normalization of the nasal mucosa. MATERIAL AND METHODS: 30 patients suffering from chronic rhinosinusitis with polyps treated endoscopically were included in the study. Nasal resistance (anterior rhinomanometry), smell (smell threshold and identification tests) and rhinoscopic findings were assessed and analyzed 1, 3, 6 and 12 months postoperatively. RESULTS: The most conspicuous decrease of mean nasal resistance was observed in the first control examination (1 month postoperatively) and then further slight improvement continued until sixth postoperative month. Restoration of the patency of the nose yielded only inconsiderable improvement of smell in first postoperative month. Significant improvement of smell could be detected as late as in third and sixth month after the operation. In the twelfth postoperative month slight deterioration of the mean results of smell and nasal patency tests was noted. At the same time control endoscopic examination revealed recurrent polyposis in 26.6% of patients whereas the improvement in mean smell test result in comparison to preoperative results was observed in over 66.6% of patients. CONCLUSIONS: The smell improvement in patients with rhinosinusitis with polyps after endoscopic surgery occurs later than the nasal patency improvement what may be attributed to the process of healing and functional normalization of the nasal mucosa. On average after a year in some patients first clinical symptoms of recurrent disease emerges. Taking in to the consideration chronic and complex nature of the disease it seems reasonable to assess nasal resistance and smell during longer follow up period. SN - 1426-9686 UR - https://www.unboundmedicine.com/medline/citation/20491336/[Assessment_of_olfactory_disturbances_in_the_patients_with_rhinosinusitis_and_polypi_nasi_treated_by_endoscopic_sinus_surgery]_ L2 - https://medlineplus.gov/tasteandsmelldisorders.html DB - PRIME DP - Unbound Medicine ER -