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Type: Journal article
Title: Objective olfactory outcomes after revision endoscopic sinus surgery
Author: Hsu, C.
Wang, Y.
Shen, P.
Weitzel, E.
Lai, J.
Wormald, P.
Citation: American Journal of Rhinology and Allergy, 2013; 27(4):96-100
Publisher: Ocean Side Publications Inc
Issue Date: 2013
ISSN: 1945-8924
1945-8932
Statement of
Responsibility: 
Hsu, Chao-Yuan; Wang, Ying-Piao; Shen, Ping-Hung; Weitzel, Erik Kent; Lai, Jen-Tsung; Wormald, Peter-John
Abstract: <h4>Background</h4>Patients who suffer from hyposmia and anosmia report a negative effect on their overall quality of life. Smell disturbance of patients with chronic rhinosinusitis (CRS) can improve after endoscopic sinus surgery (ESS). Although several studies have shown that 50-83% of patients may notice an improvement in olfactory function after ESS, the olfactory improvement after revision ESS (RESS), especially by objective measurements, is still lacking.<h4>Methods</h4>Olfactory function was assessed by the traditional Chinese version of the University of Pennsylvania Smell Identification Test (UPSIT-TC) preoperatively and postoperatively, recorded as smell identification test (SIT) score. Olfactory outcomes from anosmia to hyposmia/normosmia, or from hyposmia to normosmia, were considered as "improvement." Postoperative assessments were divided into two periods: period 1 (P1) is defined as >6 but <12 months postoperatively; period 2 (P2) is defined as >12 but <24 months postoperatively.<h4>Results</h4>Thirty-two patients with smell disturbance preoperatively (period 0 [P0]) and confirmed by UPSIT-TC were enrolled into this study. Mean SIT score at P0 was 13.3; mean SIT score at P1 was 18.6; mean SIT score at P2 was 20.4. The presence of nasal polyps blocking the olfactory cleft were associated with better olfaction improvements (p < 0.05) as was the degree of mucosal swelling. The overall improvement rates were 44.8 and 47.8% at P1 and P2, respectively.<h4>Conclusion</h4>RESS resulted in objective evidence of olfactory improvement in approximately one-half of our cohort over 16 months of follow-up and offers a treatment option for an otherwise poor prognosis condition.
Keywords: Chronic rhinosinusitis
UPSIT
hyposmia
olfactory cleft
revision endoscopic sinus surgery
smell identification test
Rights: Copyright status unknown
DOI: 10.2500/ajra.2013.27.3939
Published version: http://dx.doi.org/10.2500/ajra.2013.27.3939
Appears in Collections:Aurora harvest
Surgery publications

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