Chronic rhinosinusitis and endoscopic sinus surgery

Olfactory dysfunction is a major symptom reported by patients with chronic rhinosinusitis (CRS). Surgical treatment of this disease requires close surveillance of such dysfunction because of wide ranging implications for safety, quality of life, and impact on the flavor of foods and beverages. This...

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Autores principales: Opeyemi O. Daramola, Rakesh K. Chandra
Formato: article
Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2018
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Acceso en línea:https://doaj.org/article/404faf29ba6147d28da908ee849c544f
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spelling oai:doaj.org-article:404faf29ba6147d28da908ee849c544f2021-12-02T13:39:14ZChronic rhinosinusitis and endoscopic sinus surgery2095-881110.1016/j.wjorl.2018.03.005https://doaj.org/article/404faf29ba6147d28da908ee849c544f2018-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881118300271https://doaj.org/toc/2095-8811Olfactory dysfunction is a major symptom reported by patients with chronic rhinosinusitis (CRS). Surgical treatment of this disease requires close surveillance of such dysfunction because of wide ranging implications for safety, quality of life, and impact on the flavor of foods and beverages. This review highlights key findings regarding the influences of endoscopic sinus surgery (ESS) on olfactory function across the unique presentations of CRS. Such findings provide information useful for informing patients of potential complications and for obtaining informed consent prior to surgical intervention. ESS has been shown to improve olfaction across all types of CRS as assessed through quantitative testing and subjective reports. The presence of nasal polyposis (NP) and eosinophilia have been identified as predictors of significant postoperative olfactory improvement. When indicated, judicious partial resection of the middle turbinate may result in improved olfactory function without a risk of long term complication. Careful attention to the olfactory cleft and frontal sinus recess are important in limiting olfactory complications by avoiding indiscriminate disruption of olfactory epithelium. Given the chronic nature of the disease, surveillance of olfactory function in patients with CRS is a lifelong activity that will evolve as emerging technologies become available. Keywords: Hyposmia, Smell, Rhinosinusitis, Nasal polyposis, Olfaction, Sinus surgeryOpeyemi O. DaramolaRakesh K. ChandraKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 4, Iss 1, Pp 29-32 (2018)
institution DOAJ
collection DOAJ
language EN
topic Otorhinolaryngology
RF1-547
Surgery
RD1-811
spellingShingle Otorhinolaryngology
RF1-547
Surgery
RD1-811
Opeyemi O. Daramola
Rakesh K. Chandra
Chronic rhinosinusitis and endoscopic sinus surgery
description Olfactory dysfunction is a major symptom reported by patients with chronic rhinosinusitis (CRS). Surgical treatment of this disease requires close surveillance of such dysfunction because of wide ranging implications for safety, quality of life, and impact on the flavor of foods and beverages. This review highlights key findings regarding the influences of endoscopic sinus surgery (ESS) on olfactory function across the unique presentations of CRS. Such findings provide information useful for informing patients of potential complications and for obtaining informed consent prior to surgical intervention. ESS has been shown to improve olfaction across all types of CRS as assessed through quantitative testing and subjective reports. The presence of nasal polyposis (NP) and eosinophilia have been identified as predictors of significant postoperative olfactory improvement. When indicated, judicious partial resection of the middle turbinate may result in improved olfactory function without a risk of long term complication. Careful attention to the olfactory cleft and frontal sinus recess are important in limiting olfactory complications by avoiding indiscriminate disruption of olfactory epithelium. Given the chronic nature of the disease, surveillance of olfactory function in patients with CRS is a lifelong activity that will evolve as emerging technologies become available. Keywords: Hyposmia, Smell, Rhinosinusitis, Nasal polyposis, Olfaction, Sinus surgery
format article
author Opeyemi O. Daramola
Rakesh K. Chandra
author_facet Opeyemi O. Daramola
Rakesh K. Chandra
author_sort Opeyemi O. Daramola
title Chronic rhinosinusitis and endoscopic sinus surgery
title_short Chronic rhinosinusitis and endoscopic sinus surgery
title_full Chronic rhinosinusitis and endoscopic sinus surgery
title_fullStr Chronic rhinosinusitis and endoscopic sinus surgery
title_full_unstemmed Chronic rhinosinusitis and endoscopic sinus surgery
title_sort chronic rhinosinusitis and endoscopic sinus surgery
publisher KeAi Communications Co., Ltd.
publishDate 2018
url https://doaj.org/article/404faf29ba6147d28da908ee849c544f
work_keys_str_mv AT opeyemiodaramola chronicrhinosinusitisandendoscopicsinussurgery
AT rakeshkchandra chronicrhinosinusitisandendoscopicsinussurgery
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