[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 23, Issue 2 (Iranian South Medical Journal 2020) ::
Iran South Med J 2020, 23(2): 108-115 Back to browse issues page
Qualitaty of Olfaction in Patients with Nasal and Sinuses Polyposis before and after Endo-scopic Sinus Surgery in, Vali e Asr Hospital in 2017
Masoud Asghari 1, Mehdi Bakhshai2
1- Department of ENT, Vali e Asr Hospital, Birjand University of Medical Sciences, Birjand, Iran , masasghari58@gmail.com
2- Department of ENT, Qaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:   (269 Views)
Background: Olfaction plays an important role in human life and promotes quality of life through understanding various odors. Nasal polyps are among the common causes of olfactory impairment. There are many different treatment options for polyps most notably the diagnosis and elimination of underlying causes. Some polyps do not respond to medication therapy or they relapse, and therefore require surgery. The present study aimed to determine olfactory function in patients with sinus and nasal polyposis before and after endoscopy.
Materials and Methods: In this cross-sectional study, patients admitted to, Vali e Asr Hospital of Birjand in 2015 for endoscopic nasal polypectomy were included. Evaluation of olfactory quality was performed prior to and four weeks after the surgery. Olfactory function was evaluated by a semi-structured
questionnaire on the quality of olfactory, taste and appetite combined with the Quick Odor Detection test. Data was analyzed in SPSS 23 software using descriptive statistics of frequency, perentage, mean and standard deviation, and analytical statistics of McNemar’s and Wilcoxon tests. P value of <0.05 was considered significant.
Results: Thirty-six patients were enrolled. All patients underwent endoscopic polypectomy. Their mean age was 39.14±11.69 years. Most of them were male (n=21, 58.3%). History of nasal polyps, asthma, allergic rhinitis and aspirin sensitivity was positive in 27.8%, 11.1%, 47.2% and 27.8% of patients. Nasal polyps were unilateral in 58.3% of patients and bilateral in 41.7% of patients. There was a significant improvement in olfactory quality after surgery (p<0.001). The sense of smell was present in 75% or the patients before and in 100% of them after the surgery, and the difference was statistically significant (p=0.004).
Conclusion: Olfactory dysfunction in patients with polyps is remarkably prevalent. Overall, the results of this study show polypectomy significantly improved patients’ sense and quality of smell.
Keywords: Olfactory quality, sinus polyposis, nasal polyposis, endoscopic surgery
Full-Text [PDF 641 kb]   (48 Downloads)    
Type of Study: Original | Subject: Otolaryngology
Received: 2019/01/22 | Accepted: 2019/12/21 | Published: 2020/06/27
References
1. Neyen C, Lemaitre B. Different Flavors Of Toll Guide Olfaction. Trends Immunol 2015; 36(8): 439-41.
2. Oral E, Aydin M, Aydin N, et al. How Olfaction Disorders Can Cause Depression? The Role Of Habenular Degeneration. Neuroscience 2013; 240: 63-9.
3. Gregorio LL, Caparroz F, Nunes LM, et al. Olfaction Disorders: Retrospective Study. Braz J Otorhinolaryngol 2014; 80(1): 11-7.
4. Kim WS, Jang DP, Kim IY. The Current Status Of Evaluation Technologies For The Function Of Human Olfaction. Hanyang Med Rev 2014; 34(3): 120-4.
5. Fokkens WJ, Lund VJ, Mullol J, et al. European Position Paper On Rhinosinusitis And Nasal Polyps 2012. A Summary for Otorhinolaryngologists. Rhinology 2012; 50(1): 1-12.
6. Alobid I, Benitez P, Bernal-Sprekelsen M, et al. The Impact Of Asthma And Aspirin Sensitivity On Quality Of Life Of Patients With Nasal Polyposis. Qual Life Res 2005; 14(3): 789-93.
7. Radenne F, Lamblin C, Vandezande LM, et al. Quality Of Life In Nasal Polyposis. J Allergy Clin Immunol 1999; 104(1): 79-84.
8. Fokkens W, Lund V, Mullol J. Ep3os 2007: European Position Paper On Rhinosinusitis And Nasal Polyps 2007. A Summary For Otorhinolaryngologists. Rhinology 2007; 45(2): 97-101.
9. Landis BN, Giger R, Ricchetti A, et al. Retronasal Olfactory Function In Nasal Polyposis. Laryngoscope 2003; 113(11): 1993-7.
10. Ehnhage A, Olsson P, Kolbeck KG, et al. Functional Endoscopic Sinus Surgery Improved Asthma Symptoms As Well As Pefr And Olfaction In Patients With Nasal Polyposis. Allergy 2009; 64(5): 762-9.
11. Pade J, Hummel T. Olfactory Function Following Nasal Surgery. Laryngoscope 2008; 118(7): 1260-4.Pade J, Hummel T. Olfactory Function Following Nasal Surgery. Laryngoscope 2008; 118(7): 1260-4.
12. Olsson P, Stjarne P. Endoscopic Sinus Surgery Improves Olfaction In Nasal Polyposis, A Multi-Center Study. Rhinology 2010; 48(2): 150-5.
13. Hočevar-Boltežar I, Mumović G. Olfaction And Gustation Abilities After A Total Laryngectomy. Radiol Oncol 2014; 48(3): 301-6.
14. Van Dam FS, Hilgers FJ, Emsbroek G, et al. Deterioration Of Olfaction And Gustation As A Consequence Of Total Laryngectomy. Laryngoscope 1999; 109(7): 1150-5.
15. Moore-Gillon V. The Nose After Laryngectomy. J R Soc Med 1985; 78(6): 435-9.
16. Mozell MM, Hornung DE, Leopold DA, et al. Initial Mechanisms Basic To Olfactory Perception. Am J Otolaryng 1983; 4(4): 238-45.
17. Ritter FN. Fate Of Olfaction After Laryngectomy. Arch Otolaryngol 1964; 79(2): 77-9.
18. Moor JW, Rafferty A, Sood S. Can Laryngectomees Smell? Considerations Regarding Olfactory Rehabilitation Following Total Laryngectomy. J Laryngol Otol 2010; 124(4): 361-5.
19. Miani C, Ortolani F, Bracale AM, et al. Olfactory Mucosa Histological Findings In Laryngectomees. Eur Arch Otorhinolaryngol 2003; 260(10): 529-35.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Asghari M, Bakhshai M. Qualitaty of Olfaction in Patients with Nasal and Sinuses Polyposis before and after Endo-scopic Sinus Surgery in, Vali e Asr Hospital in 2017. Iran South Med J. 2020; 23 (2) :108-115
URL: http://ismj.bpums.ac.ir/article-1-1292-en.html


Volume 23, Issue 2 (Iranian South Medical Journal 2020) Back to browse issues page
دانشگاه علوم پزشکی بوشهر، طب جنوب ISMJ

Iranian South Medical Journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License which allows users to read,
copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly

Copyright © 2017, Iranian South Medical Journal| All Rights Reserved

Persian site map - English site map - Created in 0.05 seconds with 32 queries by YEKTAWEB 4215