Briner H R, Simmen D, Jones N
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Zurich, Switzerland.
Clin Otolaryngol Allied Sci. 2003 Oct;28(5):417-9. doi: 10.1046/j.1365-2273.2003.00735.x.
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.
本研究的目的是确定鼻腔和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，所有已列入鼻腔和鼻窦手术名单的患者都接受了术前和术后嗅觉评估。使用问卷调查和“嗅觉测试盘测试”来评估嗅觉。共研究了184名患者。术前，19名患者（10.3%）嗅觉受损（鼻中隔成形术前为8.1%，鼻成形术前为6.1%，鼻内镜鼻窦手术前为17.1%）。这些患者中只有16名（84%）意识到自己嗅觉受损。术后，4名术前嗅觉正常的患者在询问时出现嗅觉受损，测试结果也证实了这一点。在接受鼻中隔成形术的亚组中，没有患者出现嗅觉减退，而鼻成形术后有1名患者（2.6%）出现嗅觉减退，鼻内镜鼻窦手术后有1名患者（3%）出现嗅觉减退。没有患者出现嗅觉丧失。术前，10.3%的患者嗅觉发生改变，因此有必要记录这一点，以避免术后有人声称这是手术造成的。这也有助于对手术结果进行审核。
