Savvateeva D M, Chuchueva N D, Kochetkov P A, Lopatin A S
Vestn Otorinolaringol. 2011(5):22-5.
The authors compared the frequency of subjective complains of hyposmia and results of objective study (olfactometry) in the patients with the curved nasal septum. In addition, the influence of septoplastic surgery on the olfactory function in such patients was estimated. The study included 40 patients aged from 18 to 59 years who examined by olfactometry with the use of the Sniffing sticks test. Subjective evaluation of the olfactory function was performed based on the 10-point visual analog scale. All the patients underwent septoplasty; olfactometry was repeated within 1 and 4 months after surgery. Sixty percent of the patients interviewed prior to the surgical treatment complained of compromised sense of smell. Olfactometry revealed this condition in 75% of the patients of whom 52.5% presented with hyposmia of the mixed type. Significant improvement of all parameters of the olfactory function was documented within 1 month after the surgical treatment. The results of estimation of certain parameters (differentiation, identification, overall olfactory index) suggest further recovery of the olfactory function during the next 4 months. It is concluded that normalization of the nasal breathing improves the function of the olfactory analyzer even though the complete recovery of the olfactory function is hardly possible in the patients presenting with the curved nasal septum prior to surgical treatment.
作者比较了鼻中隔弯曲患者嗅觉减退主观主诉的频率和客观研究（嗅觉测量）结果。此外，还评估了鼻中隔成形术对此类患者嗅觉功能的影响。该研究纳入了40名年龄在18至59岁之间的患者，他们使用嗅觉测试棒测试进行了嗅觉测量。基于10分视觉模拟量表对嗅觉功能进行主观评估。所有患者均接受了鼻中隔成形术；术后1个月和4个月内重复进行嗅觉测量。手术治疗前接受访谈的患者中有60%抱怨嗅觉受损。嗅觉测量显示75%的患者存在这种情况，其中52.5%为混合型嗅觉减退。手术治疗后1个月内记录到嗅觉功能的所有参数均有显著改善。某些参数（辨别力、识别力、总体嗅觉指数）的评估结果表明，在接下来的4个月内嗅觉功能会进一步恢复。得出的结论是，鼻呼吸的正常化改善了嗅觉分析仪的功能，尽管对于手术治疗前患有鼻中隔弯曲的患者来说，嗅觉功能几乎不可能完全恢复。
