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悬雍垂腭咽成形术后嗅觉丧失:两例报告并文献复习

Olfactory loss after uvulopalatopharyngoplasty: a report of two cases with review of the literature.

作者信息

Jiang Rong-San, Chang Yi-Hao

机构信息

Department of Otolaryngology, Taichung Veterans General Hospital, 1650 Taiwan Boulevard, Section 4, Taichung 40705, Taiwan ; School of Medicine, Chung Shan Medical University, Taichung, Taiwan ; Faculty of Medicine, National Yang-Ming Medical University, Taipei, Taiwan.

Department of Otolaryngology, Taichung Veterans General Hospital, 1650 Taiwan Boulevard, Section 4, Taichung 40705, Taiwan.

出版信息

Case Rep Otolaryngol. 2014;2014:546317. doi: 10.1155/2014/546317. Epub 2014 Dec 31.

Abstract

Uvulopalatopharyngoplasty (UPPP) has been a popular surgical method for treating obstructive sleep apnea syndrome since it was introduced in the early 1980s. Olfactory loss has been reported as a rare side effect in several cases. However, the olfactory test results and the prognosis were not mentioned in these cases. We present two patients who complained of loss of olfactory function after UPPP. Their olfactory function was evaluated by the phenyl ethyl alcohol odor detection threshold test and the University of Pennsylvania Smell Identification Test. After treatment with steroid and zinc salt, their olfactory function was improved but not recovered completely.

摘要

自20世纪80年代初引入以来,悬雍垂腭咽成形术(UPPP)一直是治疗阻塞性睡眠呼吸暂停综合征的常用外科手术方法。嗅觉丧失在少数病例中被报道为一种罕见的副作用。然而,这些病例中未提及嗅觉测试结果及预后情况。我们报告两例患者,他们在接受UPPP后出现嗅觉功能丧失。通过苯乙醇气味检测阈值测试和宾夕法尼亚大学嗅觉识别测试对其嗅觉功能进行评估。经类固醇和锌盐治疗后,他们的嗅觉功能有所改善,但未完全恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91d5/4294296/c27400a9aad6/CRIOT2014-546317.002.jpg

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