Haytoğlu Süheyl, Dengiz Ramazan, Muluk Nuray Bayar, Kuran Gökhan, Arikan Osman Kursat
ENT Clinic, Adana Numune Training and Research Hospital, Adana, Turkey.
Ear Nose Throat J. 2017 Oct-Nov;96(10-11):433-438. doi: 10.1177/0145561317096010-1123.
We conducted a prospective study of 116 patients-61 men and 55 women, aged 17 to 64 years (mean: 26.4)-to investigate the effects of septoplasty on olfactory function in patients with septal deviation (SD). The Mladina classification system was used to define SD types, and olfactory function was assessed with the Brief Smell Identification test (BSIT). The BSIT, which includes 12 odorants, was administered preoperatively and at postoperative months 1 and 3. The most common SD types were types 2 (20.7% of patients) and 1 (19.0%), followed by types 3 and 5 (both 16.4%). At postoperative month 1, the mean BSIT score was significantly higher in men than in the women. For patients with types 1 and 2 SD, BSIT scores at 1 month were significantly lower than the scores preoperatively and 3 months postoperatively. For types 3 and 4, BSIT values were significantly higher at 3 months than preoperatively or at 1 month. For type 3 SD, the preoperative mean score was significantly lower than those for types 1, 4, 5, 6, and 7; for type 2 SD, the BSIT score was significantly lower than those of types 5 and 6 only. At 1 month, the scores for types 2 and 3 were significantly lower than those for types 4, 5, 6, and 7. At 3 months, the BSIT score for type 2 was significantly lower than those of types 1, 3, 4, 5, and 6; the type 3 SD score at 3 months was significantly higher than those for types 1, 2, 5, 6, and 7. We conclude that septoplasty surgery for patients with a type 3 SD may improve olfactory function. In contrast, we found that olfactory function in patients with a type 2 SD did not improve to a satisfactory degree, even when good nasal patency was achieved with a corrected septum and an enlarged intranasal volume. Our findings should be investigated further in future studies.
我们对116例患者（61名男性和55名女性，年龄17至64岁，平均26.4岁）进行了一项前瞻性研究，以调查鼻中隔成形术对鼻中隔偏曲（SD）患者嗅觉功能的影响。采用姆拉迪纳分类系统定义SD类型，并用简易嗅觉识别测试（BSIT）评估嗅觉功能。BSIT包括12种气味剂，在术前以及术后1个月和3个月进行测试。最常见的SD类型是2型（占患者的20.7%）和1型（19.0%），其次是3型和5型（均为16.4%）。术后1个月，男性的平均BSIT评分显著高于女性。对于1型和2型SD患者，1个月时的BSIT评分显著低于术前和术后3个月的评分。对于3型和4型，3个月时的BSIT值显著高于术前或1个月时的值。对于3型SD，术前平均评分显著低于1型、4型、5型、6型和7型；对于2型SD，BSIT评分仅显著低于5型和6型。在1个月时，2型和3型的评分显著低于4型、5型、6型和7型。在3个月时，2型的BSIT评分显著低于1型、3型、4型、5型和6型；3型SD在3个月时的评分显著高于1型、2型、5型、6型和7型。我们得出结论，3型SD患者的鼻中隔成形术可能改善嗅觉功能。相比之下，我们发现，即使通过矫正鼻中隔和扩大鼻腔容积实现了良好的鼻腔通畅，2型SD患者的嗅觉功能仍未改善到令人满意的程度。我们的研究结果应在未来的研究中进一步探讨。
