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中鼻甲切除术及其对嗅觉的影响:基于宾夕法尼亚大学嗅觉识别测试(UPSIT)的研究

The Middle Turbinate Resection and Its Repercussion in Olfaction with the University of Pennsylvania Smell Identification Test (UPSIT).

作者信息

Mariano Fernando Cesar, Hamerschmidt Rogerio, Soares Caio Marcio Correa, Moreira Ana Tereza

机构信息

Surgery Department, Complexo Hospital de Clínicas da Universidade Federal do Paraná (CHC-UFPR), Curitiba, PR, Brazil.

Instituto Paranaense de Otorrinolaringologia (IPO), Curitiba, PR, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2018 Jul;22(3):280-283. doi: 10.1055/s-0037-1608679. Epub 2017 Dec 6.

DOI:10.1055/s-0037-1608679
PMID:29983769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6033601/
Abstract

Nasal obstruction is a common complaint, and, for some, the middle turbinate resection is still a controversial issue among the surgical options due to the possibility of deleterious effects on olfaction. The University of Pennsylvania smell identification test (UPSIT) is considered the gold standard of smell identification tests, but data about it is still incipient in Brazil.  To evaluate if the middle turbinectomy has any repercussion on the sense of olfaction by using the UPSIT as an assessment tool.  A prospective study performed between 2013 and 2015 with 27 patients who were treated with middle turbinectomy by the same surgeon and tested with the UPSIT pre- and post-surgery, with a minimum interval of 3 months.  Twenty-five patients completed the study. The mean age was 27.9 years. There was no statistical correlation between middle turbinectomy and the UPSIT score, or between gender and the UPSIT score.  There was no clinical repercussion on olfaction from partial middle turbinectomy.

摘要

鼻阻塞是一种常见的主诉,对于一些人来说,由于中鼻甲切除术可能对嗅觉产生有害影响,在手术选择中它仍然是一个有争议的问题。宾夕法尼亚大学嗅觉识别测试(UPSIT)被认为是嗅觉识别测试的金标准,但在巴西,关于它的数据仍然很少。

为了使用UPSIT作为评估工具来评估中鼻甲切除术对嗅觉是否有任何影响。

2013年至2015年间进行了一项前瞻性研究,对27例接受同一外科医生中鼻甲切除术的患者进行了术前和术后的UPSIT测试,最短间隔为3个月。

25例患者完成了研究。平均年龄为27.9岁。中鼻甲切除术与UPSIT评分之间,以及性别与UPSIT评分之间均无统计学相关性。

部分中鼻甲切除术对嗅觉没有临床影响。

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