Elbistanli Mustafa Suphi, Koçak Hasan Emre, Çelik Mustafa, Acipayam Harun, Alakhras Wesam M E, Koç Arzu Karaman, Evren Cenk
Department of Otorhinolaryngology - Head and Neck Surgery, Bakirköy Dr Sadi Konuk Training and Research Hospital.
Department of Otorhinolaryngology - Head and Neck Surgery, Medilife Hospital, Istanbul, Turkey.
J Craniofac Surg. 2019 Mar/Apr;30(2):e106-e109. doi: 10.1097/SCS.0000000000004953.
This study was designed to explore the impact of medial osteotomy on olfactory function.
This nonrandomized, prospective study included 60 adult patients who underwent open technique septoplasty (group 1), rhinoplasty with only lateral osteotomy (group 2), and septorhinoplasty with medial and lateral osteotomies (group 3). Olfactory functions were evaluated by using the Connecticut Chemosensory Clinical Research Center (CCCRC) olfactory test. The CCCRC test includes the butanol threshold test and smell identification test using common smells. The butanol threshold test and smell identification test scores of each group were recorded preoperatively and at 1st and 4th months and compared.
Each group is consisted of 20 patients. The preoperative smell identification test and butanol threshold test scores were similar in each group. The smell identification test, butanol threshold test, and CCCRC olfactory test scores of the 1st month were statistically significantly low in group 3. There was no statistically significant difference between the groups at 4th month postoperatively.
The present study is the first analysis of the effect of medial osteotomy on olfactory function. Medial osteotomy may decrease the olfactory function in early time, but afterwards olfaction could recover at preoperative levels.
本研究旨在探讨内侧截骨术对嗅觉功能的影响。
本项非随机前瞻性研究纳入了60例成年患者，这些患者分别接受了开放式鼻中隔成形术（第1组）、仅行外侧截骨术的鼻整形术（第2组）以及行内侧和外侧截骨术的鼻综合整形术（第3组）。采用康涅狄格化学感觉临床研究中心（CCCRC）嗅觉测试评估嗅觉功能。CCCRC测试包括丁醇阈值测试和使用常见气味的嗅觉识别测试。记录每组患者术前、术后第1个月和第4个月的丁醇阈值测试和嗅觉识别测试分数，并进行比较。
每组由20例患者组成。每组术前嗅觉识别测试和丁醇阈值测试分数相似。第3组术后第1个月的嗅觉识别测试、丁醇阈值测试和CCCRC嗅觉测试分数在统计学上显著较低。术后第4个月时，各组之间无统计学显著差异。
本研究是对内侧截骨术对嗅觉功能影响的首次分析。内侧截骨术可能在早期降低嗅觉功能，但之后嗅觉可恢复到术前水平。
