Sakalli Cemal, Cayonu Melih, Tuna Evrim Unsal
Department of Otorhinolaryngology, Near East University Training and Research Hospital, Cyprus.
Department of Otorhinolaryngology, Ankara Numune Training and Research Hospital, Ankara.
J Craniofac Surg. 2019 Nov-Dec;30(8):2483-2485. doi: 10.1097/SCS.0000000000005870.
The authors aimed to determine the changes in the odor threshold and sinonasal outcome test-22 scores of the patients after septoplasty surgery in terms of nasal septum deviation classifications.
Forty-nine patients with nasal septum deviation, aged between 17 and 65, were included in our study. The sinonasal outcome test-22 scores questionnaire and the N-Butanol Threshold test were administered to the patients, 2 days before and 2 months after the septoplasty.
The authors' study had 4 major findings: Odor threshold scores improved after septoplasty operation both for the narrower and the wider side of the nasal airway passage. The Vidigal classification for nasal septum deviation was best for predicting the changes for odor threshold scores after septoplasty operation. The nasal septum deviation in which the nasal septum was pushing the inferior turbinate to lateral nasal wall caused the most smell dysfunction according to the Vidigal classification. Unilateral vertical crest affecting the nasal valv area or the posterior part of the septum had the most negative effect on olfactory functions according to the Mladina classification.
Septoplasty operation leads to improvement in odor threshold scores, and the Vidigal nasal septum deviation classification was best in predicting postoperative odor threshold changes.
作者旨在根据鼻中隔偏曲分类确定鼻中隔成形术后患者的气味阈值和鼻窦结局测试-22评分的变化。
49例年龄在17至65岁之间的鼻中隔偏曲患者纳入本研究。在鼻中隔成形术前2天和术后2个月对患者进行鼻窦结局测试-22评分问卷和正丁醇阈值测试。
作者的研究有4个主要发现：鼻中隔成形术后，鼻气道较窄侧和较宽侧的气味阈值评分均有所改善。鼻中隔偏曲的维迪加尔分类最能预测鼻中隔成形术后气味阈值评分的变化。根据维迪加尔分类，鼻中隔将下鼻甲推向鼻外侧壁的鼻中隔偏曲导致的嗅觉功能障碍最严重。根据姆拉迪纳分类，影响鼻瓣区或鼻中隔后部的单侧垂直嵴对嗅觉功能的负面影响最大。
鼻中隔成形术可提高气味阈值评分，维迪加尔鼻中隔偏曲分类在预测术后气味阈值变化方面最佳。
