Schwartz Joseph S, Tajudeen Bobby A, Kennedy David W
Department of Otolaryngology-Head & Neck Surgery, McGill University, Montreal, QC, Canada.
Department of Otolaryngology-Head & Neck Surgery, Rush University, Chicago, IL, United States.
Handb Clin Neurol. 2019;164:285-302. doi: 10.1016/B978-0-444-63855-7.00018-6.
Despite garnering minimal attention from the medical community overall, olfaction is indisputably critical in the manner in which we as humans interact with our surrounding environment. As the initial anatomical structure in the olfactory pathway, the nasal airway plays a crucial role in the transmission and perception of olfactory stimuli. The goal of this chapter is to provide a comprehensive overview of olfactory disturbances as it pertains to the sinonasal airway. This comprises an in-depth discussion of clinically relevant nasal olfactory anatomy and physiology, classification systems of olfactory disturbance, as well as the various etiologies and pathophysiologic mechanisms giving rise to this important disease entity. A systematic clinical approach to the diagnosis and clinical workup of olfactory disturbances is also provided in addition to an extensive review of the medical and surgical therapeutic modalities currently available.
尽管总体上嗅觉在医学界受到的关注极少,但嗅觉在我们人类与周围环境互动的方式中无疑至关重要。作为嗅觉通路的初始解剖结构,鼻气道在嗅觉刺激的传递和感知中起着关键作用。本章的目的是全面概述与鼻旁窦气道相关的嗅觉障碍。这包括对临床上相关的鼻腔嗅觉解剖学和生理学、嗅觉障碍分类系统,以及导致这一重要疾病实体的各种病因和病理生理机制进行深入讨论。除了对目前可用的药物和手术治疗方式进行广泛综述外,还提供了一种用于嗅觉障碍诊断和临床检查的系统临床方法。