Min Y G, Yun Y S, Song B H, Cho Y S, Lee K S
Department of Otolaryngology, Seoul National University College of Medicine, Korea.
ORL J Otorhinolaryngol Relat Spec. 1995 Sep-Oct;57(5):264-8. doi: 10.1159/000276755.
We assessed the changes in olfaction and mucociliary transport after functional endoscopic sinus surgery (FESS) in 80 patients with chronic paranasal sinusitis. Olfaction was evaluated with the butanol threshold test and mucociliary transport was assessed by saccharin transit time (STT). Postoperative butanol threshold scores were significantly reduced (p < 0.01), and the changes were more profound in severer forms of paranasal sinusitis as graded by ostiomeatal-unit computed tomography. The mean preoperative STT (27 min) which was significantly longer than that of controls (12 min) was significantly reduced 1, 6 and 12 months following FESS (p < 0.01). The results suggest that impairment of olfaction and mucociliary transport in chronic paranasal sinusitis may be significantly improved following FESS.
我们评估了80例慢性鼻窦炎患者在功能性鼻内镜鼻窦手术（FESS）后嗅觉和黏液纤毛运输的变化。通过丁醇阈值测试评估嗅觉，通过糖精转运时间（STT）评估黏液纤毛运输。术后丁醇阈值评分显著降低（p < 0.01），根据窦口鼻道复合体计算机断层扫描分级，在更严重的鼻窦炎形式中变化更为显著。术前平均STT（27分钟）显著长于对照组（12分钟），在FESS后1、6和12个月显著缩短（p < 0.01）。结果表明，慢性鼻窦炎患者的嗅觉和黏液纤毛运输障碍在FESS后可能得到显著改善。
