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- Title
Postoperative nasal symptoms associated with an endoscopic endonasal transsphenoidal approach.
- Authors
Kim, Boo-Young; Son, Hye; Kang, Seok-Gu; Kim, Sung; Hong, Yong; Jeun, Sin-Soo; Kim, Soo; Cho, Jin; Park, Yong
- Abstract
Recent studies have indicated the usefulness of endoscopic endonasal transsphenoidal approach (EETSA). A few studies have reported on the postoperative nasal symptoms of patients who have undergone EETSA. Therefore, we adopted a rhinologic perspective to compare preoperative and postoperative nasal symptoms after performing a binostril, four-hand EETSA. Patients who were scheduled to undergo binostril, four-hand EETSA underwent preoperative nasal evaluation using the Nasal Obstruction Symptom Evaluation (NOSE), Sino-Nasal Outcome Test-20 (SNOT-20), and a visual analogue scale (VAS) to assess several nasal symptoms. Repeat testing was performed 6 months postoperatively. Paired Student's t tests were used to compare preoperative and postoperative scores. A total of 142 patients who underwent a binostril, four-hand EETSA were included in this study. We found no statistically significant differences between preoperative and postoperative NOSE, total SNOT-20 scores, or scores on the VAS for nasal obstruction, sneezing, rhinorrhea, snoring, or facial pain. However, VAS of olfactory change increased significantly after EETSA ( p < 0.05). The binostril, four-hand EETSA would be a useful method because it permits operative manipulability and a wide visual field for skull base lesions. However, rhinologists must consider postoperative nasal symptoms and perform a proper preoperative examination, especially with regard to the olfactory function, and inform patients scheduled for EETSA of potential postoperative changes.
- Subjects
NASAL surgery; NASAL manifestations of general diseases; ENDOSCOPIC surgery; SKULL base; MOUTH breathing
- Publication
European Archives of Oto-Rhino-Laryngology, 2013, Vol 270, Issue 4, p1355
- ISSN
0937-4477
- Publication type
Article
- DOI
10.1007/s00405-012-2226-x