Olfactory outcomes after endoscopic skull base surgery: A systematic review and meta-analysis.
Olfaction
anterior skull base
chordoma
endoscopic skull base
expanded endonasal approach
meta-analysis
pituitary
smell
systematic review
trans sphenoid
transclival
transcribriform
transnasal
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
17
01
2019
revised:
20
03
2019
accepted:
28
03
2019
pubmed:
30
4
2019
medline:
24
10
2019
entrez:
30
4
2019
Statut:
ppublish
Résumé
Determine the effect of endoscopic skull base surgery (ESBS) on long-term olfactory outcomes after surgery. An English-language search was conducted using the Cochrane, MEDLINE, Scopus, and Embase databases from January 2000 to October 2017 for adult patients undergoing ESBS with subjective and objective olfaction outcomes. Two authors independently examined articles to identify those meeting inclusion criteria. Studies examining objective olfactory outcomes after ESBS were included in the meta-analysis. A random-effects meta-analysis of patients undergoing sellar and parasellar ESBS was conducted to compare preoperative and postoperative olfactory outcomes using the University of Pennsylvania Smell Identification Test (UPSIT) and Cross-Cultural Smell Identification Test (CCSIT). Among 339 eligible articles, 29 articles met inclusion criteria. Twenty-five of these focused on sellar and parasellar tumors. Individual articles not meeting criteria for meta-analysis were qualitatively reported. Meta-analysis showed there was no difference in preoperative and postoperative olfactory function after sellar and parasellar ESBS based on the UPSIT (five studies, mean difference [MD] = -1.03; 95% CI: -3.98, 1.93; P = .50) and the CCIST (three studies, MD = -0.77; 95% CI: -3.03, 1.49; P = .50). A pooled overall meta-analysis revealed similar results (eight studies, effect size = -0.30; 95% CI: -0.79, 0.18; P = .22). However, heterogeneity for all meta-analyses was high (I Based on published objective olfaction outcomes after sellar and parasellar ESBS, there was no significant difference between preoperative and postoperative olfaction. Further prospective studies using validated objective measures of olfaction are required to improve our understanding on this subject. 2a Laryngoscope, 129:1998-2007, 2019.
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1998-2007Informations de copyright
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
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