Long Term Olfactory Outcomes Following Frontal Sinus Surgery in Chronic Rhinosinusitis.
Chronic rhinosinusitis
Draf 3
Draf III
brief smell inventory test
endoscopic sinus surgery
frontal sinusotomy
modified Lothrop procedure
olfaction
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
08
02
2021
received:
27
10
2020
accepted:
25
02
2021
pubmed:
23
3
2021
medline:
2
10
2021
entrez:
22
3
2021
Statut:
ppublish
Résumé
No studies have evaluated the impact of the types of frontal sinus surgery (FSS) on objective olfaction scores. This study evaluated olfactory function and quality of life (QOL) in chronic rhinosinusitis (CRS) patients before and after total ethmoidectomy with frontal sinusotomy (FS). Prospective cohort study. A prospective study of adult CRS patients undergoing FSS (Draf 2 or Draf 3 procedures) was conducted at a tertiary care center. Primary outcomes included brief smell identification test (BSIT) and sinonasal outcome test-22 (SNOT-22), which were assessed during preoperative evaluation, 6 to 9 weeks postoperatively, and 12 to 24 weeks postoperatively. Normosmia was defined as BSIT ≥9. Statistical significance was determined using the Wilcoxon signed-rank test with α = .05. Thirty-eight patients followed up 12 to 24 weeks after FSS. The differences between baseline and long-term outcomes for BSIT (6.11 vs. 8.24, P = .00034) and SNOT-22 (55.49 vs. 24.32, P < .00001) scores were found to be statistically significant. Although both subgroups had clinically significant olfactory improvements, only the Draf 2 cohort experienced a statistically significant improvement in olfaction at long-term follow-up. There was no statistically significant change in data from 6 to 9 weeks to 12 to 24 weeks postoperatively. Patients undergoing total ethmoidectomy with FS demonstrated statistically significant increases in olfaction and QOL at long-term postoperative follow-up. This study demonstrated that FS does not negatively impact the olfactory improvement seen in sinus surgery. The lack of statistically significant changes in these olfactory metrics from short to long-term follow-up suggests that there is no additional negative effect of FSS in the long term. 3 Laryngoscope, 131:2173-2178, 2021.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2173-2178Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
Références
Lam K, Schleimer R, Kern RC. The etiology and pathogenesis of chronic rhinosinusitis: a review of current hypotheses. Curr Allergy Asthma Rep 2015;15:41.
Collins JG. Prevalence of selected chronic conditions: United States, 1990-1992. Vital Health Stat 1997;10:1-89.
Hastan D, Fokkens WJ, Bachert C, et al. Chronic rhinosinusitis in Europe-an underestimated disease. A GA(2)LEN study. Allergy 2011;66:1216-1223.
Fu QL, Ma JX, Ou CQ, et al. Influence of self-reported chronic rhinosinusitis on health-related quality of life: a population-based survey. PLoS One 2015;10:e0126881.
Goncalves S, Goldstein BJ. Pathophysiology of olfactory disorders and potential treatment strategies. Curr Otorhinolaryngol Rep 2016;4:115-121.
Doty RL, Mishra A. Olfaction and its alteration by nasal obstruction, rhinitis, and rhinosinusitis. Laryngoscope 2001;111:409-423.
Doty RL, Shaman P, Applebaum SL, Giberson R, Siksorski L, Rosenberg L. Smell identification ability: changes with age. Science 1984;226:1441-1443.
Frye RE, Schwartz BS, Doty RL. Dose-related effects of cigarette smoking on olfactory function. JAMA 1990;263:1233-1236.
Apter AJ, Gent JF, Frank ME. Fluctuating olfactory sensitivity and distorted odor perception in allergic rhinitis. Arch Otolaryngol Head Neck Surg 1999;125:1005-1010.
Damm M, Eckel HE, Jungehulsing M, Hummel T. Olfactory changes at threshold and suprathreshold levels following septoplasty with partial inferior turbinectomy. Ann Otol Rhinol Laryngol 2003;112:91-97.
Banglawala SM, Oyer SL, Lohia S, Psaltis AJ, Soler ZM, Schlosser RJ. Olfactory outcomes in chronic rhinosinusitis with nasal polyposis after medical treatments: a systematic review and meta-analysis. Int Forum Allergy Rhinol 2014;4:986-994.
Haxel BR. Recovery of olfaction after sinus surgery for chronic rhinosinusitis: a review. Laryngoscope 2019;129:1053-1059.
Smith TL, Kern RC, Palmer JN, et al. Medical therapy vs surgery for chronic rhinosinusitis: a prospective, multi-institutional study. Int Forum Allergy Rhinol 2011;1:235-241.
Smith KA, Smith TL, Mace JC, Rudmik L. Endoscopic sinus surgery compared to continued medical therapy for patients with refractory chronic rhinosinusitis. Int Forum Allergy Rhinol. 2014;4:823-827.
Kohli P, Naik AN, Farhood Z, et al. Olfactory outcomes after endoscopic sinus surgery for chronic rhinosinusitis: a meta-analysis. Otolaryngol Head Neck Surg 2016;155:936-948.
Soler ZM, Hwang PH, Mace J, Smith TL. Outcomes after middle turbinate resection: revisiting a controversial topic. Laryngoscope 2010;120:832-837.
Wong EH, Do TQ, Harvey RJ, Orgain CA, Sacks R, Kalish L. Patient-reported olfaction improves following outside-in Draf III frontal sinus surgery for chronic rhinosinusitis. Laryngoscope 2019;129:25-30.
Yip JM, Seiberlin KA, Wormald PJ. Patient-reported olfactory function following endoscopic sinus surgery with modified endoscopic Lothrop procedure/Draf 3. Rhinology 2011;49:217-220.
Naidoo Y, Bassiouni A, Keen M, Wormald PJ. Long-term outcomes for the endoscopic modified Lothrop/Draf III procedure: a 10-year review. Laryngoscope 2014;124:43-49.
Nayak DR, Pai K, Nair S, Ramaswamy B, Sabhahit H. A short term subjective and objective analysis of modified endoscopic Lothrop's procedure and its functional outcome: our experience. Indian J Otolaryngol Head Neck Surg 2016;68:481-486.
Draf W. Endonasal frontal sinus drainage type I-III according to Draf. In: Kountakis SE, Senior BA, Draf W, eds. The Frontal Sinus. Berlin, Heidelberg: Springer Berlin Heidelberg; 2005:219-232.
Doty RL, Marcus A, Lee WW. Development of the 12-item cross-cultural smell identification test (CC-SIT). Laryngoscope 1996;106:353-356.
El Rassi E, Mace JC, Steele TO, et al. Sensitivity analysis and diagnostic accuracy of the brief smell identification test in patients with chronic rhinosinusitis. Int Forum Allergy Rhinol 2016;6:287-292.
Levy JM, Mace JC, Bodner TE, Alt JA, Smith TL. Defining the minimal clinically important difference for olfactory outcomes in the surgical treatment of chronic rhinosinusitis. Int Forum Allergy Rhinol 2017;7:821-826.
Singla G, Singh M, Singh A, Kaur I, Harsh K, Jasmeen K. Is sino-nasal outcome test-22 reliable for guiding chronic rhinosinusitis patients for endoscopic sinus surgery? Niger J Clin Pract 2018;21:1228-1233.
Soler ZM, Jones R, Le P, et al. Sino-nasal outcome test-22 outcomes after sinus surgery: a systematic review and meta-analysis. Laryngoscope 2018;128:581-592.
Phillips KM, Hoehle LP, Caradonna DS, Gray ST, Sedaghat AR. Minimal clinically important difference for the 22-item Sinonasal outcome test in medically managed patients with chronic rhinosinusitis. Clin Otolaryngol 2018;43:1328-1334.
Chowdhury NI, Mace JC, Bodner TE, et al. Investigating the minimal clinically important difference for SNOT-22 symptom domains in surgically managed chronic rhinosinusitis. Int Forum Allergy Rhinol 2017;7:1149-1155.
Kidwai SM, Parasher AK, Khan MN, et al. Improved delivery of sinus irrigations after middle turbinate resection during endoscopic sinus surgery. Int Forum Allergy Rhinol 2017;7:338-342.
Jafari A, et al. Short-term morbidity after the endoscopic modified Lothrop (Draf-III) procedure compared with Draf-IIa. Am J Rhinol Allergy 2017;31:265-270.
Purves D, Augustine GJ, Fitzpatrick D, et al., eds. Neuroscience. 2nd ed.: Sunderland, MA; Sinauer Associates, Inc.; 2001.
Litvack JR, Mace J, Smith TL. Does olfactory function improve after endoscopic sinus surgery? Otolaryngol Head Neck Surg 2009;140:312-319.
Jiang RS, Lu FJ, Liang KL, et al. Olfactory function in patients with chronic rhinosinusitis before and after functional endoscopic sinus surgery. Am J Rhinol 2008;22:445-448.