Is nasal airflow disrupted after endoscopic skull base surgery? A short review.
Computational fluid dynamics
Endoscopic surgery
Nasal airflow
Olfaction
Skull base
Transsphenoidal approach
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
18
04
2022
accepted:
14
09
2022
revised:
05
08
2022
pubmed:
28
9
2022
medline:
18
11
2022
entrez:
27
9
2022
Statut:
ppublish
Résumé
Even the most delicate endonasal surgery for skull base lesion causes changes in the nasal cavity, some of them permanent. Morphological changes in the nasal cavity and their consequences (changes in nasal airflow) are often studied by advanced numerical analysis called computational fluid dynamics. This review summarizes current knowledge of endoscopic transsphenoidal skull base surgery effects on nasal airflow. Several studies have shown that endoscopic skull base surgery changes nasal anatomy to the extent that nasal airflow changes significantly postoperatively. Removing any intranasal structure increases the cross-sectional area of the respective nasal meatus, leading to increased nasal airflow in this area while airflow in the narrower periphery decreases. Middle turbinate resection increases airflow in the middle meatus and reduces airflow in the superior and inferior meatus. Small posterior septectomy does not cause a significant change in nasal airflow. Nasal septum deviation is an important factor in airflow changes. Current studies describe nasal changes after rather extensive procedures (e.g., middle turbinectomy, ethmoidectomy) that are unnecessary in routine pituitary adenoma surgery. No studies have compared changes using pre- and postoperative scans of the same patients after actual surgery.
Identifiants
pubmed: 36166111
doi: 10.1007/s10143-022-01865-6
pii: 10.1007/s10143-022-01865-6
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3641-3646Subventions
Organisme : Ministry of defense, Czech rep.
ID : MO 1012
Organisme : Univerzita Karlova v Praze
ID : Neuroscience CU
Organisme : České Vysoké Učení Technické v Praze
ID : SGS22/099/OHK2/2T/12
Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Bhenswala PN, Schlosser RJ, Nguyen SA, Munawar S, Rowan NR (2019) Sinonasal quality-of-life outcomes after endoscopic endonasal skull base surgery. Int Forum Allergy Rhinol 9:1105–1118. https://doi.org/10.1002/ALR.22398
doi: 10.1002/ALR.22398
pubmed: 31356005
Dolci RLL, de Carvalho ACM, Rickli JCK, de Souza JL, Encinas WE, Dolci JEL, Dos Santos ARL, Lazarini PR (2020) Relationship between the bilateral removal of the middle nasal turbinate and the olfactory function in endoscopic skull base surgery. World Neurosurg 142:e337–e343. https://doi.org/10.1016/j.wneu.2020.06.240
doi: 10.1016/j.wneu.2020.06.240
pubmed: 32653515
Frank-Ito DO, Sajisevi M, Solares CA, Jang DW (2015) Modeling alterations in sinonasal physiology after skull base surgery. Am J Rhinol Allergy 29:145–150. https://doi.org/10.2500/ajra.2015.29.4150
doi: 10.2500/ajra.2015.29.4150
pubmed: 25785757
Garzaro M, Pecorari G, Riva G, Pennacchietti V, Pacca P, Raimondo L, Tron E, Ducati A, Zenga F (2019) Nasal functions in three-dimensional endoscopic skull base surgery. Ann Otol Rhinol Laryngol 128:208–214. https://doi.org/10.1177/0003489418816723
doi: 10.1177/0003489418816723
pubmed: 30525922
Kim DH, Lee MH, Lee J, Kim SW (2020) Effect of endoscopic endonasal skull base surgery on snoring. Laryngoscope Investig Otolaryngol 5:344–347. https://doi.org/10.1002/LIO2.335
doi: 10.1002/LIO2.335
pubmed: 32596475
pmcid: 7314477
Kumar H, Jain R (2019) Review: the role of computational simulation in understanding the postoperative sinonasal environment. Clin Biomech (Bristol, Avon) 66:2–10. https://doi.org/10.1016/J.CLINBIOMECH.2018.02.001
doi: 10.1016/J.CLINBIOMECH.2018.02.001
Lee C-C, Huang C-C, Lee T-J, Wang Y-C, Liu Y-T, Chang T-W, Huang AP-H, Chuang CC (2022) Olfaction after endoscopic surgery for sellar and parasellar disease: an updated systematic review and meta-analysis. Rhinol J. https://doi.org/10.4193/RHIN21.348
doi: 10.4193/RHIN21.348
Li C, Maza G, Farag AA, Krebs JP, Deshpande B, Otto BA, Zhao K (2019) Asymptomatic vs symptomatic septal perforations: a computational fluid dynamics examination. Int Forum Allergy Rhinol 9:883–890. https://doi.org/10.1002/ALR.22337
doi: 10.1002/ALR.22337
pubmed: 31141844
pmcid: 6750740
Li P, Luo K, Zhang Q, Wang Z (2020) Superior turbinate management and olfactory outcome after endoscopic endonasal transsphenoidal surgery for pituitary adenoma: a propensity score-matched cohort study. Int Forum Allergy Rhinol. https://doi.org/10.1002/ALR.22694
doi: 10.1002/ALR.22694
pubmed: 33283449
pmcid: 7756434
Linsler S, Prokein B, Hendrix P, Oertel J (2018) Sinonasal outcome after endoscopic mononostril transsphenoidal surgery: a single center cohort study. J Clin Neurosci Off J Neurosurg Soc Australas 53:92–99. https://doi.org/10.1016/j.jocn.2018.04.011
doi: 10.1016/j.jocn.2018.04.011
Lou M, Zhang L, Wang S, Ma R, Gong M, Hu Z, Zhang J, Shang Y, Tong Z, Zheng G, Zhang Y (2021) Evaluation of nasal function after endoscopic endonasal surgery for pituitary adenoma: a computational fluid dynamics study. Comput Methods Biomech Biomed Engin. https://doi.org/10.1080/10255842.2021.2016721/FORMAT/EPUB
doi: 10.1080/10255842.2021.2016721/FORMAT/EPUB
pubmed: 34913791
Majovsky M, Astl J, Kovar D, Masopust V, Benes V, Netuka D (2018) Olfactory function in patients after transsphenoidal surgery for pituitary adenomas-a short review. Neurosurg Rev. https://doi.org/10.1007/s10143-018-1034-1
doi: 10.1007/s10143-018-1034-1
pubmed: 30276575
Maza G, Li C, Krebs JP, Otto BA, Farag AA, Carrau RL, Zhao K (2019) Computational fluid dynamics after endoscopic endonasal skull base surgery-possible empty nose syndrome in the context of middle turbinate resection. Int Forum Allergy Rhinol 9:204–211. https://doi.org/10.1002/alr.22236
doi: 10.1002/alr.22236
pubmed: 30488577
Netuka D, Masopust V, Fundová P, Astl J, Školoudík D, Májovský M, Beneš V (2019) Olfactory results of endoscopic endonasal surgery for pituitary adenoma: a prospective study of 143 patients. World Neurosurg 129 https://doi.org/10.1016/j.wneu.2019.05.061
Nishijima H, Kondo K, Nomura T, Yamasoba T (2017) Ethmoidectomy combined with superior meatus enlargement increases olfactory airflow. Laryngoscope Investig Otolaryngol 2:136–146. https://doi.org/10.1002/LIO2.59
doi: 10.1002/LIO2.59
pubmed: 28894833
pmcid: 5562944
Nomura T, Ushio M, Kondo K, Kikuchi S (2018) Effects of nasal septum perforation repair on nasal airflow: an analysis using computational fluid dynamics on preoperative and postoperative three-dimensional models. Auris Nasus Larynx 45:1020–1026. https://doi.org/10.1016/J.ANL.2018.02.006
doi: 10.1016/J.ANL.2018.02.006
pubmed: 29548523
Novák V, Hrabálek L, Hoza J, Hučko C, Pohlodek D, Macura J (2021) Sinonasal quality of life in patients after an endoscopic endonasal surgery of a sellar tumour. Sci Rep 11:23351. https://doi.org/10.1038/s41598-021-02747-5
doi: 10.1038/s41598-021-02747-5
pubmed: 34857834
pmcid: 8640050
Otto BA, Li C, Farag AA, Bush B, Krebs JP, Hutcheson RD, Kim K, Deshpande B, Zhao K (2017) Computational fluid dynamics evaluation of posterior septectomy as a viable treatment option for large septal perforations. Int Forum Allergy Rhinol 7:718–725. https://doi.org/10.1002/ALR.21951
doi: 10.1002/ALR.21951
pubmed: 28544511
pmcid: 5654740
Tracy LF, Basu S, Shah PV, Frank-Ito DO, Das S, Zanation AM, Kimbell JS (2019) Impact of endoscopic craniofacial resection on simulated nasal airflow and heat transport. Int Forum Allergy Rhinol 9:900. https://doi.org/10.1002/ALR.22328
doi: 10.1002/ALR.22328
pubmed: 30861326
pmcid: 7397810
Zhu J, Feng K, Tang C, Yang J, Cai X, Zhong C, Ma C (2021) Olfactory outcomes after endonasal skull base surgery: a systematic review. Neurosurg Rev 44:1805–1814. https://doi.org/10.1007/S10143-020-01385-1
doi: 10.1007/S10143-020-01385-1
pubmed: 32914235