Analysis of Olfaction after Bilateral Nasoseptal Rescue Flap Transsphenoidal Approach with Olfactory Mucosal Preservation
| Autor: | Huy T. Duong, Kian Karimi, Aaron Cutler, Daniel F. Kelly, Garni Barkhoudarian, Olivia Doyle, Ricardo L. Carrau, Chester Griffiths |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Sphenoid Sinus Anosmia Olfaction Pituitary neoplasm Surgical Flaps Transsphenoidal approach Olfaction Disorders Young Adult Postoperative Complications Hyposmia Nasal septum Humans Medicine Pituitary Neoplasms Aged Nasal Septum Retrospective Studies Aged 80 and over Cerebrospinal fluid leak medicine.diagnostic_test business.industry Incidence Endoscopy Middle Aged Plastic Surgery Procedures medicine.disease Surgery Smell Nasal Mucosa medicine.anatomical_structure Otorhinolaryngology Female medicine.symptom business |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 161:881-889 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1177/0194599819861340 |
| Popis: | To ascertain the impact of septal olfactory strip preservation and bilateral rescue flap elevation on the incidence of olfactory dysfunction.Case series with chart review of patients undergoing endoscopic endonasal skull base surgery (2012-2014).Providence Saint John's Health Center and John Wayne Cancer Institute.The incidences of postoperative epistaxis, hyposmia, and anosmia were analyzed using the Brief Smell Identification Test (B-SIT), which was completed in 110 of the 165 patients.Seventy-eight patients required extended approaches. Bilateral nasoseptal rescue flaps were elevated in 144 patients (87.3%) and pedicled nasoseptal or middle turbinate flaps in 21 patients (12.7%). The neurovascular pedicles were preserved in all patients, and there were no episodes of postoperative arterial epistaxis. Normal olfaction was noted in 95 patients (86%), with new hyposmia noted in 5 patients (5.5%). Within the rescue flap cohort, new hyposmia occurred in 6.3% (Superior olfactory strip preservation during elevation of reconstructive flaps preserves olfactory function and maintains adequate surgical exposure. In addition, rescue flaps have significantly diminished the rate of arterial postoperative epistaxis while maintaining the ability to harvest nasoseptal flaps for future reconstruction. |
| Databáze: | OpenAIRE |
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