Assessment the long-term effects of septoplasty surgery on olfactory function

Kilicaslan, Adem; Acar, Gül Özbilen; Tekın, Muhammet; Özdamar, Özkan

doi:10.1080/00016489.2016.1183168

Cited by 15 publications

(22 citation statements)

References 14 publications

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“…Previous reports demonstrated similar results. 1,11,[13][14][15]46,53 Postoperatively, olfaction-associated QoL did not differ significantly between the three groups. Olfaction-related QoL was improved for both normosmic patients and those with olfactory dysfunction.…”

Section: Discussionmentioning

confidence: 83%

“…[7][8][9][10] To date, there are a few studies evaluating the effects of septal surgery on olfactory function. 1,[11][12][13][14][15][16][17][18] However, the impact of olfactory impairment due to septal deviation on the nasal-symptom related and general QoL of the patients has not been adequately addressed in the literature. In addition, although there are studies investigating predictive factors for QoL outcomes after septoplasty, [19][20][21][22][23][24][25] there is no data available to the relevance of the olfactory function specifically to patients' psychological status (anxiety and depression symptoms) and its effect on their satisfaction with the surgical procedure and postoperative QoL recovery.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Olfactory Dysfunction on the Psychological Status and Quality of Life of Patients with Nasal Obstruction and Septal Deviation

Valsamidis

Printza

Constantinidis

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Olfactory dysfunction may be present in patients with nasal obstruction and septal deviation. The impact of olfactory dysfunction on the psychological profile and quality of life (QoL) of these patients remains unexplored. Objective The present study aimed to investigate the emotional status and QoL of patients with olfactory dysfunction and septal deviation and to identify predictors associated with clinically significant improvement of psychological status and QoL, focusing mainly on the role of olfactory recovery after septoplasty. Methods The olfactory function was quantitatively assessed using the ‘‘Sniffin’ sticks'' test (Burghart Messtechnik GmbH, Wedel, Germany) in 60 patients and 25 controls enrolled in this prospective study. The participants completed validated questionnaires specific for general health (Short Form-36), nasal-symptom related QoL (SinoNasal Outcome Test-22), olfaction-associated QoL (Questionnaire of Olfactory Deficits) and for assessing their psychological state (Short Anxiety Screening Test and Beck Depression Inventory) preoperatively and 6 months postoperatively. The patients used the Glasgow Benefit Inventory to evaluate their personal benefit after septoplasty with. Results Septoplasty led to significantly improved olfactory function. Patients with olfactory impairment had significantly lower nasal-symptom related QoL, higher stress levels, and more depressive mood compared with normosmics and controls before and after septoplasty. Postoperatively, personal benefit from surgery was higher in normosmic patients. Improvement of nasal-symptom related QoL was significantly associated with higher likelihood of clinically significant improvement of patients' psychological profile and more personal benefit from surgery. Olfactory dysfunction was negatively correlated with the emotional status of the patients. Conclusion Olfactory dysfunction appears to significantly affect the psychological status of patients with nasal obstruction, and olfactory recovery improves the patients' perception of personal benefit from septoplasty.

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

The Impact of Olfactory Dysfunction on the Psychological Status and Quality of Life of Patients with Nasal Obstruction and Septal Deviation

Valsamidis

Printza

Constantinidis

et al. 2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Kilicaslan, et al [28] investigated the long term effects of septorhinoplasty on smell perception. They reported that all patients regained normal olfactory function after 12 months from the procedure [28]. Our study showed that patients regain their normal olfactory function after 3 months.…”

Section: Discussionmentioning

confidence: 99%

Investigation of Olfactory Function Following Septorhinoplasty in Iranian Population by Rapid Smell Test (RST)

Yarahmadi

Kamrava

Shafee

et al. 2020

JPRI

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Introduction: All surgical procedures on nose affect the olfactory function to some extent. There are different viewpoints about olfactory function after septorhinoplasty. We aim to investigate smell perception changes in patients following septorhinoplasty. In this study the use of Rapid Smell Test (RST) as a fast and reliable clinical tool was investigated. Methods: A prospective cohort study was done in Rasool Akram teaching hospital in 2018 and 2019. Group of 74 septorhinoplasty candidates aged over 18 was selected by convenience. Persian Smell Identification Test (PSIT) and rapid smell test (RST) was obtained from patients before surgery and one month after, if needed three months after and six months after. In addition for patients with dysfunction in any of follow up periods (one month, 3 months and 6 months after surgery) smell magnitude test (SMT) was used. All data were analyzed using Statistical Package for Social Sciences, version 24.0 (IBM SPSS Statistics Inc., Chicago, IL, USA). Results: Out of 74 patients participating in this study 67 were female. Mean age of 25.68±5.18 years was recorded for participants. All patients before surgery had PSIT score more than 19 and the mean PSIT score before operation was 22.63±1.39. Also all patients scored 5 out of 5 in RST before surgery. Mean PSIT score one month after surgery decreased to 22.21±2.20 but still 93 percent (69 patients) of participants were in range for normal olfactory function. We recorded this to be significant (p value = 0.044). RST after one month showed the same results. The difference between RST before and after surgery was also significant (p value = 0.024). For those 5 patients with abnormal olfactory function PSIT and RST were done 3 months after operation which determines normal olfactory function for all of them. As well as PSIT, RST also shows the same results and five participants recorded 5 out of 5 three months after surgery. Conclusion: This study showed changes in olfactory function after septorhinoplasty will resolve at most 3 months after surgery and it is safe to say there is no effect on olfactory function three months after operation. Also we demonstrated that RST can be a fast and reliable tool for assessing patients’ olfactory function in clinical setting.

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“…Clearly, nasal obstruction is frequently associated with OD because it results in a reduction of the number of odourants that enter the nose during breathing 17 38 . Only Fu et al 25 reported a relationship between nasal structure and olfactory function in patients with obstructive sleep apnoea.…”

Section: Discussionmentioning

confidence: 99%