Avoiding Olfactory Impairment After Endoscopic Endonasal Expanded Approaches

Julián, Juan Antonio Simal; Lloret, Pablo Miranda; Pancucci, Giovanni; Álvarez, Pablo Sanromán; Asunción, Carlos Botella

doi:10.1227/neu.0000000000000025

Cited by 2 publications

(2 citation statements)

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“…Only one comment to the editor could be found in the literature that discussed this unique area in relation to pituitary surgery. 10 A modified nasoseptal flap with preservation of the olfactory strip can provide a low morbidity approach while maintaining reconstruction options. Such a flap can provide better reconstruction than free grafts, 11 and it can easily be reused as part of future surgical interventions.…”

Section: Discussionmentioning

confidence: 99%

“…10 Recent study into the impact of the nasoseptal flap on sinonasal quality of life has suggested that modifications need to be made to ensure maximum preservation of sinonasal function; however, there is little doubt that the nasoseptal flap allows for a vascularized graft and enhanced reconstruction compared with free grafting. 11 This study presents the sinonasal, smell, and objective olfactory outcomes of a standardized olfactory strip preserving nasoseptal flap technique utilized in the endoscopic endonasal transsphenoidal approach to pituitary pathology.…”

Section: Introductionmentioning

confidence: 99%

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The Olfactory Strip and Its Preservation in Endoscopic Pituitary Surgery Maintains Smell and Sinonasal Function

et al. 2015

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).Differing outcomes on olfaction have been reported from transsphenoidal approaches. [1][2][3][4] In general, patients prefer the endoscopic approach, 5 and olfactory scores are better after the endoscopic route. 6 The nasoseptal flap, in particular, to reconstruct the skull base as part of the overall process has been implicated in smell dysfunction. However, much of the literature on the impact of the nasoseptal flap comes from extended skull base surgery. In our institution, utilizing a small modified nasoseptal flap during simple pituitary surgery has greatly improved our reconstructive options and access. However, controversy exists as to the additional morbidity of utilizing such an approach. The existing studies on patients with large skull base tumors are not an appropriate population to discuss the impact of surgery or

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%