Journal StorlJournal Storl
    Facebook Twitter Instagram
    Actualités:
    • LES NODULES THYROIDIENS CHEZ L’ENFANT
    • LES MUCOCÈLES NASOSINUSIENNES : APPORT DE L’IMAGERIE
    • STOMATOLOGICAL AND MAXILLO-FACIAL FEATURES OF MPOX: REPORT OF THE FIRST CONFIRMED CASE IN IVORY COAST
    • KYSTE DE LA VALLÉCULE COMPLIQUÉ DE MALNUTRITION AIGÜE SÉVÈRE CHEZ L’ENFANT: CARACTÉRISTIQUES CLINIQUES ET THÉRAPEUTIQUES
    • MELANOME MALIN MUQUEUX DU NASOPHARYNX: A PROPOS D’UNE OBSERVATION
    • RHABDOMYOSARCOME CRANIO-FACIAL DE L’ADULTE: UN CAS DE MAUVAIS PRONOSTIC
    • ADÉNOME PLÉOMRPHE DE LA PAROTIDE: QEULLE PRISE EN CHARGE ACTUELLE
    • PARTICULARITÉS CLINIQUES ET THÉRAPEUTIQUESDES CARCINOMES ANAPLASIQUES DE LA THYROÏDE
    Facebook Twitter Instagram
    Journal StorlJournal Storl
    Demo
    • Accueil
    • Présentation
      • Editorial
      • Objectifs
      • Comité de Rédaction
    • Instructions aux auteurs
    • Processus de lecture
    • Inscription
    • Connexion
    • Contact
    Journal StorlJournal Storl
    Home»Numéro 47 original article eng»SMELL DISORDERS EVOLUTION AFTER CHRONIC RHINOSINUSITIS WITH POLYPS SURGERY
    Numéro 47 original article eng

    SMELL DISORDERS EVOLUTION AFTER CHRONIC RHINOSINUSITIS WITH POLYPS SURGERY

    EVOLUTION DES TROUBLES DE L’ODORAT APRÈS CHIRURGIE DE LA RHINOSINUSITE CHRONIQUE AVEC POLYPES

    S. Kallel, M. Masmoudi, I. Kharrat, B. Hammami, M. Mnejja, I. Charfeddine
    Department of ENT and Cervicofacial Surgery.
    Habib Bourguiba’s Teaching Hospital, Sfax, Tunisia.

    Share
    Facebook Twitter LinkedIn Pinterest Email

    Abstract

    Objective: The effects of chronic rhino sinusitis with polyps (CRSWP) surgery on smell symptoms have not been sufficiently studied. The aim of this study was to evaluate the impact of CRSWP surgery on smell symptoms over short and long-term follow-up and to identify the factors that might influence their evolution.

    Patients and methods: This was a retrospective study about 184 patients operated endoscopically for CRSWP. In post operative period, long-term local steroids were prescribed systematically. The sense of smell was evaluated pre- and post-operatively according to a subjective score (1: good smell, 2: hyposmia, 3: anosmia). Some factors, related to the patient, the CRSWP and the treatment, were tested in order to identify predictors of smell outcome after surgery.

    Results: Before surgery, the anosmia and the hyposmia were noted in 90.8% and in 8.7% of cases, respectively. At six months after surgery, the improvement of olfactory score was significant: 84% of patient had the score 1 compared with 0.5% preoperatively (p < 0.0001). This improvement was maintained during the 2 first years and decreased significantly at 3 years, although an average delay of polyps recurrence was 23.4 months. Among the factors studied in our series, only the observance of postoperative corticosteroids was retained as a predictor of smell recovery after surgery (p = 0,011).

    Conclusion: CRSWP surgery can significantly improve the smell sense, especially during the two first years. This effect can be sustainable if good post operative compliance for local corticosteroid are achieved.

    Keys words: Nasal polyposis; smell; anosmia; endoscopic sinus surgery; local corticosteroid.

    Share. Facebook Twitter Pinterest LinkedIn Tumblr Telegram Email
    Article précédentLÈPRE EN OTO-RHINO-LARYNGOLOGIE: ASPECTS CLINIQUES ET PRISE EN CHARGE
    Article suivant EFFET DE LA PRÉMÉDICATION PAR DES CORTICOÏDES SYSTÉMIQUES SUR LA CHIRURGIE ENDONASALE DE LA POLYPOSE NASO-SINUSIENNE

    Articles en relation

    JUVENILE OTOSCLEROSIS: RADIO-CLINICAL FEATURES AND OUTCOMES OF SURGICAL TREATMENT

    8 octobre 2021
    Informez-vous

    Abonnez-vous aux mises à jour

    Obtenir les derniers articles publiés.

    La société tunisienne d'ORL (STORL) a été crée le 8 avril 1981 grâce à la volonté et au courage de nos maîtres les professeurs M. Atallah, A. Belkahia, M. Bouraoui, H. Bouzouita, R. Ellouze, M. Fayala, A. Zaouche, et les regrettés professeurs M. Fourati et H. Sioud. Lire plus

    ACTUALITÉS
    LES NODULES THYROIDIENS CHEZ L’ENFANT
    LES MUCOCÈLES NASOSINUSIENNES : APPORT DE L’IMAGERIE
    STOMATOLOGICAL AND MAXILLO-FACIAL FEATURES OF MPOX: REPORT OF THE FIRST CONFIRMED CASE IN IVORY COAST
    KYSTE DE LA VALLÉCULE COMPLIQUÉ DE MALNUTRITION AIGÜE SÉVÈRE CHEZ L’ENFANT: CARACTÉRISTIQUES CLINIQUES ET THÉRAPEUTIQUES
    MELANOME MALIN MUQUEUX DU NASOPHARYNX: A PROPOS D’UNE OBSERVATION

    © 2023 Journal-storl. Designed by ASM.

    Type above and press Enter to search. Press Esc to cancel.