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Postoperative nasal symptoms associated with an endoscopic endonasal transsphenoidal approach

Authors
 Seok-Gu Kang ; Boo-Young Kim ; Yong Jin Park ; Jin Hee Cho ; Soo Whan Kim ; Sin-Soo Jeun ; Yong Kil Hong ; Sung Won Kim ; Hye Lim Son 
Citation
 European Archives of Oto-Rhino-Laryngology, Vol.270(4) : 1355~1359, 2013 
Journal Title
 European Archives of Oto-Rhino-Laryngology 
ISSN
 0937-4477 
Issue Date
2013
Abstract
Recent studies have indicated the usefulness of endoscopic endonasal transsphenoidal approach (EETSA). A few studies have reported on the postoperative nasal symptoms of patients who have undergone EETSA. Therefore, we adopted a rhinologic perspective to compare preoperative and postoperative nasal symptoms after performing a binostril, four-hand EETSA. Patients who were scheduled to undergo binostril, four-hand EETSA underwent preoperative nasal evaluation using the Nasal Obstruction Symptom Evaluation (NOSE), Sino-Nasal Outcome Test-20 (SNOT-20), and a visual analogue scale (VAS) to assess several nasal symptoms. Repeat testing was performed 6 months postoperatively. Paired Student's t tests were used to compare preoperative and postoperative scores. A total of 142 patients who underwent a binostril, four-hand EETSA were included in this study. We found no statistically significant differences between preoperative and postoperative NOSE, total SNOT-20 scores, or scores on the VAS for nasal obstruction, sneezing, rhinorrhea, snoring, or facial pain. However, VAS of olfactory change increased significantly after EETSA (p < 0.05). The binostril, four-hand EETSA would be a useful method because it permits operative manipulability and a wide visual field for skull base lesions. However, rhinologists must consider postoperative nasal symptoms and perform a proper preoperative examination, especially with regard to the olfactory function, and inform patients scheduled for EETSA of potential postoperative changes.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/86128
DOI
10.1007/s00405-012-2226-x
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Neurosurgery
Yonsei Authors
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Link
 http://link.springer.com/article/10.1007%2Fs00405-012-2226-x
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