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DOI: 10.1055/s-0037-1608679
The Middle Turbinate Resection and Its Repercussion in Olfaction with the University of Pennsylvania Smell Identification Test (UPSIT)
Publikationsverlauf
07. September 2017
30. September 2017
Publikationsdatum:
06. Dezember 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00025477/201803/lookinside/thumbnails/10-1055-s-0037-1608679_0714or-1.jpg)
Abstract
Introduction Nasal obstruction is a common complaint, and, for some, the middle turbinate resection is still a controversial issue among the surgical options due to the possibility of deleterious effects on olfaction. The University of Pennsylvania smell identification test (UPSIT) is considered the gold standard of smell identification tests, but data about it is still incipient in Brazil.
Objective To evaluate if the middle turbinectomy has any repercussion on the sense of olfaction by using the UPSIT as an assessment tool.
Methods A prospective study performed between 2013 and 2015 with 27 patients who were treated with middle turbinectomy by the same surgeon and tested with the UPSIT pre- and post-surgery, with a minimum interval of 3 months.
Results Twenty-five patients completed the study. The mean age was 27.9 years. There was no statistical correlation between middle turbinectomy and the UPSIT score, or between gender and the UPSIT score.
Conclusion There was no clinical repercussion on olfaction from partial middle turbinectomy.
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References
- 1 Gottarelli P. Modified inferior turbinoplasty – a new surgical approach. Milan, Italy: Springer-Verlag; 2012
- 2 Scheithauer MO. Surgery of the turbinates and “empty nose” syndrome. GMS Curr Top Otorhinolaryngol Head Neck Surg 2010; 9: Doc03
- 3 Zhao K, Scherer PW, Hajiloo SA, Dalton P. Effect of anatomy on human nasal air flow and odorant transport patterns: implications for olfaction. Chem Senses 2004; 29 (05) 365-379
- 4 Clement WA, White PS. Trends in turbinate surgery literature: a 35-year review. Clin Otolaryngol Allied Sci 2001; 26 (02) 124-128
- 5 Friedman M, Caldarelli DD, Venkatesan TK, Pandit R, Lee Y. Endoscopic sinus surgery with partial middle turbinate resection: effects on olfaction. Laryngoscope 1996; 106 (08) 977-981
- 6 Friedman M, Tanyeri H, Landsberg R, Caldarelli D. Effects of middle turbinate medialization on olfaction. Laryngoscope 1999; 109 (09) 1442-1445
- 7 Dutton JM, Hinton MJ. Middle turbinate suture conchopexy during endoscopic sinus surgery does not impair olfaction. Am J Rhinol Allergy 2011; 25 (02) 125-127
- 8 Fornazieri MA, Doty RL, Santos CA, Pinna FdeR, Bezerra TFP, Voegels RL. A new cultural adaptation of the University of Pennsylvania Smell Identification Test. Clinics (Sao Paulo) 2013; 68 (01) 65-68
- 9 Escada PA, Lima C, da Silva JM. The human olfactory mucosa. Eur Arch Otorhinolaryngol 2009; 266 (11) 1675-1680
- 10 Godoy MDCL, Voegels RL, Pinna FdeR, Imamura R, Farfel JM. Olfaction in neurologic and neurodegenerative diseases: a literature review. Int Arch Otorhinolaryngol 2015; 19 (02) 176-179
- 11 Razmpa E, Saedi B, Safavi A, Mohammadi S. Olfactory function after nasal plastic surgery. B-ENT 2013; 9 (04) 269-275
- 12 Lee HY, Kim CH, Kim JY. , et al. Surgical anatomy of the middle turbinate. Clin Anat 2006; 19 (06) 493-496
- 13 Maniglia AJ, Maniglia JJ, Maniglia JV. Rinoplastia Estética, Funcional e Reparadora. São Paulo: Revinter; 2002: 69-85
- 14 Banfield GK, McCombe A. Partial resection of the middle turbinate at functional endoscopic sinus surgery. J R Army Med Corps 1999; 145 (01) 18-19
- 15 Zhao K, Dalton P. The way the wind blows: implications of modeling nasal airflow. Curr Allergy Asthma Rep 2007; 7 (02) 117-125
- 16 Leopold DA, Hummel T, Schwob JE, Hong SC, Knecht M, Kobal G. Anterior distribution of human olfactory epithelium. Laryngoscope 2000; 110 (3 Pt 1): 417-421
- 17 Damm M, Vent J, Schmidt M. , et al. Intranasal volume and olfactory function. Chem Senses 2002; 27 (09) 831-839
- 18 Zhao K, Malhotra P, Rosen D, Dalton P, Pribitkin EA. Computational fluid dynamics as surgical planning tool: a pilot study on middle turbinate resection. Anat Rec (Hoboken) 2014; 297 (11) 2187-2195
- 19 Di M-Y, Jiang Z, Gao Z-Q, Li Z, An Y-R, Lv W. Numerical simulation of airflow fields in two typical nasal structures of empty nose syndrome: a computational fluid dynamics study. PLoS One 2013; 8 (12) e84243
- 20 Apuhan T, Yildirim YS, Simşek T, Yilmaz F, Yilmaz F. Concha bullosa surgery and the distribution of human olfactory neuroepithelium. Eur Arch Otorhinolaryngol 2013; 270 (03) 953-957
- 21 Féron F, Perry C, McGrath JJ, Mackay-Sim A. New techniques for biopsy and culture of human olfactory epithelial neurons. Arch Otolaryngol Head Neck Surg 1998; 124 (08) 861-866
- 22 Pinna FdeR, Ctenas B, Weber R, Saldiva PH, Voegels RL. Olfactory neuroepithelium in the superior and middle turbinates: which is the optimal biopsy site?. Int Arch Otorhinolaryngol 2013; 17 (02) 131-138