Evidence map›Paper›PMID 29204922›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2018

Usefulness of our proposed olfactory scoring system during endoscopic sinus surgery in patients with chronic rhinosinusitis.

Ken Okazaki, Kenzo Tsuzuki, Kengo Hashimoto, Hiroki Nishikawa, Hironori Takebayashi, Hideki Oka, Yusuke Kojima, Yoriko Yukitatsu, Yasuo Mishiro, Masafumi Sakagami

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ken OkazakiDepartment of Otolaryngology-Head and Neck Surgery, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan.
Kenzo TsuzukiDepartment of Otolaryngology-Head and Neck Surgery, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan. kenzo@hyo-med.ac.jp.ORCID http://orcid.org/0000-0002-4103-2485
Kengo HashimotoDepartment of Otolaryngology-Head and Neck Surgery, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan.
Hiroki NishikawaCenter for Clinical Research and Education, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan.
Hironori TakebayashiDepartment of Otolaryngology, Osaka Minato Central Hospital, 1-8-30, Chikko Minato-ku, Osaka, 552-0021, Osaka, Japan.
Hideki OkaDepartment of Otolaryngology, Takarazuka City Hospital, 4-5-1, Kohama, Takarazuka, 665-0827, Hyogo, Japan.
Yusuke KojimaDepartment of Otolaryngology, Takarazuka City Hospital, 4-5-1, Kohama, Takarazuka, 665-0827, Hyogo, Japan.
Yoriko YukitatsuDepartment of Otolaryngology, Hyogo Prefectural Awaji Medical Center, 1-1-137, Shioya, Sumoto, 656-0021, Hyogo, Japan.
Yasuo MishiroDepartment of Otolaryngology-Head and Neck Surgery, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan.
Masafumi SakagamiDepartment of Otolaryngology-Head and Neck Surgery, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya, Hyogo, 663-8501, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe primary aim of the current study was to examine the usefulness of our proposed olfactory scoring system in chronic rhinosinusitis (CRS) patients with olfactory disorders (n = 213) receiving endoscopic sinus surgery (ESS). MATERIALS AND

methodsAnalyzed patients were divided into two groups: an eosinophilic CRS (ECRS) group (n = 153); and a non-ECRS group (n = 60). The T&T recognition threshold test was used to evaluate olfaction at baseline and at 3 and 12 months after ESS. Patients with mean recognition threshold < 2.0 at 3 or 12 months or with a decrease of ≥ 1.0 as compared with baseline were defined as showing clinical improvement. We scored mucosal conditions as normal (0 points), edema (1 point), and polyp (2 points) at the canopy of olfactory cleft (OC), middle and superior turbinates, superior nasal meatus, and sphenoethmoidal recess during ESS. The total score of OCs (SOCs) was calculated (range 0-20 points). We compared SOCs between ECRS and non-ECRS groups. Factors related to olfactory improvement were also investigated using uni- and multivariate analyses.

resultsSOCs in the ECRS and non-ECRS groups showed significant correlations with mean recognition thresholds at baseline and at 3 and 12 months. In the multivariate analysis for predicting improvement of mean recognition threshold, lower SOCs were significantly associated with olfactory improvement factors at 3 and 12 months postoperatively in the ECRS group.

conclusionSOCs appears promising for estimating olfactory prognosis after ESS in CRS patients.

Indexed as

Chronic DiseaseEndoscopyFemaleHumansMaleMiddle AgedMultivariate AnalysisOlfaction DisordersParanasal SinusesPrognosisRhinitisSinusitisSmellChronic rhinosinusitisEndoscopic sinus surgeryOlfactory cleftOlfactory disorderScoring system

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.