Evidence map›Paper›PMID 36166111›Full record

ReviewNeurosurgical review2022

Is nasal airflow disrupted after endoscopic skull base surgery? A short review.

M Májovský, F Trnka, H Schmirlerová, J Betka, T Hyhlík, David Netuka

Abstract readReview
PubMed Publisher
In one paragraph

Review in Neurosurgical review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

M MájovskýDepartment of Neurosurgery and Neurooncology, 1st Faculty of Medicine, Charles University, Military University Hospital, U Vojenske Nemocnice, 1200, 169 02, Prague 6, Czech Republic.
F TrnkaDepartment of Fluid Dynamics and Thermodynamics, Faculty of Mechanical Engineering, Czech Technical University in Prague, Technická 4, 166 07, Prague 6, Czech Republic.
H SchmirlerováDepartment of Fluid Dynamics and Thermodynamics, Faculty of Mechanical Engineering, Czech Technical University in Prague, Technická 4, 166 07, Prague 6, Czech Republic.
J BetkaDepartment of Ear, Nose and Throat and Maxillofacial Surgery, 3Rd Faculty of Medicine, Charles University, Military University Hospital, U Vojenske Nemocnice, 1200, Prague 6, Czech Republic.
T HyhlíkDepartment of Fluid Dynamics and Thermodynamics, Faculty of Mechanical Engineering, Czech Technical University in Prague, Technická 4, 166 07, Prague 6, Czech Republic.
David NetukaDepartment of Neurosurgery and Neurooncology, 1st Faculty of Medicine, Charles University, Military University Hospital, U Vojenske Nemocnice, 1200, 169 02, Prague 6, Czech Republic. netuka.david@gmail.com.
Charles University · CZCzech Technical University in Prague · CZ

Funding

České Vysoké Učení Technické v Praze SGS22/099/OHK2/2T/12Ministry of defense, Czech rep. MO 1012Univerzita Karlova v Praze Neuroscience CU
6 · The paper itself

Abstract

Even the most delicate endonasal surgery for skull base lesion causes changes in the nasal cavity, some of them permanent. Morphological changes in the nasal cavity and their consequences (changes in nasal airflow) are often studied by advanced numerical analysis called computational fluid dynamics. This review summarizes current knowledge of endoscopic transsphenoidal skull base surgery effects on nasal airflow. Several studies have shown that endoscopic skull base surgery changes nasal anatomy to the extent that nasal airflow changes significantly postoperatively. Removing any intranasal structure increases the cross-sectional area of the respective nasal meatus, leading to increased nasal airflow in this area while airflow in the narrower periphery decreases. Middle turbinate resection increases airflow in the middle meatus and reduces airflow in the superior and inferior meatus. Small posterior septectomy does not cause a significant change in nasal airflow. Nasal septum deviation is an important factor in airflow changes. Current studies describe nasal changes after rather extensive procedures (e.g., middle turbinectomy, ethmoidectomy) that are unnecessary in routine pituitary adenoma surgery. No studies have compared changes using pre- and postoperative scans of the same patients after actual surgery.

Indexed as

EndoscopySkull BaseHumansNasal CavityNasal SeptumTurbinatesComputational fluid dynamicsEndoscopic surgeryNasal airflowOlfactionSkull baseTranssphenoidal approach

Identifiers

PMID36166111
OpenAlexW4297172888

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.