鼻内窥镜手术后嗅觉特异性生活质量结果。

IF 2.3 Q1 OTORHINOLARYNGOLOGY
Allergy & Rhinology Pub Date : 2021-10-29 eCollection Date: 2021-01-01 DOI:10.1177/21526567211045041
Milap D Raikundalia, Ryan J Huang, Lyndon Chan, Tracy Truong, Maragatha Kuchibhatla, James Merchant, Ralph Abi Hachem, Patrick J Codd, Ali R Zomorodi, Jordan I Teitelbaum, Bradley J Goldstein, David W Jang
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引用次数: 4

摘要

目的:通过嗅觉特异性生活质量(QOL)问卷评估鞍区病变患者接受EESBS治疗的嗅觉结果。设计:回顾性病例系列。环境:三级学术医疗中心。参与者:总共评估了36例接受EESBS治疗仅限于鞍区病变的患者。主要观察指标:术前和术后3个月分别进行22项鼻腔结局测试(SNOT-22)、宾夕法尼亚大学嗅觉识别测试(UPSIT)和自我报告嗅觉功能评估(ASOF),包括主观嗅觉能力量表(SOC)、嗅觉相关问题(SRP)和嗅觉相关生活质量(ORQ)三个领域。结果:手术时中位年龄为52.5岁,中位肿瘤大小为1.8 cm(范围:0.2 ~ 3.9 cm)。UPSIT的术前和术后中位评分分别为35分[34,36.2]和34.5分[32,36],SNOT-22的中位评分为21分[7.5,33.5]和21.5分[6.8,35.7],ASOF-SOC的中位评分为10分[9,10]和9分[8,10],ASOF-SRP的中位评分为5分[4.8,5]和4.5分[4,5],ASOF-ORQ的中位评分为5分[5,5]和5分[4.5,5]。在ASOF的三个领域中,这两个领域没有明显的变化。ASOF与UPSIT评分相关性较弱。年龄越大和肿瘤大小越大与术后嗅觉恶化有关。结论:通过ASOF的两个域测量,EESBS后3个月患者的嗅觉特异性生活质量没有显著变化。ASOF可以作为评估术后嗅觉的有用辅助工具。UPSIT和ASOF之间缺乏相关性,这表明需要对术后主观嗅觉相关的生活质量进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Olfactory-Specific Quality of Life Outcomes after Endoscopic Endonasal Surgery of the Sella.

Olfactory-Specific Quality of Life Outcomes after Endoscopic Endonasal Surgery of the Sella.

Olfactory-Specific Quality of Life Outcomes after Endoscopic Endonasal Surgery of the Sella.

Olfactory-Specific Quality of Life Outcomes after Endoscopic Endonasal Surgery of the Sella.

Objective: To assess olfactory outcomes as measured by an olfactory-specific quality of life (QOL) questionnaire in patients undergoing EESBS for sellar lesions.

Design: Retrospective case series.

Setting: Tertiary academic medical center.

Participants: In total, 36 patients undergoing EESBS for lesions limited to the sella were evaluated.

Main outcome measures: The following were performed before and three months after surgery: 22-Item Sinonasal Outcomes Test (SNOT-22), University of Pennsylvania Smell Identification Test (UPSIT), and the Assessment of Self-reported Olfactory Functioning (ASOF), which has three domains: subjective olfactory capability scale (SOC), smell-related problems (SRP), and olfactory-related quality of life (ORQ).

Results: Median age at surgery was 52.5 years, with a median tumor size of 1.8 cm (range: 0.2 to 3.9 cm). Pre- and postoperative median scores were 35 [34, 36.2] and 34.5 [32, 36] for UPSIT, 21 [7.5, 33.5] and 21.5 [6.8, 35.7] for SNOT-22, 10 [9, 10] and 9 [8, 10] for ASOF-SOC, 5 [4.8, 5] and 4.5 [4, 5] for ASOF-SRP, and 5 [5, 5] and 5 [4.5, 5] for ASOF-ORQ. There was no significant change in the two of the three domains of the ASOF. Correlation between ASOF and UPSIT scores were weak. Older age and larger tumor size were associated with worsened olfaction after surgery.

Conclusions: Patients did not experience significant changes in olfactory-specific QOL three months after EESBS, as measured by two domains of the ASOF. The ASOF may serve as a useful adjunctive tool for assessing olfaction after surgery. The lack of correlation between UPSIT and ASOF suggests the need for more research in subjective olfactory-related quality of life after surgery.

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来源期刊
Allergy & Rhinology
Allergy & Rhinology OTORHINOLARYNGOLOGY-
CiteScore
3.30
自引率
4.50%
发文量
11
审稿时长
15 weeks
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