Skip Navigation LinksHome > February 2012 - Volume 20 - Issue 1 > Olfactory improvement after endoscopic sinus surgery
Current Opinion in Otolaryngology & Head & Neck Surgery:
doi: 10.1097/MOO.0b013e32834dfb3d
NOSE AND PARANASAL SINUSES: Edited by Anshul Sama

Olfactory improvement after endoscopic sinus surgery

Rudmik, Lukea; Smith, Timothy L.b

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Abstract

Purpose of review: Olfactory dysfunction is a common complaint in patients with chronic rhinosinusitis (CRS). The purpose of this article is to review the current evidence on the impact of endoscopic sinus surgery (ESS) on CRS-related olfactory dysfunction.

Recent findings: The recent literature suggests that olfactory outcomes after ESS are challenging to predict. Some evidence supports a positive impact of ESS on improving olfactory outcomes in patients with preoperative nasal polyposis and anosmia. However, despite improvements in smell, most of these patients remain with severe hyposmia. One study suggests ESS has no impact on olfactory outcomes.

Summary: CRS-related olfactory dysfunction is a complex clinical scenario and it is challenging to predict improvement following ESS. CRS patients with anosmia and nasal polyposis preoperatively may have a higher likelihood of olfactory improvement following ESS.

© 2012 Lippincott Williams & Wilkins, Inc.

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