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Odor Disorders and Rare Neurological Complications in Endoscopic Sinus Surgery. Clinical studies

Faruk Altınel, Erkan Eşki.




Abstract
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Introduction: The evaluation of olfactory dysfunction after endoscopic sinus surgery.
Materials and Method:
Patients who underwent endoscopic sinus surgery between 2008 and 2020 in the ENT clinic of our hospital were evaluated retrospectively.
Results: Endoscopic sinus surgery was applied to 155 patients between 2008 and 2020 in our clinic. 85 patients aged between 20-68 (mean 44) were included in the study. Patients who underwent endoscopic septoplasty and endoscopic concha bullosa resection and cases with missing file information were excluded from the study. 35 (41%) of the cases were female and 50 (59%) were male. Endoscopic sinus surgery was performed bilaterally in 67 (78.8%) and unilaterally in 18 (21.2%) out of 85 cases. Histopathologically;52(61.2%) nasal polyps, 20(23.8%) chronic sinusitis, 7(8.6%) antroconal polyps, 3(3.5%) inverted papilloma, 3(2.3%) osteoma were found. Hyposmia was detected in five (5.8%) cases and anosmia was found in two (2.3%) cases. Major complications such as cerebrospinal fluid leakage and optic nerve damage were not observed.
Conclusion: Attention should be paid to odour disorders after endoscopic sinus surgery.

Key words: Endoscopic Sinus Surgery, Anosmia, Nasal Polyp, Hyposmia, Cerebrospinal Fluid Leakage






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