Postoperative nasal symptoms associated with an endoscopic endonasal transsphenoidal approach.
Recent studies have indicated the usefulness of endoscopic endonasal transsphenoidal approach (EETSA). A few studies have reported on the postoperative nasal symptoms of patients who have undergone EETSA. Therefore, we adopted a rhinologic perspective to compare preoperative and postoperative nasal symptoms after performing a binostril, four-hand EETSA. Patients who were scheduled to undergo binostril, four-hand EETSA underwent preoperative nasal evaluation using the Nasal Obstruction Symptom Evaluation (NOSE), Sino-Nasal Outcome Test-20 (SNOT-20), and a visual analogue scale (VAS) to assess several nasal symptoms. Repeat testing was performed 6 months postoperatively. Paired Student's t tests were used to compare preoperative and postoperative scores. A total of 142 patients who underwent a binostril, four-hand EETSA were included in this study. We found no statistically significant differences between preoperative and postoperative NOSE, total SNOT-20 scores, or scores on the VAS for nasal obstruction, sneezing, rhinorrhea, snoring, or facial pain. However, VAS of olfactory change increased significantly after EETSA (p < 0.05). The binostril, four-hand EETSA would be a useful method because it permits operative manipulability and a wide visual field for skull base lesions. However, rhinologists must consider postoperative nasal symptoms and perform a proper preoperative examination, especially with regard to the olfactory function, and inform patients scheduled for EETSA of potential postoperative changes.
Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, 137-701 Seoul, Korea.
Boo-Young
BY
Kim
Hye Lim
HL
Son
Seok-Gu
SG
Kang
Sung Won
SW
Kim
Yong Kil
YK
Hong
Sin-Soo
SS
Jeun
Soo Whan
SW
Kim
Jin Hee
JH
Cho
Yong Jin
YJ
Park
D000236:Adenoma / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D035262:Cranial Fossa, Anterior / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005157:Facial Pain / Q000175:diagnosis; D005260:Female; D006261:Headache / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000175:diagnosis*; D000857:Olfaction Disorders / Q000175:diagnosis*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*; D019292:Skull Base Neoplasms / Q000601:surgery*; D012912:Sneezing; D013101:Sphenoid Sinus / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult