Effects of Endoscopic Sinus Surgery on Olfactory Function

December 19, 2023

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Review

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Publicated to: Current Allergy And Asthma Reports. 23 (12): 715-731 - 2023-12-01 23(12), DOI: 10.1007/s11882-023-01115-9

Authors:

Ramirez-Gil, LS; Ley-Tomas, JJ; Hernaiz-Leonardo, JC; Alobid, I; Mullol, J; Ceballos-Cantu, JC

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Affiliations

Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain. - Author

Ctr Invest Biomed Red Enfermedades Respiratorias C, Madrid, Spain - Author

Department of Otolaryngology - Head and Neck Surgery, University of British Columbia, Vancouver, BC, Canada. - Author

Department of Otolaryngology-Head and Neck Surgery, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Vasco de Quiroga 15 Tlalpan, CDMX 14080, Mexico. - Author

Department of Otolaryngology-Head and Neck Surgery, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Vasco de Quiroga 15 Tlalpan, CDMX 14080, Mexico. drceballoscantu@gmail.com. - Author

Department of Otolaryngology-Head and Neck Surgery, Instituto Nacional de Enfermedades Respiratorias, Ismael Cosío Villegas, CDMX, Mexico. - Author

Hosp Clin Barcelona, IDIBAPS, Otorhinolaryngol Dept, Rhinol & Skull Base Surg Unit, Barcelona, Spain - Author

Inst Invest Biomed August Pi & Sunyer FRCB IDIBAPS, Lab Neurol Expt, Barcelona, Catalonia, Spain - Author

Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Otolaryngol Head & Neck Surg, Vasco Quiroga 15 Tlalpan, Mexico City 14080, Mexico - Author

Inst Nacl Enfermedades Resp, Dept Otolaryngol Head & Neck Surg, Mexico City 14080, Mexico - Author

Institut d'Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), Barcelona, Catalonia, Spain. - Author

Rhinology and Skull Base Unit, Department of Otorhinolaryngology, Hospital Clinic. Barcelona, Barcelona, Catalonia, Spain. - Author

Univ Barcelona, Barcelona, Catalonia, Spain - Author

Univ British Columbia, Dept Otolaryngol Head & Neck Surg, Vancouver, BC V6T 1Z4, Canada - Author

Universitat de Barcelona., Barcelona, Catalonia, Spain. - Author

Abstract

Purpose of ReviewTo review the effects of endoscopic sinus surgery and endonasal approaches to the skull base on olfaction.Recent FindingsAdvancements in endonasal endoscopic approaches to the sinuses and skull base allow for direct treatment of a variety of sinonasal and skull base diseases. However, these extended approaches will often require manipulation of normal anatomical structures and the olfactory neuroepithelium. Depending on the planned procedure and extent of disease, the prognosis of olfactory perception can vary significantly among patients.SummaryEndoscopic sinonasal surgical procedures may impact olfaction. Optimizing olfactory function requires proper surgical techniques, gentle handling of tissue, and perioperative care. Surgeons must discuss objectives and manage patient expectations. Routine olfactory assessment is crucial in surgical work-up and follow-up. Preserving anatomical structures while addressing the obstruction of the olfactory cleft helps to prevent decreased olfactory threshold. However, smell identification and discrimination do not always correlate with sinonasal anatomy.

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Keywords

Anatomical conceptsChronic rhinosinusitisClinical assessmentClinical outcomeDisordersEndonasal approachEndoscopic sinus surgeryEndoscopyFollow upGrooveHumanHumansImpactMeningiomaMiddle turbinate resectionNeuroepitheliumNoseOdorOdor recognition testOlfactory disordersParanasal sinusParanasal sinusesPatient carePerioperative careProceduresPrognosisQuality-of-lifeQuality-of-life,middle turbinate resection,skull base surgery,superior turbinate,endonasal approach,sinonasal,meningioma,disorders,impact,groovReviewRhinosinusitisRhinosinusitis,endoscopic sinus surgery,skull base surgery,sense of smell,olfactory disorderSense of smellSinonasalSkull baseSkull base surgerySkull surgerySmellSmellingSmelling disorderSuperior turbinateSurgeonSurgery

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal CURRENT ALLERGY AND ASTHMA REPORTS due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 8/39, thus managing to position itself as a Q1 (Primer Cuartil), in the category Allergy.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-05:

WoS: 4

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Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Canada; Iran; Mexico.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Ceballos Cantu, Juan Carlos).

the author responsible for correspondence tasks has been Ceballos Cantu, Juan Carlos.

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