Evaluation of olfaction and olfactory cleft parameters in patients with varying degrees of severity of symptoms of chronic polypous rhinosinusitis
Автор: Vladimirova T.Yu., Blashentsev M.K., Martynova A.B., Sidorov E.A.
Журнал: Саратовский научно-медицинский журнал @ssmj
Рубрика: Оториноларингология
Статья в выпуске: 2 т.21, 2025 года.
Бесплатный доступ
Objective: to evaluate the olfactory function and olfactory fissure (OF) parameters in patients with varying severity of chronic polypous rhinosinusitis (CRSwNP) symptoms. Material and methods. A total of 50 patients with CRSwNP (mean age 44,5 [36,2; 55,0] years) were examined: group 1 (n=12) — patients with mild CRSwNP symptoms (total SNOT-22 score 8–20 points), group 2 (n=38) — with moderate and severe CRSwNP symptoms (total score over 21). A questionnaire was administered using Sino-Nasal Outcome Test, Sniffin’ Sticks Screening Test-12, Questionnaire of Olfactory Disorders — Negative Statements and computed tomography of the paranasal sinuses was performed. Results. According to Sniffin’ Sticks Screening Test-12, olfactory function was impaired in 91.7 % of patients in group 1 (33.4 % — hyposmia, 58.3 % — anosmia), and in 94.7 % of patients in group 2 (71.1 % — hyposmia, 23.6 % — anosmia). According to Questionnaire of Olfactory Disorders — Negative Statements, the total score in group 1 was 19.0 [5.0; 19.0], and in group 2–7.5 [6.0; 13.0]; (p=0.053). The volume of the OF in patients in groups 1 and 2 was 21.0 [20.0; 24.0] and 7.5 [6.0; 13.0] mm³, respectively, but the nature of the differences revealed was statistically insignificant (р=0,053). The density of the OF in group 1 was –100 [–192.5; — 9] HU units, in group 2 — –149.5 [–302.3; 68.3] HU units (p=0.958). Conclusion. Olfactory function was impaired equally often regardless of the severity of CRSwNP symptoms. The volume of the OF in patients with moderate and severe CRSwNP symptoms was 3 times smaller than in CRSwNP with mild symptoms. The density of the OF was comparable with different severity of CRSwNP symptoms.
Chronic rhinosinusitis with nasal polyps, olfactory cleft, Questionnaire of Olfactory Disorders — Negative Statements, Sniffin’ Sticks Screening Test-12, Sino-Nasal Outcome Test
Короткий адрес: https://sciup.org/149148491
IDR: 149148491 | DOI: 10.15275/ssmj2102127