Evaluation of olfactory decline in recurrence of polyposis and comparison with other symptoms

Abstract

In patients with nasal polyposis, the first complication is decreased sense of smell. On the other hand, the sense of smell is the first variable that is affected in nasal polypectomy surgeries as well as in cases of recurrence of polyposis. Therefore, the aim of this study was to evaluate the olfactory reduction in recurrence of polyposis and compare it with other symptoms. Methods: In this cross-sectional study, patients with recurrence of polyposis after endoscopic surgery referred to the ENT clinic of Sina Hospital in Tabriz were evaluated according to the inclusion and exclusion criteria. Based on therapeutic indications, CT-Scan patients had paranasal sinuses at the beginning of the study. Then, patients were prepared a special form related to olfactory function with four clinical signs and its severity. findings:. The mean age of patients was 36.86. 11.75 years and the majority of 35 patients (70.0%) were male. Out of 50 patients, recurrence of the right nasal cavity was 34 (68.0%) and recurrence of the left nasal cavity was 28 (56.0%). Minor accompanying symptoms of patients are: 28 (45.2%) sputum, 14 (23.0%) cough, 1 (1.6%) ear congestion, 7 (11.3%) sore throat And 12 (19.4%) were asymptomatic. The mean score of nasal congestion in patients before surgery was 2.60 49 0.49 and 6 months after surgery was 1.60 53 0.53, the mean score of facial pain in patients before surgery was 1.32 47 0.47 And 6 months after surgery was 0.1 ± 0.0, the mean rate of rhinorrhea score of patients before surgery was 1.84 58 0.58, 6 months after surgery was 1.16 37 0.37, the mean was The score of patients with olfactory dysfunction before surgery was 3.40 64 0.64, 6 months after surgery was 1.78 74 0.74, which there was a statistically significant difference between before and after surgery. P <0.001). There is a statistically significant difference between the mean reduction of olfactory dysfunction (difference in score before 6 months after surgery) with mean nasal congestion, mean facial pain, mean rhinorrhea. (P <0.001). Of the 50 patients studied, the most recurrences were in patients with olfactory dysfunction, so that the first clinical symptoms were olfactory dysfunction in 31 (62%) patients, the second clinical symptoms of nasal congestion in 13 (26%) patients and the third clinical symptoms of rhinorrhea in 1 ( 2%) had recurrence.