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Prospective evaluation of oral corticosteroid as a predictor of postoperative olfactory recovery after functional endoscopic surgery for nasal polyposis

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

A Letter to the Editor to this article was published on 19 July 2019

Abstract

Purpose

Anticipating the possibility of olfactory recovery after functional endoscopic surgery (FES) in nasal polyposis (NP) is difficult. The main objective of this study was to assess the predictive factors of recovering the sense of smell after radical bilateral ethmoidectomy. Secondary objectives were to identify other predictors of olfactory recovery.

Methods

Open prospective study was conducted at the Nantes University Hospital including all patients with NP operated on in the Ear, Nose, and Throat Department between January 2011 and September 2017. These patients underwent functional endoscopic surgery (radical ethmoidectomy) after medical treatment failure. Olfaction was quantified prospectively and systematically during the preoperative consultation using a visual analog scale. Multivariate analysis evaluated the presence of predictive factors of postoperative olfactory recovery.

Results

One hundred nineteen patients were included in the study. Overall, olfaction was partially improved after surgery. For patients who presented greater than 50% recovery of olfaction after systemic corticosteroid therapy before surgery, we observed a predictive better rate of olfactory recovery after surgery (p < 0.001). Age over 65 years, a history of sinonasal surgery, associated asthma, and bacterial colonization were not associated with less postoperative olfactory recovery.

Conclusion

This study identified an objective factor that may influence olfactory recovery after FES using a therapeutic trial for olfactory recovery after oral corticosteroid treatment taken before surgery.

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Authors and Affiliations

  1. Service d’ORL et de chirurgie cervico-faciale, Centre Hospitalier Universitaire de Nantes, Hôtel-Dieu, 1, place A.-Ricordeau, BP 1005, 44093, Nantes cedex 01, France

    Pauline Rives, Florent Espitalier, Guillaume Michel, Cyrille Fortun & Olivier Malard

  2. Service de pneumologie, Centre Hospitalier Universitaire de Nantes, Hôtel-Dieu, 1, place A.-Ricordeau, BP 1005, 44093, Nantes cedex 01, France

    Xavier Blanc

Authors
  1. Pauline Rives
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  2. Florent Espitalier
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  3. Guillaume Michel
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  4. Xavier Blanc
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  5. Cyrille Fortun
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  6. Olivier Malard
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Corresponding author

Correspondence to Olivier Malard.

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The authors declare no conflict of interest.

Research involving human participants and/or animals

The protocol was reviewed and approved by the local independent ethics committee, and the study was conducted in accordance with French legislative and regulatory measures, and the European Good Clinical Practice Directive 2005/28/EC (1964 Helsinki declaration).

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Informed consent was obtained from all individual participants included in the study.

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Rives, P., Espitalier, F., Michel, G. et al. Prospective evaluation of oral corticosteroid as a predictor of postoperative olfactory recovery after functional endoscopic surgery for nasal polyposis. Eur Arch Otorhinolaryngol 276, 3359–3366 (2019). https://doi.org/10.1007/s00405-019-05537-y

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  • DOI: https://doi.org/10.1007/s00405-019-05537-y

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