2010
DOI: 10.1055/s-0030-1249248
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Evolution of Sinonasal Symptoms Following Endoscopic Anterior Skull Base Surgery

Abstract: To assess the severity and evolution of sinonasal symptoms in patients following endoscopic anterior skull base surgery to define the typical postoperative course. Design: Cross sectional study. Participants include 69 patients who underwent endoscopic skull base surgery by a dual surgeon team (otolaryngologist and neurosurgeon) from January 2008 to August 2009. Main outcome measures: Sinonasal Outcomes Test (SNOT)-20 survey scores at preoperative and at three postoperative time points. An ordinal logistic reg… Show more

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Cited by 63 publications
(67 citation statements)
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“…For example, Balaker et al noted that postsurgical nasal discharge persisted longer than other physical nasal symptoms. 2 Zimmer et al noted that emotional well being was markedly improved at 3 months compared with baseline, whereas nasal physiology changes had returned to baseline by 3 months. 19 Bedrosian et al also described a dissociation of symptoms after endoscopic skull base surgery.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…For example, Balaker et al noted that postsurgical nasal discharge persisted longer than other physical nasal symptoms. 2 Zimmer et al noted that emotional well being was markedly improved at 3 months compared with baseline, whereas nasal physiology changes had returned to baseline by 3 months. 19 Bedrosian et al also described a dissociation of symptoms after endoscopic skull base surgery.…”
Section: Discussionmentioning
confidence: 99%
“…This trend is now well documented with validated outcomes measures and demonstrates the time course of nasal cavity healing. 2,15,19 Symptoms such as nasal congestion and nasal discharge, while troubling to patients, were temporary. Second, we learned that certain intraoperative maneuvers that impact the nasal airway, such as use of absorbable nasal packing and nasal splints used in a minority of patients, were negatively correlated with sinonasal QOL early in the postoperative period (2 weeks to 3 months).…”
Section: Discussionmentioning
confidence: 99%
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“…Pant & McCoul et al [18,19] showed that the SNOT-22 scores and nasal symptoms increased moderately in the immediate postoperative period but subsequently returned to their preoperative values. Following the same line of study, Balaker et al [16] found that nasal symptoms were significantly improved over time but posterior rhinorrhea persisted in time until at least one year after surgery. Normal sense of smell, requires the integrity of the olfactory epithelium for proper functioning, in cases of lateral or anterior skull base surgery (without affecting cribriform plate) is possible to conserve the olfactory mucosa in a large percentage of patients.…”
Section: Sinonasal Symptomsmentioning
confidence: 87%
“…As a result of the latter, patients suffer large anatomical and functional changes of the sinonasal cavity, therefore, it is expected postoperatively patients presents functional sinus pathology. It is in the immediate postoperative period (2-4 weeks) when nasal symptoms are more evident, usually patients refers dense anterior and posterior rhinorrhea, nasal congestion, facial pain and headaches [16]. Currently nasal symptoms are measured according to the visual analogue scale and/or by different questionnaires that measure their impact on quality of life.…”
Section: Sinonasal Symptomsmentioning
confidence: 99%