Assessment of nasal fibroscopy to explore olfactory cleft
Détails
ID Serval
serval:BIB_29010E65F881
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Assessment of nasal fibroscopy to explore olfactory cleft
Périodique
Otolaryngology, Head and Neck Surgery
ISSN
1097-6817 (Electronic)
ISSN-L
0194-5998
Statut éditorial
Publié
Date de publication
2011
Peer-reviewed
Oui
Volume
145
Numéro
4
Pages
677-682
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
OBJECTIVE: To assess whether flexible nasoendoscopy can be used to visualize all parts of the olfactory cleft (OC) without morbidity.STUDY DESIGN: Single-center, prospective, observational study.SETTING: French tertiary referral center.SUBJECTS AND METHODS: 100 consecutive patients were divided in 2 groups of 50. Group 1 underwent nasal fibroscopy without vasoconstriction or local anesthesia with an endosheath- protected endoscope. Group 2 was examined by a fiberscope without an endosheath after application of naphazoline Xylocaine. Each OC was divided in 16 items recorded as visualized or not. Four scores were compared between both groups: out of 16 (1 side), out of 32 (both sides), out of 12 concerning only the narrowest and highest bilateral spaces, and out of 4 to divide these specific areas in anterior, middle, and posterior parts. Length of procedure, pain, epistaxis, blood mark on the endosheath, sneezing, rhinorrhea, and causes of failure were recorded.RESULTS: There was no significant difference between both groups concerning score out of 16 or 32. The visibility of the narrower and higher spaces was better in group 2: scores out of 12 were significantly different between the groups (P = .025), as were scores out of 4 for the anterior and middle parts of the OC (P = .02 and .01 respectively). Morbidity was low without differences between the groups. Deviated nasal septum was the only cause of failure and increased the patients' pain during the examination (P = .045).CONCLUSION: Nasal fibroscopy could be used to explore the different portions of the OC efficiently and with low morbidity.
Mots-clé
Adenocarcinoma/diagnosis, Anesthesia, Local, Endoscopy/methods, Humans, Nose Deformities, Acquired/diagnosis, Nose Neoplasms/diagnosis, Occupational Diseases/diagnosis, Prospective Studies, Rhinitis, Allergic, Perennial/diagnosis, Wood
Pubmed
Web of science
Création de la notice
08/03/2012 9:44
Dernière modification de la notice
20/08/2019 14:08