Assessment of nasal fibroscopy to explore olfactory cleft

Details

Serval ID
serval:BIB_29010E65F881
Type
Article: article from journal or magazin.
Collection
Publications
Title
Assessment of nasal fibroscopy to explore olfactory cleft
Journal
Otolaryngology, Head and Neck Surgery
Author(s)
Porez F., de Pommerol M.J., Krief Peggy, Conso F., Stoll D., de Gabory L.
ISSN
1097-6817 (Electronic)
ISSN-L
0194-5998
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
145
Number
4
Pages
677-682
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
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.
Keywords
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
Create date
08/03/2012 8:44
Last modification date
20/08/2019 13:08
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