The Middle Turbinate Resection and Its Repercussion in Olfaction with the University of Pennsylvania Smell Identification Test (UPSIT)

Mariano, Fernando Cesar; Hamerschmidt, Rogerio; Soares, Caio Marcio Correa; Moreira, Ana Tereza

doi:10.1055/s-0037-1608679

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International Archives of Otorhinolaryngology

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Sumário

Original Research • Int. Arch. Otorhinolaryngol. 22 (03) • Jul-Sep 2018 • https://doi.org/10.1055/s-0037-1608679 copy

The Middle Turbinate Resection and Its Repercussion in Olfaction with the University of Pennsylvania Smell Identification Test (UPSIT)

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction

Nasal obstruction is a common complaint, and, for some, the middle turbinate resection is still a controversial issue among the surgical options due to the possibility of deleterious effects on olfaction. The University of Pennsylvania smell identification test (UPSIT) is considered the gold standard of smell identification tests, but data about it is still incipient in Brazil.

Objective

To evaluate if the middle turbinectomy has any repercussion on the sense of olfaction by using the UPSIT as an assessment tool.

Methods

A prospective study performed between 2013 and 2015 with 27 patients who were treated with middle turbinectomy by the same surgeon and tested with the UPSIT pre- and post-surgery, with a minimum interval of 3 months.

Results

Twenty-five patients completed the study. The mean age was 27.9 years. There was no statistical correlation betweenmiddle turbinectomy and the UPSIT score, or between gender and the UPSIT score.

Conclusion

There was no clinical repercussion on olfaction from partial middle turbinectomy.

Keywords:
olfaction; turbinates; nasal obstruction

Timing	N^o. of cases	Mean	Median	Minimum	Maximum	SD	p*
Pre-surgery	25	35.2	37	27	39	3.7
Post-surgery	25	35.4	37	27	40	3.5
Post – Pre	25	0.2	0	−2	2	0.9	0.221

Timing	Gender	n	Mean	Median	Minimum	Maximum	SD	p
Pre-surgery	Female	14	36.8	38	27	39	3.2	0.008*
	Male	11	33.2	33	27	38	3.5
Post-surgery	Female	14	36.9	38	29	40	2.9	0.013*
	Male	11	33.5	33	27	38	3.5
Post – Pre	Female	14	0.1	0	−2	2	1.0	0.800**
	Male	11	0.4	0	−1	2	0.8

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E-mail: iaorl@iaorl.org

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[1] Address for correspondence Fernando Cesar Mariano, MD, Departamento de Cirurgia, Complexo Hospital de Clínicas da Universidade Federal do Paraná (CHC-UFPR), Rua General Carneiro, 181, Curitiba, PR, 80060-900, Brazil (e-mail: fcrmariano@gmail.com).