dc.contributor.advisor | Sánchez Gómez, Serafín | es |
dc.creator | Coelho Cesar Anjo, Ricardo | es |
dc.date.accessioned | 2024-04-29T11:12:42Z | |
dc.date.available | 2024-04-29T11:12:42Z | |
dc.date.issued | 2024-02-14 | |
dc.identifier.citation | Coelho Cesar Anjo, R. (2024). Optimización de la función respiratoria y olfativa en la cirugía endoscópica nasosinusal y rinoseptoplastia. (Tesis Doctoral Inédita). Universidad de Sevilla, Sevilla. | |
dc.identifier.uri | https://hdl.handle.net/11441/157256 | |
dc.description.abstract | Nasal obstruction is a frequently reported symptom that prompts patients to seek
appointments with Ear, Nose, and Throat (ENT) specialists. Loss of smell, while
commonly associated with nasal issues, often occurs with low self-awareness, making it
challenging to assess patients' symptoms solely based on their clinical history.
Anatomical factors can significantly impact both olfactory function and nasal airflow,
making an understanding of their pathologies and surgical solutions crucial for
optimizing patient outcomes.
The primary objective of this study was to assess methods for enhancing the
results of nasal surgery, particularly concerning olfactory function and nasal airflow.
We initiated the investigation with a comprehensive overview of reviews of literature
pertaining to the loss of smell and nasal obstruction. Subsequently, we developed and
validated the 'Algarve Smell Test.' To facilitate clinical application, we established a
specialized 'rhinology and olfaction' consultation that adhered to a predefined protocol.
For cases where surgery was deemed necessary, we closely monitored surgical
outcomes, and in select patients, a local anesthetic protocol was administered.
The optimization of respiratory function in endoscopic sinus surgery and
rhinoseptoplasty was predominantly accomplished through meticulous preoperative
selection, employing subjective nasal permeability scales such as the NOSE and SNOT-
22. This decision-making process was further refined by integrating standardized
clinical history, objective examinations, and complementary tests. In parallel, the
optimization of olfactory function was achieved through the administration of smell
tests. Notably, this improvement was observed in endoscopic sinus surgery but was less
pronounced in rhinoplasty and septoplasty procedures. Patients undergoing endoscopic
surgery experienced marked improvements in their overall smell scores, primarily due
to enhanced odor threshold and discrimination scores. Intriguingly, patients with
septoturbinovalvular disorders often exhibited olfactory function within the normal
range, and, on occasion, even exceeded the sensory thresholds of non-operated groups.
However, despite subjective improvements in nasal permeability in this cohort, there
was no corresponding effect on the clinical evaluation of olfaction. | es |
dc.format | application/pdf | es |
dc.format.extent | 193 p. | es |
dc.language.iso | eng | es |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.title | Optimización de la función respiratoria y olfativa en la cirugía endoscópica nasosinusal y rinoseptoplastia | es |
dc.title.alternative | Optimization of the respiratory and olfactory function in endoscopic sinus surgery and rhinoseptoplasty | es |
dc.type | info:eu-repo/semantics/doctoralThesis | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina Preventiva y Salud Pública | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |