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European Archives of Oto-Rhino-Laryngology

, Volume 276, Issue 12, pp 3367–3372 | Cite as

The treatment efficacy of nasal polyposis on olfactory functions, clinical scoring systems and inflammation markers

  • Zehra Betul Paksoy
  • Melih CayonuEmail author
  • Cigdem Yucel
  • Turan Turhan
Rhinology
  • 51 Downloads

Abstract

Objective

The aim of this study was to investigate the effect of the medical and the surgical treatment on the olfactory functions, clinical scoring systems and inflammation markers in patients with nasal polyposis. In addition, the secondary aim was to investigate the correlation between those investigated parameters.

Subjects and methods

A total of 30 patients, who completed the standardized medical and surgical treatment and also came to 3 months of follow-ups regularly after the surgery, were included in the study. The Sniffin’ Sticks olfactory tests, radiological and the endoscopic stagings, liver-expressed chemokine (CCL16) and endothelin (ET) levels and sino-nasal outcome test-22 (SNOT-22) were performed at the initial and at the end of the study.

Results

The current study had four major findings: (1) significant improvement in odor functions after treatment was determined; however, the majority of the patients had been already hyposmic. (2) In addition, significant improvement was found in ET and CCL16 levels, SNOT-22 results, and radiologic and endoscopic stagings at the end of the study. (3) However, there was no correlation between the olfactory functions and the investigated parameters. (4) There was a positive correlation between polyp recurrence and ET levels.

Conclusion

The standardized medical and surgical treatment provided a significant improvement in the olfactory functions. However, only one patient (3.3%) had become normosmic at the end of the study.

Keywords

Nasal polyposis Sniffin’ sticks Steroid treatment Endoscopic sinus surgery Endothelin CCL16 SNOT-22 

Notes

Acknowledgements

This project was funded by Ankara Numune Training and Research Hospital Scientific Research Projects Directorate by Project Number 1214/2017.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the local Institutional Review Board (Ankara Numune Training and Research Hospital E-16-1127/28.12.2016).

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of OtorhinolaryngologyAnkara Numune Training and Research HospitalAnkaraTurkey
  2. 2.Department of Clinical BiochemistryAnkara Numune Training and Research HospitalAnkaraTurkey

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