ORIGINAL ARTICLE

The role of Functional Endoscopic Sinus Surgery (FESS) to improve olfactory function in chronic rhinosinusitis patients without polyps

Syamsul Irman , Siti Nursiah, Ferryan Sofyan, Taufik Ashar

Syamsul Irman
Department of Otolaryngology Head and Neck Surgery Faculty of Medicine Universitas Sumatera Utara. Email: syamsulirman1@gmail.com

Siti Nursiah
Department of Otolaryngology Head and Neck Surgery Faculty of Medicine Universitas Sumatera Utara

Ferryan Sofyan
Department of Otolaryngology Head and Neck Surgery Faculty of Medicine Universitas Sumatera Utara

Taufik Ashar
Departemen Kesehatan Lingkungan Fakultas Kesehatan Masyarakat Universitas Sumatera Utara Medan
Online First: August 07, 2017 | Cite this Article
Irman, S., Nursiah, S., Sofyan, F., Ashar, T. 2017. The role of Functional Endoscopic Sinus Surgery (FESS) to improve olfactory function in chronic rhinosinusitis patients without polyps. Bali Medical Journal 6(3): 641-644. DOI:10.15562/bmj.v6i3.744


Background: Olfactory dysfunction is one of the chronic rhinosinusitis symptoms. A large number of patients with chronic rhinosinusitis without polyps whose treated by Functional Endoscopic Sinus Surgery (FESS) need to be investigated using Sniffin ' sticks test before and after surgery. Objective: The aim of this study is to investigate the role of olfactory function improvement after FESS in patients with chronic rhinosinusitis without polyps. Methods: This study is an experimental study using one group pre-post test design. The measurement of the threshold, discrimination, identification, and TDI scores were assessed by Sniffin’ stick test in 3 periods (before FESS, 2 weeks and 4 weeks after FESS intervention). Results: The mean value of the TDI score before FESS performed was 19.43 ± 7.32 (hyposmia), 2 weeks after the operation was 26.9 ± 5.78 (hyposmia), and 4 weeks after the operation was 33.25 ± 3.86 (normosmia).There is a significant mean difference in thresholds, discrimination, identification, and olfactory function (TDI) scores in patients with chronic rhinosinusitis without polyps before FESS, 2 weeks after the procedure, and 4 weeks after FESS. Conclusion:There was a significant improvement in olfactory function after FESS performed in patients with chronic rhinosinusitis without polyps.

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