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Abstracts - Association for Chemoreception Sciences

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possibly suggesting non-apoptotic mechanisms of epithelial loss.<br />

Currently, TUNEL apoptotic analysis is underway to verify this<br />

result. Acknowledgements: Northwestern University FSM inhouse<br />

funds<br />

#P320 POSTER SESSION VII:<br />

OLFACTORY PSYCHOPHYSICS &<br />

CLINICAL STUDIES; CENTRAL OLFACTION<br />

Influence of sinunasal diseases on olfactory function and<br />

quality of life<br />

Franziska Krone 1 , Ilona Croy 1 , Jürgen Pade 2 , Angelika Pade 2 ,<br />

Thomas Hummel 1<br />

1<br />

Smell & Taste Clinic, Department of Otorhinolaryngology,<br />

University of Dresden Medical School Dresden, Germany,<br />

2<br />

Department of Otorhinolaryngology, St.-Johannes Hospital<br />

Dortmund, Germany<br />

Chronic rhinosinusitis is one of the most common causes of<br />

olfactory disorders and is known to have a large effect on general<br />

health and subjective well-being. Aim of this study was to<br />

investigate changes in olfactory function and quality of life after<br />

surgical treatment of sinunasal disease. A total of 788 patients<br />

with sinunasal disorders (492 men, 296 women; age range 9-81<br />

years) were included in the study; 336 patients received sinus<br />

surgery, 358 septum surgery and 94 patients received sinus<br />

surgery involving the septum. Patient’s subjective impairment and<br />

quality of life were measured be<strong>for</strong>e and after surgery using<br />

standardized questionnaires (Rhinosinusitis Disability Index;<br />

SF-36-Questionnaire). Olfactory function was assessed with a<br />

standardized odor identification test (“Sniffin’ Sicks”). Five<br />

months (63-339 days) after surgery 361 patients were retested.<br />

Prior to surgery, 30% of the patients rated their sinunasal<br />

problems in the Rhinosinusitis Disability Index to be of a gravely<br />

impaired, 61% rated them medium and 9% minor, whereas in the<br />

SF-36 score more than 70% of the patients rated their quality of<br />

life within the norm. After surgery, symptom-severity decreased<br />

in more than 60% of the patients and also a slight improvement<br />

(p=0.012-0.08) of general quality of life was observed. An<br />

improvement of the sense of smell was found in 18%, no change<br />

was seen in 74%, and decreased olfactory function was seen in<br />

8% of the patients. In conclusion, surgery improved olfactory<br />

function (p

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