Our Summary

This research paper is about a procedure called septoplasty, which is a common type of surgery often performed to correct a deviated septum - a condition that occurs when the cartilage that separates your nostrils is out of position. The researchers wanted to know if this surgery has any effect on a person’s sense of smell.

To find this out, they looked at a wide range of studies published between 1990 and 2020 that discussed the relationship between septoplasty and the sense of smell. They specifically focused on 12 of these studies that provided enough data on changes in smell.

After analyzing all the data, they found that septoplasty generally improves a person’s ability to smell. There were significant improvements in all the smell tests they looked at. However, they also found that the improvement wasn’t the same for everyone - some people saw a bigger improvement than others.

Because of this, the researchers suggest that more rigorous studies should be carried out to confirm their findings. This would provide more certainty about the effect of septoplasty on the sense of smell.

FAQs

  1. What is the impact of septoplasty on the sense of smell?
  2. How many studies and patients were included in the meta-analysis examining the effect of septoplasty on olfaction?
  3. What further research is required to confirm the findings of this study on septoplasty and the sense of smell?

Doctor’s Tip

One helpful tip a doctor might tell a patient about septoplasty is to be patient and allow time for the sense of smell to fully recover after the surgery. It is important to follow post-operative care instructions carefully and attend follow-up appointments to monitor any changes in olfactory function. It is also recommended to communicate any concerns or changes in smell perception to your healthcare provider.

Suitable For

Patients who are typically recommended for septoplasty are those who have a deviated septum causing symptoms such as nasal obstruction, difficulty breathing through the nose, frequent nosebleeds, snoring, and recurrent sinus infections. Septoplasty may also be recommended for patients with chronic sinusitis, nasal polyps, or nasal tumors that are causing obstruction. Additionally, patients who have tried other conservative treatments such as nasal sprays or allergy medications without success may also be candidates for septoplasty.

Timeline

Before septoplasty:

  • Patient experiences symptoms such as nasal congestion, difficulty breathing through the nose, snoring, and frequent sinus infections.
  • Patient may undergo diagnostic tests such as a nasal endoscopy or CT scan to determine the extent of the septal deviation.
  • Patient consults with an otolaryngologist (ENT) to discuss treatment options, including septoplasty.

After septoplasty:

  • Patient undergoes the septoplasty surgery, which typically takes 1-2 hours and is performed under general anesthesia.
  • Patient may experience mild pain, swelling, and congestion in the first few days after surgery.
  • Patient follows post-operative care instructions, which may include nasal irrigation, pain medication, and avoiding strenuous activities.
  • Patient has follow-up appointments with the surgeon to monitor healing and assess any changes in symptoms.
  • Patient may experience improved nasal breathing, reduced snoring, and decreased frequency of sinus infections in the weeks and months following surgery.

What to Ask Your Doctor

  1. How will septoplasty affect my sense of smell?
  2. What are the potential risks and complications associated with septoplasty that could affect my sense of smell?
  3. How long will it take for my sense of smell to return to normal after the surgery?
  4. Are there any specific post-operative care instructions or medications that can help preserve or improve my sense of smell?
  5. Are there any factors, such as allergies or sinus issues, that could impact my sense of smell after septoplasty?
  6. What can I do to protect my sense of smell during the recovery period?
  7. If my sense of smell does not improve after septoplasty, what further steps can be taken to address this issue?
  8. Are there any specific tests or evaluations that can be done before and after septoplasty to assess changes in my sense of smell?
  9. Are there any alternative treatments or therapies that can help improve my sense of smell if it is affected by septoplasty?
  10. How frequently should I follow up with you after septoplasty to monitor any changes in my sense of smell?

Reference

Authors: Grabosky A, Mackers P, Langdon C, Alobid I. Journal: Rhinology. 2021 Apr 1;59(2):144-150. doi: 10.4193/Rhin20.252. PMID: 33320116