OLFACTORY EVALUATION IN POSTOPERATIVE PATIENTS OF CHRONIC RHINOSINUSITIS WITH NASAL POLYPOSIS: literature review (Atena Editora)

Abstract

Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP) is a chronic inflammatory disease of the nasal mucosa and paranasal sinuses with the formation of multiple, bilateral, benign polyps. Thus, CRSwNP can contribute to hyposmia or even anosmia. It must be noted that the objective of the study is to perform a literature review to evaluate the olfactory pattern after endoscopic nasal surgery in patients with Chronic Rhinosinusitis with Nasal Polyposis. Since this disease directly entails high costs to public health. In addition, there are indirect costs involved, such as decreased productivity and absenteeism. The results showed that surgical predominance in the olfactory evaluation of the clinical condition of CRSwNP is controversial and the management of this pathology is essential to adopt a multifaceted approach. However, studies have revealed that patients undergoing surgical treatment presented better indices in quality of life questionnaires in relation to hyposmia when compared to clinical treatment. The discussion corroborates that defining the surgical plan for CRSwNP together with the patient is of great value, since it is necessary to clarify the surgical options according to the extent of the surgery and the pathology and cause of hyposmia. Thus, evaluating surgical practices with the aim of establishing an improvement in the olfactory pattern resulting from CRSwNP through the restructuring of nasal properties is a necessity in the medical practices of Otorhinolaryngology and, for this reason, new studies must be implemented to establish better confirmatory biases for intervention in quality of life, as well as olfactory.