PMID- 34511301 OWN - NLM STAT- MEDLINE DCOM- 20220711 LR - 20220719 IS - 1879-1476 (Electronic) IS - 0385-8146 (Linking) VI - 49 IP - 6 DP - 2022 Dec TI - Psychophysical assessments of olfaction after endoscopic unilateral resection with post-operative radiotherapy in olfactory neuroblastomas. PG - 1088-1092 LID - S0385-8146(21)00230-3 [pii] LID - 10.1016/j.anl.2021.08.007 [doi] AB - Endoscopic resection with post-operative radiotherapy has been included in the standard therapeutic options for olfactory neuroblastomas (ONBs). Recent publications have indicated the feasibility of olfactory preservation after endoscopic unilateral resection of ONBs. This study validated residual olfaction using the psychophysical assessment, T & T olfactometer, in patients who underwent endoscopic unilateral resection with post-operative radiotherapy. A single-institutional retrospective review was performed to identify patients who underwent endoscopic unilateral resection of ONBs with olfaction monitoring using T & T olfactometer between 2009 and 2020. T & T olfactometry was performed before surgery, after surgery, before radiotherapy, and after completion of radiotherapy. Four patients (one female and three males) were identified. The mean observation period was 41.9 months, and all patients showed no evidence of disease. Three patients exhibited residual olfactory function with two patients having normal or pre-operative level olfaction, although T & T olfactometer results showed a temporary increase in recognition thresholds after surgery. As consequence, endoscopic unilateral resection can achieve satisfactory olfactory preservation in patients with early-stage ONBs. CI - Copyright (c) 2021. Published by Elsevier B.V. FAU - Matsunaga, Mami AU - Matsunaga M AD - Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Kikuchi, Masahiro AU - Kikuchi M AD - Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Kuwata, Fumihiko AU - Kuwata F AD - Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Kitada, Yuji AU - Kitada Y AD - Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Omori, Koichi AU - Omori K AD - Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Nakagawa, Takayuki AU - Nakagawa T AD - Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. LA - eng PT - Case Reports PT - Validation Study DEP - 20210909 PL - Netherlands TA - Auris Nasus Larynx JT - Auris, nasus, larynx JID - 7708170 SB - IM MH - Endoscopy/adverse effects/standards MH - Esthesioneuroblastoma, Olfactory/physiopathology/radiotherapy/*surgery MH - Female MH - Humans MH - Male MH - Nasal Cavity/surgery MH - Nose Neoplasms/physiopathology/radiotherapy/*surgery MH - Olfaction Disorders/etiology/*physiopathology/*psychology MH - Radiotherapy, Adjuvant MH - Retrospective Studies MH - Smell/*physiology OTO - NOTNLM OT - Endoscopic surgery OT - Esthesioneuroblastoma OT - Olfaction OT - Sinonasal tumor OT - Skull base surgery OT - Smell preservation COIS- Declaration of Competing Interest There are no conflicts of interests in this study. This study was approved by the Ethics Committee of Kyoto University Hospital (R-2805). EDAT- 2021/09/14 06:00 MHDA- 2022/07/12 06:00 CRDT- 2021/09/13 05:49 PHST- 2021/04/02 00:00 [received] PHST- 2021/07/09 00:00 [revised] PHST- 2021/08/26 00:00 [accepted] PHST- 2021/09/14 06:00 [pubmed] PHST- 2022/07/12 06:00 [medline] PHST- 2021/09/13 05:49 [entrez] AID - S0385-8146(21)00230-3 [pii] AID - 10.1016/j.anl.2021.08.007 [doi] PST - ppublish SO - Auris Nasus Larynx. 2022 Dec;49(6):1088-1092. doi: 10.1016/j.anl.2021.08.007. Epub 2021 Sep 9.