1. Olfaktoriální meningiomy - chirurgická léčba, její rizika a možnosti zachování čichu.
- Author
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Dedeciusová, M., Májovský, M., Fundová, P., Beneš, V., and Netuka, D.
- Abstract
This review summarizes dysfunction of olfaction in patients with olfactory groove meningiomas (OGM). Clinical examination, including pre-operative and post-operative assessment of olfaction, is indispensable for the evaluation of the surgical outcome in patients with OGM. Review of a recent series of OGM documents showed a lack of the olfaction assessment in most of the studies. Psychophysical tests determining olfactory detection, discrimination and identifi cation (e. g. University of Pennsylvania Smell Identifi cation Test [UPSIT], The Single Staircase Odor Detection Threshold Test, Siffi n' Sticks Test) should be used to reveal olfactory dysfunction. Specialized examination techniques such as electro-olfactogram, olfactory evoked potentials and functional magnetic resonance imaging are being used in research. Standard treatment of OGM is a surgical resection. Controversy exists among the authors regarding the selection of a convenient surgical approach. Commonly, the uni-frontal and pterional approaches are being performed. Endoscopic resection, olfactory groove meningiomas, represents an alternative approach yet its indications are still limited. Postoperative olfaction preservation remains a diffi cult task even today. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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