Feasibility and Efficacy of Olfactory Protection Using Gelfoam and Fibrin Glue during Anterior Communicating Artery Aneurysm Surgery
Journal of Korean Neurosurgical Society
;
: 107-111, 2015.
Article
in English
| WPRIM
| ID: wpr-211052
ABSTRACT
OBJECTIVE:
Patients treated with surgical clipping for anterior communicating artery (A-com) aneurysm often complain of anosmia, which can markedly impede their quality of life. We introduce a simple and useful technique to reduce postoperative olfactory dysfunction in A-com aneurysm surgery.METHODS:
We retrospectively reviewed the medical records of patients who underwent surgical clipping for unruptured aneurysm from 2011-2013 by the same senior attending physician. Since March 2012, olfactory protection using gelfoam and fibrin glue was applied in A-com aneurysm surgery. Therefore we categorized patients in two groups from this time-protected group and unprotected group.RESULTS:
Of the 63 enrolled patients, 16 patients showed postoperative olfactory dysfunction-including 8 anosmia patients (protected group unprotected group=1 7) and 8 hyposmia patients (protected group unprotected group=2 6). Thirty five patients who received olfactory protection during surgery showed a lower rate of anosmia (p=0.037, OR 10.516, 95% CI 1.159-95.449) and olfactory dysfunction (p=0.003, OR 8.693, 95% CI 2.138-35.356). Superior direction of the aneurysm was also associated with a risk of olfactory dysfunction (p=0.015, OR 5.535, 95% CI 1.390-22.039).CONCLUSION:
Superior direction of aneurysm appears associated with postoperative olfactory dysfunction. Olfactory protection using gelfoam and fibrin glue could be a simple, safe, and useful method to preserve olfactory function during A-com aneurysm surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Quality of Life
/
Surgical Instruments
/
Fibrin
/
Fibrin Tissue Adhesive
/
Intracranial Aneurysm
/
Medical Records
/
Retrospective Studies
/
Gelatin Sponge, Absorbable
/
Aneurysm
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2015
Type:
Article
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