Olfactory groove meningiomas – surgical treatment, surgical risks and sense of smell preservation

Česká verzia

Authors: M. Dedeciusová ¹; M. Májovský ¹; P. Fundová ²; V. Beneš ¹; D. Netuka ¹
Authors place of work: Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN Praha ¹; Klinika otorhinolaryngologie a maxilofaciální chirurgie 3. LF UK a ÚVN Praha ²
Published in the journal: Cesk Slov Neurol N 2018; 81(1): 11-16
Category: Review Article
doi: https://doi.org/10.14735/amcsnn201811

Summary

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 identification (e. g. University of Pennsylvania Smell Identification Test [UPSIT], The Single Staircase Odor Detection Threshold Test, Siffin’ 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 difficult task even today.

Key words:
olfactory groove meningioma – skull base – olfaction – olfactory nerve

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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