{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:04:06Z","timestamp":1792022646353,"version":"4.4.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2014,11,1]],"date-time":"2014-11-01T00:00:00Z","timestamp":1414800000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Olfaction has been shown to have a large impact on patients\u2019 lives. Endoscopic pituitary surgery is associated with potentially significant damage to olfactory tissues. The objective of this study was to determine the effect of cauterization on olfactory function when performing endoscopic pituitary surgery with a nasoseptal \u201crescue\u201d flap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was performed of prospectively collected data. Olfaction was the primary outcome and was measured using the subjective visual analog scale (VAS; 0-100) and Cross-Cultural Smell Identification Test (CC-SIT) before and 3 months after surgery. Significant olfactory deficit was defined as &gt;20% loss compared with preoperative functions. Patients who underwent an endoscopic transsphenoidal approach with NSRFs for pituitary adenoma from June 2012 to March 2013 were included. Included patients were divided into two groups; group 1 underwent rescue flaps raised by monopolar cautery and group 2 underwent rescue flaps by cold knife.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty-nine patients were included in this study. There were 19 patients in group 1 and 30 patients in group 2. There was no significant difference in subjective olfactory change between the two groups (p = 0.386; group 1, 13.68 \u00b1 17.7, versus group 2, 6.83 \u00b1 8.25). However, 5 of 19 patients (26.3%) had significant olfactory loss in group 1 and 1 of 30 (3.3%) in group 2. This difference was statistically significant (p = 0.027). None of the patients showed a significant decrease in CC-SIT score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Raising the rescue flap by cold knife could reduce the rate of hyposmia compared with using an electrocautery postoperatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2500\/ajra.2014.28.4109","type":"journal-article","created":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T19:13:27Z","timestamp":1417547607000},"page":"517-519","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":41,"title":["Olfactory Outcomes after Endoscopic Pituitary Surgery with Nasoseptal \u201cRescue\u201d Flaps: Electrocautery versus Cold Knife"],"prefix":"10.1177","volume":"28","author":[{"given":"Sang Duk","family":"Hong","sequence":"first","affiliation":[{"name":"Departments of Otorhinolaryngology\u2013Head and Neck Surgery, Seoul, Korea"},{"name":"Endoscopic Brain Tumor Surgery Clinic, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Do-Hyun","family":"Nam","sequence":"additional","affiliation":[{"name":"Endoscopic Brain Tumor Surgery Clinic, Seoul, Korea"},{"name":"Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JunOh","family":"Park","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology\u2013Head and Neck Surgery, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Yeol","family":"Kim","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology\u2013Head and Neck Surgery, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung-Kyu","family":"Chung","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology\u2013Head and Neck Surgery, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hun-Jong","family":"Dhong","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology\u2013Head and Neck Surgery, Seoul, Korea"},{"name":"Endoscopic Brain Tumor Surgery Clinic, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,11,1]]},"reference":[{"key":"bibr1-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000234933.37779.e4"},{"key":"bibr2-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21419"},{"key":"bibr3-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2013.27.3932"},{"key":"bibr4-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1080\/00016480410022787"},{"key":"bibr5-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21890"},{"key":"bibr6-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21069"},{"key":"bibr7-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21103"},{"key":"bibr8-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24098"},{"key":"bibr9-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24107"},{"key":"bibr10-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199603000-00021"},{"key":"bibr11-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1073-x"},{"key":"bibr12-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1242983"},{"key":"bibr13-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21483"},{"key":"bibr14-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.09.032"},{"key":"bibr15-ajra.2014.28.4109","doi-asserted-by":"publisher","DOI":"10.3342\/kjorl-hns.2012.55.10.637"},{"key":"bibr16-ajra.2014.28.4109","first-page":"737","volume":"43","author":"Dhong H.J.","year":"2000","journal-title":"Korean J Otorhinolaryngol Head Neck Surg"}],"container-title":["American Journal of Rhinology &amp; Allergy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2500\/ajra.2014.28.4109","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.2500\/ajra.2014.28.4109","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2500\/ajra.2014.28.4109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:34:53Z","timestamp":1777368893000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.2500\/ajra.2014.28.4109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.2500\/ajra.2014.28.4109"],"URL":"https:\/\/doi.org\/10.2500\/ajra.2014.28.4109","relation":{},"ISSN":["1945-8924","1945-8932"],"issn-type":[{"value":"1945-8924","type":"print"},{"value":"1945-8932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11]]}}}