Hyposmia after septoplasty and middle turbinate reducation i had a combined septoplasty and middle turbinate (concha bullosa) resection on 29th feb. immediately after the operation (1 day) i couldn't smell anything. my sense of smell returned after about

Most : Most changes in smell following intranasal surgery are self-limiting and related to swelling of the nasal mucosa which can impair odorant contact with the olfactory nerves. The middle turbinate attaches to the cribriform plate, through which the olfactory fibers pass. The "crista" may be a misdictation in the or report as the only one i'm aware of is the crista galli, which is an intracranial boney projection above the cribriform plate to which the falx cerebri attaches. It seems improbable this was fractured. As long as you are not experiencing clear fluid drainage from the nose, having unexplained headaches, fever, or neck stiffness, there is probably not much reason for concern here. A trial of topical nasal steroids (i.e., flonase) woulnd't be an unreasonable initial approach.

At : At this point in time, what is done is done and i think you should be patient, as in many people the smell should return, even though it may take a while (up to a year). You may want to ask your doc for a Medrol (methylprednisolone) doze pack as it may speed up the recovery and improved smell perception. Have a positive out look. Good luck from nyc. For more info visit www.Drgrossman.Com.

At : At this time it is best for you be patient. Hopefully this is secondary to residual, temporary swelling. It is encouraging that some smell is present. Ultimately, computerized x-ray can be done to determine if there was any injury to the plate.