open access

Vol 3, No 1 (2018)
Review article
Published online: 2018-03-20
Get Citation

The sense of smell in chronic rhinosinusitis — literature review

Łukasz Kluczyński1, Joanna Janiak-Kiszka1, Wojciech Kaźmierczak1
·
Medical Research Journal 2018;3(1):1-9.
Affiliations
  1. Zakład Badania Narządów Zmysłów, Wydział Nauk o Zdrowiu, Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy, ul. Marii Skłodowskiej - Curie 9, 85 - 094 Bydgoszcz, Poland

open access

Vol 3, No 1 (2018)
REVIEW ARTICLES
Published online: 2018-03-20

Abstract

Chronic rhinosinusitis (CRS) is an inflammation of the mucous membrane of the nose and paranasal sinuses. One of the four cardinal symptoms is smell distortion. It is estimated that CRS is the cause of 14 — 30% of all olfactory disorders among humans. A wide variety of methods checking olfactory functions have been developed. This literature review is meant to discuss all known up-to-date tests and show their usefulness. The authors also compare the results of treatment, according to the level of smell disorders, in connection with the presence of polyps, time of healing of post-operative wounds, time of the procedure, and others. In conclusion, one can say that all of these characteristics are important and that treatment of dysosmia is a challenging part of chronic sinusitis therapy.

Abstract

Chronic rhinosinusitis (CRS) is an inflammation of the mucous membrane of the nose and paranasal sinuses. One of the four cardinal symptoms is smell distortion. It is estimated that CRS is the cause of 14 — 30% of all olfactory disorders among humans. A wide variety of methods checking olfactory functions have been developed. This literature review is meant to discuss all known up-to-date tests and show their usefulness. The authors also compare the results of treatment, according to the level of smell disorders, in connection with the presence of polyps, time of healing of post-operative wounds, time of the procedure, and others. In conclusion, one can say that all of these characteristics are important and that treatment of dysosmia is a challenging part of chronic sinusitis therapy.

Get Citation

Keywords

chronic rhinosinusitis, olfaction test, olfaction disorder, endoscopic sinus surgery, quality of life, Lund Mackay scale, Lund Kennedy scale

About this article
Title

The sense of smell in chronic rhinosinusitis — literature review

Journal

Medical Research Journal

Issue

Vol 3, No 1 (2018)

Article type

Review article

Pages

1-9

Published online

2018-03-20

Page views

998

Article views/downloads

1532

DOI

10.5603/MRJ.2018.0001

Bibliographic record

Medical Research Journal 2018;3(1):1-9.

Keywords

chronic rhinosinusitis
olfaction test
olfaction disorder
endoscopic sinus surgery
quality of life
Lund Mackay scale
Lund Kennedy scale

Authors

Łukasz Kluczyński
Joanna Janiak-Kiszka
Wojciech Kaźmierczak

References (35)
  1. Fokkens WJ, Lund VJ, Mullol J, et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012; 50(1): 1–12.
  2. Niemczyk K, Jurkiewicz D, Składzień J, et al. Otorynolaryngologia kliniczna, Warsaw: MediPage; 2014; 1:338 – 350; 2:321. ; 323: 342.
  3. Walliczek-Dworschak U, Pellegrino R, Taube F, et al. Chemosensory function before and after multimodal treatment in chronic rhinosinusitis patients. Laryngoscope. 2018; 128(3): E86–E90.
  4. Hirsch AG, Stewart WF, Sundaresan AS, et al. Nasal and sinus symptoms and chronic rhinosinusitis in a population-based sample. Allergy. 2017; 72(2): 274–281.
  5. Andrews PJ, Poirrier AL, Lund VJ, et al. Outcomes in endoscopic sinus surgery: olfaction, nose scale and quality of life in a prospective cohort study. Clin Otolaryngol. 2016; 41(6): 798–803.
  6. Lind H, Joergensen G, Lange B, et al. Efficacy of ESS in chronic rhinosinusitis with and without nasal polyposis: a Danish cohort study. Eur Arch Otorhinolaryngol. 2016; 273(4): 911–919.
  7. Gupta D, Gulati A, Singh I, et al. Endoscopic, radiological, and symptom correlation of olfactory dysfunction in pre- and postsurgical patients of chronic rhinosinusitis. Chem Senses. 2014; 39(8): 705–710.
  8. Lund VJ, Kennedy DW. Staging for rhinosinusitis. Otolaryngol Head Neck Surg. 1997; 117(3 Pt 2): S35–S40.
  9. Rudmik L, Smith KA, Kilty S. Endoscopic polypectomy in the clinic: a pilot cost-effectiveness analysis. Clin Otolaryngol. 2016; 41(2): 110–117.
  10. Saito T, Tsuzuki K, Yukitatsu Y, et al. Correlation between olfactory acuity and sinonasal radiological findings in adult patients with chronic rhinosinusitis. Auris Nasus Larynx. 2016; 43(4): 422–428.
  11. Minwegen F, Thomas JP, Bernal-Sprekelsen M, et al. Predictive value of disease severity on self-reported rating and quantitative measures of olfactory function outcomes after primary endoscopic sinus surgery. A prospective study. Rhinology. 2014; 52(4): 437–443.
  12. Rudmik L, Smith TL. Olfactory improvement after endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg. 2012; 20(1): 29–32.
  13. Kim DW, Kim JY, Kim SW, et al. Postoperative olfactory results in chronic rhinosinusitis with nasal polyposis according to wound healing status. Clin Exp Otorhinolaryngol. 2013; 6(3): 146–151.
  14. Kuperan AB, Lieberman SM, Jourdy DN, et al. The effect of endoscopic olfactory cleft polyp removal on olfaction. Am J Rhinol Allergy. 2015; 29(4): 309–313.
  15. Güllmar D, Seeliger T, Gudziol H, et al. Improvement of olfactory function after sinus surgery correlates with white matter properties measured by diffusion tensor imaging. Neuroscience. 2017; 360: 190–196.
  16. Thompson CF, Kern RC, Conley DB. Olfaction in Endoscopic Sinus and Skull Base Surgery. Otolaryngol Clin North Am. 2015; 48(5): 795–804.
  17. Gupta D, Gulati A, Singh I, et al. Impact of endoscopic sinus surgery on olfaction and use of alternative components in odor threshold measurement. Am J Rhinol Allergy. 2015; 29(4): e117–e120.
  18. Alt JA, Mace JC, Buniel MCF, et al. Predictors of olfactory dysfunction in rhinosinusitis using the brief smell identification test. Laryngoscope. 2014; 124(7): E259–E266.
  19. Kim BG, Oh JH, Choi HaNa, et al. Simple assessment of olfaction in patients with chronic rhinosinusitis. Acta Otolaryngol. 2015; 135(3): 258–263.
  20. Briner HR, Jones N, Simmen D. Olfaction after endoscopic sinus surgery: long-term results. Rhinology. 2012; 50(2): 178–184.
  21. Oka H, Tsuzuki K, Takebayashi H, et al. Olfactory changes after endoscopic sinus surgery in patients with chronic rhinosinusitis. Auris Nasus Larynx. 2013; 40(5): 452–457.
  22. Dżaman K. Dżaman K, Współczesne metody badania węchu i smaku, Otorynolaryngologia. 2008; 7: 173.
  23. Soler ZM, Smith TL, Alt JA, et al. Olfactory-specific quality of life outcomes after endoscopic sinus surgery. Int Forum Allergy Rhinol. 2016; 6(4): 407–413.
  24. Soler ZM, Hyer JM, Karnezis TT, et al. The Olfactory Cleft Endoscopy Scale correlates with olfactory metrics in patients with chronic rhinosinusitis. Int Forum Allergy Rhinol. 2016; 6(3): 293–298.
  25. Katotomichelakis M, Simopoulos E, Tripsianis G, et al. Improvement of olfactory function for quality of life recovery. Laryngoscope. 2013; 123(11): E10–E16.
  26. DeConde AS, Mace JC, Alt JA, et al. Investigation of change in cardinal symptoms of chronic rhinosinusitis after surgical or ongoing medical management. Int Forum Allergy Rhinol. 2015; 5(1): 36–45.
  27. Busaba NY. The impact of a patient's age on the clinical presentation of inflammatory paranasal sinus disease. Am J Otolaryngol. 2013; 34(5): 449–453.
  28. Szaleniec J, Wróbel A, Stręk P, et al. Smell impairment in chronic rhinosinusitis – evaluation of endoscopic sinus surgery results and review of literature concerning olfactory function predictors. Otolaryngol Pol. 2015; 69(1): 33–44.
  29. Bakhshaee M, Sharifian MR, Ghazizadeh AH, et al. Smell Decline as a good Predictor of Sinonasal Polyposis Recurrence after Endoscopic Surgery. Iran J Otorhinolaryngol. 2016; 28(85): 125–134.
  30. Hsu CY, Wang YP, Shen PH, et al. Objective olfactory outcomes after revision endoscopic sinus surgery. Am J Rhinol Allergy. 2013; 27(4): e96–100.
  31. Jiang RS, Liang KL, Wu SH, et al. Electrolyzed acid water nasal irrigation after functional endoscopic sinus surgery. Am J Rhinol Allergy. 2014; 28(2): 176–181.
  32. Rawal RB, Deal AM, Ebert CS, et al. Post-operative budesonide irrigations for patients with polyposis: a blinded, randomized controlled trial. Rhinology. 2015; 53(3): 227–234.
  33. Thompson CF, Price CPE, Huang JHe, et al. A pilot study of symptom profiles from a polyp vs an eosinophilic-based classification of chronic rhinosinusitis. Int Forum Allergy Rhinol. 2016; 6(5): 500–507.
  34. Katotomichelakis M, Simopoulos E, Tripsianis G, et al. The effects of smoking on quality of life recovery after surgery for chronic rhinosinusitis. Rhinology. 2014; 52(4): 341–347.
  35. Fountain CR, Mudd PA, Ramakrishnan VR, et al. Characterization and treatment of patients with chronic rhinosinusitis and nasal polyps. Ann Allergy Asthma Immunol. 2013; 111(5): 337–341.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl