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Therapie von Riechstörungen

Treatment of olfactory disorders

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Zusammenfassung

Derzeit sind eine Reihe prognostischer Faktoren bekannt, mit denen die Remissionswahrscheinlichkeit bei Riechstörungen auf individueller Ebene vorausgesagt werden kann. Anders verhält es sich bei der Therapie von Riechstörungen. Bei sinunasal bedingten Riechstörungen haben sich medikamentöse und operative Verfahren als effizient erwiesen. Dabei werden v. a. Glukokortikoide topisch und systemisch eingesetzt. Bei schweren mechanischen Behinderungen der Riechfunktion sowie bei fortgeschritteneren Stadien der nasalen Polyposis hat sich die funktionelle endoskopische Nasennebenhöhlenchirurgie bewährt. Hinsichtlich der Therapie posttraumatischer und postviraler Riechstörungen existieren derzeit lediglich nichtmedikamentöse Ansätze, wie das „Riechtraining“.

Abstract

A number of prognostic factors regarding the individual prognosis of untreated olfactory disorders are available. Nevertheless, individual prognostic factors regarding the effects of therapeutic interventions are lacking. Surgical and pharmaceutical interventions have been proven to be effective in the treatment of olfactory disorders due to sinonasal disease. At present, treatment with topical or systemic corticosteroids is most widespread in the management of those disorders. In severe mechanical alterations of nasal airflow and in cases of significant nasal polyposis, functional endoscopic sinus surgery may be helpful. With regard to post-traumatic or postviral olfactory disorders, treatment is currently limited to non-pharmacological intervention such as olfactory training.

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  1. Interdisziplinäres Zentrum „Riechen und Schmecken“, Universitäts-HNO-Klinik Dresden, Dresden, Deutschland

    T. Hummel

  2. Universitäts-HNO-Klinik Mannheim, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1–3, 68167, Mannheim, Deutschland

    B.A. Stuck

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Correspondence to B.A. Stuck.

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Hummel, T., Stuck, B. Therapie von Riechstörungen. HNO 58, 656–660 (2010). https://doi.org/10.1007/s00106-010-2137-3

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