Skip to main content
Log in

Erfassung von Störungen der chemischen Sinne – Einschätzung des Gesundheitszustands durch Betroffene

Detection of disorders of the chemical senses—assessment of state of health by those affected

  • Leitthema
  • Published:
HNO Aims and scope Submit manuscript

Zusammenfassung

Obwohl hunderttausende Menschen jährlich wegen Störungen des Riechens und Schmeckens medizinische Hilfe suchen, wird die Belastung der Patient:innen häufig unterschätzt. Viele Studien belegen den Einfluss von Störungen der chemischen Sinne auf die Lebensqualität. In der Praxis hat sich der Questionnaire of Olfactory Disorders (QOD) als gutes Messinstrument für den Einfluss auf das alltägliche Leben erwiesen. Von Patient:innen berichtete Ergebnisse sollten daher für eine bessere Erfassung und Bewertung der Bedürfnisse von Patient:innen mehr Beachtung finden. Neben der Aufklärung und Behandlung in spezialisierten Kliniken sollte in Deutschland zudem die Bereitstellung und Optimierung von Informationsplattformen und Selbsthilfegruppen bzw. patientenorientierten Organisationen gefördert werden.

Abstract

Although hundreds of thousands of people seek medical help every year because of smell and taste disorders, the burden on patients is often underestimated by health care professionals. Numerous studies have demonstrated the impact of disorders of the chemical senses on quality of life. In clinical practice, the Questionnaire of Olfactory Disorders (QOD) has proven to be a good measure of the impact of olfactory loss on everyday life. Patient-reported outcome measures (PROMs) should therefore be used more frequently for better recording and assessing the needs of patients. In addition to education and treatment by specialized clinics, the provision and optimization of information platforms, support groups, and organizations should be promoted in Germany.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2

Literatur

  1. Zou LQ, Hummel T, Otte MS et al (2021) Association between olfactory function and quality of life in patients with olfactory disorders: a multicenter study in over 760 participants. Rhinology 59(2):164–172. https://doi.org/10.4193/Rhin20.403 (PMID: 33395453. Published online 2020)

    Article  PubMed  Google Scholar 

  2. Bendas J, Hummel T, Croy I (2018) Olfactory function relates to sexual experience in adults. Arch Sex Behav 47(5):1333–1339. https://doi.org/10.1007/s10508-018-1203-x

    Article  PubMed  Google Scholar 

  3. Croy I, Springborn M, Lötsch J, Johnston ANB, Hummel T (2011) Agreeable smellers and sensitive neurotics—correlations among personality traits and sensory thresholds. Plos One 6(4):e18701. https://doi.org/10.1371/journal.pone.0018701 (Matsunami H, ed.)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Deems DA, Doty RL, Settle RG et al (1991) Smell and taste disorders, A study of 750 patients from the University of Pennsylvania smell and taste center. Arch Otolaryngol—head Neck Surg 117(5):519–528. https://doi.org/10.1001/archotol.1991.01870170065015

    Article  CAS  PubMed  Google Scholar 

  5. Brämerson A, Johansson L, Ek L, Nordin S, Bende M (2004) Prevalence of olfactory dysfunction: the Skövde population-based study. Laryngoscope 114(4):733–737. https://doi.org/10.1097/00005537-200404000-00026

    Article  PubMed  Google Scholar 

  6. Landis BN, Konnerth CG, Hummel T (2004) A study on the frequency of olfactory dysfunction: a study on the frequency of olfactory dysfunction. Laryngoscope 114(10):1764–1769. https://doi.org/10.1097/00005537-200410000-00017

    Article  CAS  PubMed  Google Scholar 

  7. Walker A, Kelly C, Pottinger G, Hopkins C (2022) Parosmia—a common consequence of Covid-19. BMJ. https://doi.org/10.1136/bmj-2021-069860

    Article  PubMed  PubMed Central  Google Scholar 

  8. Landis BN, Stow NW, Lacroix JS, Hugentobler M, Hummel T (2009) Olfactory disorders: the patients’ view. Rhinology 47(4):454–459. https://doi.org/10.4193/Rhin08.174

    Article  PubMed  Google Scholar 

  9. Patel ZM, Holbrook EH, Turner JH et al (2022) International consensus statement on allergy and rhinology: Olfaction. Int Forum Allergy Rhinol 12(4):327–680. https://doi.org/10.1002/alr.22929

    Article  PubMed  Google Scholar 

  10. Jiang R, Twu C, Liang K (2015) Medical treatment of traumatic anosmia. Otolaryngol Neck Surg 152(5):954–958. https://doi.org/10.1177/0194599815571272

    Article  Google Scholar 

  11. Besser G, Liu DT, Renner B, Hummel T, Mueller CA (2019) Olfactory implant: demand for a future treatment option in patients with olfactory dysfunction: demand for olfactory implant. Laryngoscope 129(2):312–316. https://doi.org/10.1002/lary.27476

    Article  PubMed  Google Scholar 

  12. Hummel T, Hummel C, Welge-Luessen A (2013) Assessment of olfaction and gustation. In: Welge-Luessen A, Hummel T (Hrsg) Management of Smell and Taste Disorders: A Practical Guide for Clinicians. Thieme, Stuttgart, S 58–75

    Google Scholar 

  13. Doty RL (2019) Psychophysical testing of smell and taste function. In: Handbook of Clinical Neurology, Bd. 164. Elsevier, S 229–246 https://doi.org/10.1016/B978-0-444-63855-7.00015-0

    Chapter  Google Scholar 

  14. Hummel T, Podlesek D (2021) Clinical assessment of olfactory function. Chem Senses 46:bjab53. https://doi.org/10.1093/chemse/bjab053

    Article  PubMed  Google Scholar 

  15. Haehner A, Mayer AM, Landis BN et al (2009) High test-retest reliability of the extended version of the “Sniffin’ sticks” test. Chem Senses 34(8):705–711. https://doi.org/10.1093/chemse/bjp057

    Article  PubMed  Google Scholar 

  16. Hummel T, Sekinger B, Wolf SR, Pauli E, Kobal G (1997) ‘Sniffin’ sticks’: olfactory performance assessed by the combined testing of odour identification, odor discrimination and olfactory threshold. Chem Senses 22(1):39–52. https://doi.org/10.1093/chemse/22.1.39

    Article  CAS  PubMed  Google Scholar 

  17. Wolfensberger M, Schnieper I (1999) Sniffin’Sticks®: Ein neues Instrument zur Geruchsprüfung im klinischen Alltag. HNO 47(7):629–636. https://doi.org/10.1007/s001060050436

    Article  CAS  PubMed  Google Scholar 

  18. Oleszkiewicz A, Schriever VA, Croy I, Hähner A, Hummel T (2019) Updated Sniffin’ Sticks normative data based on an extended sample of 9139 subjects. Eur Arch Otorhinolaryngol 276(3):719–728. https://doi.org/10.1007/s00405-018-5248-1

    Article  CAS  PubMed  Google Scholar 

  19. Frasnelli J, Hummel T (2005) Olfactory dysfunction and daily life. Eur Arch Otorhinolaryngol 262(3):231–235. https://doi.org/10.1007/s00405-004-0796-y

    Article  PubMed  Google Scholar 

  20. Mattos JL, Schlosser RJ, DeConde AS et al (2018) Factor analysis of the questionnaire of olfactory disorders in patients with chronic rhinosinusitis: QOD-NS factor analysis. int Forum Allergy Rhinol 8(7):777–782. https://doi.org/10.1002/alr.22112

    Article  PubMed  PubMed Central  Google Scholar 

  21. Choi WR, Jeong HY, Kim JH (2018) Reliability and validity of the Korean version of the questionnaire of olfactory disorders: Korean version of QOD. int Forum Allergy Rhinol 8(12):1481–1485. https://doi.org/10.1002/alr.22186

    Article  PubMed  Google Scholar 

  22. Mattos JL, Schlosser RJ, Mace JC, Smith TL, Soler ZM (2018) Establishing the minimal clinically important difference for the questionnaire of olfactory disorders: establishing the MCID for the QOD. int Forum Allergy Rhinol 8(9):1041–1046. https://doi.org/10.1002/alr.22135

    Article  PubMed  PubMed Central  Google Scholar 

  23. Yang D, Wang J, Ni D, Liu J, Wang X (2016) Reliability and validity of the Chinese version of the questionnaire of olfactory disorders (QOD) when used with patients having olfactory dysfunction. Eur Arch Otorhinolaryngol 273(10):3255–3261. https://doi.org/10.1007/s00405-015-3869-1

    Article  PubMed  Google Scholar 

  24. Harel D, Baron M (2019) Methods for shortening patient-reported outcome measures. Stat Methods Med Res 28(10–11):2992–3011. https://doi.org/10.1177/0962280218795187

    Article  PubMed  Google Scholar 

  25. Mattos JL, Edwards C, Schlosser RJ et al (2019) A brief version of the questionnaire of olfactory disorders in patients with chronic rhinosinusitis. int Forum Allergy Rhinol 9(10):1144–1150. https://doi.org/10.1002/alr.22392

    Article  PubMed  PubMed Central  Google Scholar 

  26. Zou L, Haehner A, Menzel S, Gunder N, Hummel T (2022) Reliability and validity of a brief version of the questionnaire of olfactory disorders (brief QOD) in patients with olfactory dysfunction. Rhinology 60(1):56–62. https://doi.org/10.4193/Rhin21.059 (PMID: 34874020. Published online 2022. Accessed February 25, 2023. https://www.rhinologyjournal.com/Abstract.php?id=2952)

    Article  CAS  PubMed  Google Scholar 

  27. Myles PS, Myles DB, Galagher W et al (2017) Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state. Br J Anaesth 118(3):424–429. https://doi.org/10.1093/bja/aew466

    Article  CAS  PubMed  Google Scholar 

  28. Lötsch J, Huster A, Hummel T (2022) Sorting of odor dilutions is a meaningful addition to assessments of olfactory function as suggested by machine-learning-based analyses. J Clin Med 11(14):4012. https://doi.org/10.3390/jcm11144012

    Article  PubMed  PubMed Central  Google Scholar 

  29. Li Z, Stolper S, Draf J, Haehner A, Hummel T (2022) Smell, taste and trigeminal function: similarities and differences between results from home tests and examinations in the clinic. Rhinology 60(4):293–300. https://doi.org/10.4193/Rhin21.430. PMID: 35926120

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Max-Vincent Schönherr.

Ethics declarations

Interessenkonflikt

M.-V. Schönherr und T. Hummel geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Additional information

figure qr

QR-Code scannen & Beitrag online lesen

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Schönherr, MV., Hummel, T. Erfassung von Störungen der chemischen Sinne – Einschätzung des Gesundheitszustands durch Betroffene. HNO 71, 566–571 (2023). https://doi.org/10.1007/s00106-023-01345-3

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00106-023-01345-3

Schlüsselwörter

Keywords

Navigation