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A simple method for olfactory rehabilitation following total laryngectomy

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Abstract

Purpose

The aim of the study is to demonstrate the effectiveness of spraying odor particles using sinus rinse kits for olfactory rehabilitation in patients with total laryngectomy.

Methods

Olfactory rehabilitation was performed by applying four different odorant particles orthonasally using a sinus rinse kit pump for 30 min each day for a duration of 6 months. Olfactory function was evaluated by performing olfactory tests before the rehabilitation and at sixth month after the rehabilitation process.

Results

The average CCCRC score prior to olfactory rehabilitation was 2.28 ± 0.79 (between 1.50 and 3.75), while it was 4.46 ± 0.5 (between 3.50 and 5.25) out of a maximum score of 7 after 6 months of olfactory rehabilitation (p value < 0.0001)

Conclusion

Our results suggest that the use of sinus rinse kits is very simple, inexpensive, easy-to-use, and effective in providing passive olfaction to patients requiring olfactory rehabilitation.

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References

  1. Hanna E, Sherman A, Cash D, Adams D, Vural E, Fan CY et al (2004) Quality of life for patients following total laryngectomy vs chemoradiation for laryngeal preservation. Arch Otolaryngol Head Neck Surg 130:875–879. https://doi.org/10.1001/archotol.130.7.875

    Article  PubMed  Google Scholar 

  2. Johnson JT, Casper J, Lesswing NJ (1979) Toward the total rehabilitation of the alaryngeal patient. Laryngoscope 89:1813–1819. https://doi.org/10.1288/00005537-197911000-00014

    Article  CAS  PubMed  Google Scholar 

  3. Ackerstaff AH, Hilgers FJ, Aaronson NK, Balm AJ (1994) Communication, functional disorders and lifestyle changes after total laryngectomy. Clin Otolaryngol Allied Sci 19:295–300. https://doi.org/10.1111/j.1365-2273.1994.tb01234

    Article  CAS  PubMed  Google Scholar 

  4. Arthur C. Guyton, John E. Hall. Textbook of Medical Physiology, 10. Edition. 2000;678–81

  5. Richard L Doty. Handbook of Olfaction and Gustation: Second Edition, Revised and Expanded, 2003;630–38

  6. Veyseller B, Ozucer B, Aksoy F, Yildirim YS, Gürbüz D, Balikçi HH et al (2012) Reduced olfactory bulb volume and diminished olfactory function in total laryngectomy patients: a prospective longitudinal study. Am J Rhinol Allergy 26:191–193. https://doi.org/10.2500/ajra.2012.26.3768

    Article  PubMed  Google Scholar 

  7. Veyseller B, Aksoy F, Yildirim YS, Bayraktar FG, Gurbuz D, Savas Y et al. Reduced olfactory bulb volume in total laryngectomy patients: a magnetic resonance imaging study.Rhinology 2011;49:112–6 https://doi.org/https://doi.org/10.4193/Rhino10.001

  8. Hilgers FJM, Van Dam FSAM, Keyzers S, Koster MN, van As CJ, MullerMJ. Rehabilitation of olfaction after laryngectomy by means of a nasal airflow-inducing manoeuvre—the “polite yawning” technique. Arch Otolaryngol Head Neck Surg 2000;126:726–32 https://doi.org/https://doi.org/10.1001/archotol.126.6.726

  9. Hilgers FJM, Jansen HA, Van As CJ, Polak MF, Muller MJ, van dam Frits SAM. Long-term results of olfaction rehabilitation using the nasal airflow-inducing “polite yawning” manoeuvre after total laryngectomy. Arch Otolaryngol Head Neck Surg 2002;128:648–54 https://doi.org/https://doi.org/10.1001/archotol.128.6.648

  10. Goktas O, Fleiner F, Paschen C, Lammert I, Schrom T (2008) Rehabilitation of the olfactory sense after laryngectomy: long-term use of the larynx bypass. Ear Nose Throat J 87:528–530. https://doi.org/10.1177/014556130808700913

    Article  PubMed  Google Scholar 

  11. Moor JW, Rafferty A, Sood S (2010) Can laryngectomees smell? Considerations regarding olfactory rehabilitation following total laryngectomy. J Laryngol Otol 124:361–365. https://doi.org/10.1017/S0022215109992489

    Article  CAS  PubMed  Google Scholar 

  12. Goektas O, Fleiner F, Frieler K, Scherer H, Paschen C (2008) The scent-diffusing ventilator for rehabilitation of olfactory function after laryngectomy. Am J Rhinol 22:487–490. https://doi.org/10.2500/ajr.2008.22.3213

    Article  PubMed  Google Scholar 

  13. Cain WS, Gent JF, Goodspeed RB, Leonard G (1988) Evaluation of olfactory dysfunction in the connecticut chemosensory clinical research center. Laryngoscope 98:83–88. https://doi.org/10.1288/00005537-198801000-00017

    Article  CAS  PubMed  Google Scholar 

  14. Kern RC (2000) Chronic sinusitis and anosmia: pathologic changes in the olfactory mucosa. Laryngoscope 110:1071–1077. https://doi.org/10.1097/00005537-200007000-00001

    Article  CAS  PubMed  Google Scholar 

  15. Konstantinidis I, Tsakiropoulou E, Constantinidis J (2016) Long term effects of olfactory training in patients with post-infectious olfactory loss. Rhinology 54:170–175. https://doi.org/10.4193/rhin15.264

    Article  CAS  PubMed  Google Scholar 

  16. Pellegrino R, Han P, Reither N, Hummel T (2019) Effectiveness of olfactory training on different severities of posttraumatic loss of smell. Laryngoscope 129:1737–1743. https://doi.org/10.1002/lary.27832

    Article  CAS  PubMed  Google Scholar 

  17. Callahan CD, Hinkebein JH (2002) Assessment of anosmia after traumatic brain injury: performance characteristics of the University of Pennsylvania smell identification test. J Head Trauma Rehabil 17:251–256. https://doi.org/10.1097/00001199-200206000-00006

    Article  PubMed  Google Scholar 

  18. Hawkes C (2003) Olfaction in neurodegenerative disorder. Mov Disord 18:364–372. https://doi.org/10.1002/mds.10379

    Article  PubMed  Google Scholar 

  19. Klimek L, Moll B, Amedee RG, Mann WJ (1997) Olfactory function after microscopic endonasal surgery in patients with nasal polyps. Am J Rhinol 11:251–255. https://doi.org/10.2500/105065897781446621

    Article  CAS  PubMed  Google Scholar 

  20. Moore-Gillon V (1985) The nose after laryngectomy. J R Soc Med 78:435–439. https://doi.org/10.1177/014107688507800603

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Ritter FN (1964) Fate of olfaction after laryngectomy. Arch Otolaryngol 79:169–171. https://doi.org/10.1001/archotol.1964.00750030175013

    Article  CAS  PubMed  Google Scholar 

  22. Fuji M, Fukazawa K, Hatta C, Yasuno H, Sakagami M (2002) Olfactory acuity after total laryngectomy. Chem Senses 27:117–121. https://doi.org/10.1093/chemse/27.2.117

    Article  Google Scholar 

  23. Van Dam FS, Hilgers FJ, Emsbroek G, Touw FI, van As CJ, de Jong N (1999) Deterioration of olfaction and gustation as a consequence of total laryngectomy. Laryngoscope 109:1150–1155. https://doi.org/10.1097/00005537-199907000-00027

    Article  PubMed  Google Scholar 

  24. Henkin RI, Hoye RC, Ketcham AS, Gould WJ (1968) Hyposmia following laryngectomy. Lancet 2:479–481. https://doi.org/10.1016/s0140-6736(68)90647-8

    Article  CAS  PubMed  Google Scholar 

  25. Schwartz DN, Mozell MM, Youngentob SL (1987) Improvement of olfaction in laryngectomised patients with the larynx bypass. Laryngoscope 97:1280–1286. https://doi.org/10.1288/00005537-198711000-00006

    Article  CAS  PubMed  Google Scholar 

  26. Goktas O, Lammert I, Bert J (2005) Rehabilitation of the olfactory sense after laryngectomy the larynx bypass [in German]. Laryngorhinootologie 84:829–832. https://doi.org/10.1055/s-2005-870117

    Article  CAS  PubMed  Google Scholar 

  27. Gilchrist AG (1973) Rehabilitation after laryngectomy. Acta Otolaryngol 75:511–518. https://doi.org/10.3109/00016487309139782

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Mustafa Caner Kesimli.

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Kesimli, M.C., Kaya, D., Aydemir, L. et al. A simple method for olfactory rehabilitation following total laryngectomy. Eur Arch Otorhinolaryngol 278, 4917–4921 (2021). https://doi.org/10.1007/s00405-021-06711-x

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