Anosmia-A Clinical Review
Sanne Boesveldt1, Elbrich M Postma1,2, Duncan Boak3
1Division of Human Nutrition, Wageningen University & Research, Wageningen, The Netherlands.
Chemical Senses
|May 23, 2017
Summary
Anosmia (inability to smell) and hyposmia (decreased smell) affect millions. This review highlights clinical updates, patient perspectives, and emerging treatments for olfactory dysfunction, emphasizing the need for better diagnosis and management.
Area of Science:
- Olfactory dysfunction
- Chemosensory science
- Clinical otolaryngology
Background:
- Anosmia and hyposmia affect 3-20% of the population, increasing with age and linked to sinonasal diseases, head trauma, infections, and neurodegeneration.
- Olfactory disorders significantly impair quality of life, affecting safety (warning odors), social interactions, and well-being.
- Limited evidence-based treatments necessitate improved information dissemination on health risks and management strategies.
Purpose of the Study:
- To provide a clinical update on anosmia and hyposmia, incorporating patient perspectives and recent scientific advances.
- To review current clinical evaluation, diagnosis, and management of olfactory dysfunction.
- To explore emerging treatments for anosmia from fundamental science research.
Main Methods:
- Review of presentations from the 2016 Association for Chemoreception Sciences annual meeting.
- Inclusion of patient advocacy group insights (Fifth Sense).
- Synthesis of otolaryngological clinical practices and fundamental research findings in animal, cellular, and genetic models.
Main Results:
- The review consolidates information on the patient experience of olfactory loss.
- Current clinical approaches to diagnosis and management are presented.
- Recent research into potential novel treatments for anosmia is discussed.
Conclusions:
- There is a critical need for enhanced dissemination of information regarding the health risks associated with anosmia.
- Development of feasible screening measures and improved clinical evaluation protocols are essential.
- Patient counseling is vital for managing health and quality of life impacts of olfactory dysfunction.
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