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Olfactory Training and Visual Stimulation Assisted by a Web Application for Patients With Persistent Olfactory
Fabrice Denis1, Anne-Lise Septans2, Lea Periers3
1Institut Inter-Regional Jean Bernard - ELSAN, Le Mans, France.
Journal of Medical Internet Research
|May 18, 2021
Summary
Olfactory training with aromatic oils and visual stimulation significantly improved smell in patients with persistent post-COVID-19 olfactory dysfunction. Consistent training, especially beyond 28 days, yielded better recovery outcomes.
Area of Science:
- Neurology
- Otolaryngology
- Infectious Diseases
Background:
- Persistent olfactory dysfunction is a common and significant complication following SARS-CoV-2 infection.
- Olfactory training using aromatic oils is recommended for olfactory recovery, but quantitative evidence is limited.
Purpose of the Study:
- To quantify the benefits of olfactory training combined with visual stimulation using a web application for patients with olfactory dysfunction lasting at least one month.
- To assess the impact of training duration on olfactory recovery.
Main Methods:
- An observational, real-world study included 548 patients with olfactory dysfunction for ≥1 month.
- Participants engaged in twice-daily olfactory training with 4 aromatic oils and visual stimulation via a web app for approximately 4 weeks.
- Improvement was defined as a 2-point increase on a 10-point olfactory visual analogue scale.
Main Results:
- Mean olfactory scores improved from 1.9 to 4.6 after a mean of 27.7 days of training.
- 64.2% of patients achieved at least a 2-point improvement.
- Training for >28 days (73.3%) showed significantly higher improvement rates than training for <28 days (59%).
- Patients with hyposmia recovered 8 days faster than those with anosmia, irrespective of dysfunction duration.
Conclusions:
- Olfactory training and visual stimulation via a web application significantly improve olfaction in patients with persistent olfactory dysfunction.
- Training duration exceeding 28 days is associated with greater olfactory improvement.
- This combined approach offers a quantifiable benefit for post-viral olfactory loss.
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