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An approach to olfactory impairments in the general practice setting
Fred Chuang1, Rohan Arasu2, Benjamin Wallwork3
1MD, MBS, Principal House Officer, Gold Coast University Hospital, Qld.
Australian Journal of General Practice
|August 31, 2021
Summary
Olfactory impairment, or loss of smell, is common, especially in older adults, and often missed. Early diagnosis and management in primary care can improve quality of life.
Area of Science:
- Otolaryngology
- Geriatric Medicine
- Primary Care Medicine
Background:
- Olfactory impairment is a prevalent condition, particularly affecting the geriatric population.
- It is frequently underrecognized due to lack of familiarity among clinicians and patients.
- This condition can significantly impact daily living and quality of life.
Purpose of the Study:
- To raise awareness of olfactory impairment.
- To detail common causes and diagnostic approaches.
- To provide a management framework for general practice, including referral guidelines.
Main Methods:
- Review of common etiologies of olfactory dysfunction.
- Outline of diagnostic strategies for primary care.
- Guidance on management and specialist referral.
Main Results:
- Common causes include rhinosinusitis, viral illnesses, and head trauma.
- Rhinosinusitis is the most manageable cause in primary care.
- Other causes may necessitate multidisciplinary intervention.
Conclusions:
- Olfactory impairment is a significant, often irreversible, condition.
- Early recognition and management are crucial.
- A structured approach in general practice can improve patient outcomes.
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