Related Experiment Video
Updated: Jul 17, 2026

10:42
A Free-breathing fMRI Method to Study Human Olfactory Function
Published on: July 30, 2017
Association between olfactory dysfunction and COVID-19 severity: A prospective study in a highly complex hospital in
Olenka Alcas1, Diego Saldaña1, Andy Triveño1
1Service of Otolaryngology, Hospital Nacional Edgardo Rebagliati Martins - HNERM, Lima, Perú.
Ear, Nose, & Throat Journal
|December 15, 2021
Summary
COVID-19 olfactory dysfunction was not associated with disease severity in Peruvian adults. Smell alteration was linked to younger age, not severe illness, in this study.
Area of Science:
- Infectious Diseases
- Otolaryngology
- Epidemiology
Background:
- Olfactory dysfunction is an early symptom of coronavirus disease (COVID-19).
- Evidence suggests a link between the duration of olfaction disorders and COVID-19 severity.
- Peru, a highly affected country, requires local data on COVID-19 symptoms and severity.
Purpose of the Study:
- To determine the frequency of smell alteration in COVID-19 patients.
- To investigate the association between olfactory dysfunction and COVID-19 severity.
- To provide data from a Latin American referral hospital.
Main Methods:
- Observational, prospective cohort study.
- 179 COVID-19 patients from August to November 2020.
- Chi-square or Fisher's exact test for association analysis.
Main Results:
- 24% of patients experienced olfactory dysfunction.
- No significant association between COVID-19 severity and olfactory alteration (P = .056).
- Olfactory dysfunction was inversely associated with age (P = .002).
- COVID-19 severity was associated with older age, cough, and respiratory distress.
Conclusions:
- No association found between COVID-19 severity and olfactory dysfunction.
- Low incidence of smell alteration reported compared to other regions.
- Smell alteration was associated with younger age in this cohort.
Related Concept Videos
Olfaction
The sense of smell is achieved through the activities of the olfactory system. It starts when an airborne odorant enters the nasal cavity and reaches olfactory epithelium (OE). The OE is protected by a thin layer of mucus, which also serves the purpose of dissolving more complex compounds into simpler chemical odorants. The size of the OE and the density of sensory neurons varies among species; in humans, the OE is only about 9-10 cm2.
The olfactory receptors are embedded in the cilia of the...
The olfactory receptors are embedded in the cilia of the...
Olfactory Receptors: Location and Structure
The process of olfaction, also known as the sense of smell, is a sophisticated chemical response system. The specialized sensory neurons that facilitate this process, known as olfactory receptor neurons, are situated in an upper segment of the nasal cavity, known as the olfactory epithelium. Olfactory sensory neurons are bipolar, with their dendrites extending from the epithelium's apex into the mucus that lines the nasal cavity. Airborne molecules, when inhaled, traverse the olfactory...
Physiology of Smell and Olfactory Pathway
Humans detect odors with the help of specialized cells located in the upper part of the nasal cavity, called olfactory receptor neurons (ORNs). ORNs possess hair-like structures called cilia, which are receptive to sensations from the inhaled air. When an odorant molecule binds to a specific receptor on the cell of the cilia, it leads to a series of events that ultimately cause the ORN to send electrical signals to the olfactory bulb in the brain through the olfactory nerves.
The olfactory...
The olfactory...
COPD: Pathogenesis and Clinical Features
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History

