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Related Experiment Videos

Evaluation and treatment of smell dysfunction.

T M Davidson, A Jalowayski, C Murphy

    The Western Journal of Medicine
    |April 1, 1987
    PubMed
    Summary

    Diagnosing smell dysfunction involves comprehensive testing, including CT scans and nasal endoscopy. Early diagnosis and treatment are crucial due to the significant impact on patients

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    Area of Science:

    • Otolaryngology
    • Neurology
    • Diagnostic Medicine

    Background:

    • Smell dysfunction affects millions, yet physician awareness and patient understanding remain limited.
    • The psychosocial impact of impaired olfaction is substantial, affecting quality of life.

    Purpose of the Study:

    • To evaluate the diagnostic utility of various methods for smell dysfunction.
    • To highlight the importance of comprehensive assessment and prompt treatment.

    Main Methods:

    • A cohort of 63 patients with smell dysfunction underwent olfactory threshold and identification testing, rhinomanometry, nasal cytology, nasal endoscopy, and computed tomographic (CT) scans.
    • A trial of prednisone was used to identify treatable causes.

    Main Results:

    • Computed tomographic (CT) scans effectively identified ethmoid sinus disease.
    • Nasal endoscopy proved valuable for visualizing olfactory epithelium.
    • Prednisone trials aided in diagnosing correctable causes of smell loss.

    Conclusions:

    • A multi-modal diagnostic approach is essential for accurately assessing smell dysfunction.
    • Increased physician and public awareness regarding smell dysfunction, its diagnosis, and treatment is urgently needed.

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