Olfaction and Gustation in Children With Primary Ciliary Dyskinesia

Faisal Zawawi1,2, Sharon Dell3, Nikolaus E Wolter1

  • 1Department of Otolaryngology-Head and Neck Surgery Hospital for Sick Children Toronto Ontario Canada.

OTO Open
|March 31, 2023
PubMed

Insights

Olfactory dysfunction is common in children with primary ciliary dyskinesia (PCD) but often unrecognized. This smell impairment in PCD does not affect taste but poses risks for detecting dangers like fire or spoiled food.

Area of Science:

  • Pediatric respiratory medicine
  • Genetics and rare diseases
  • Sensory neuroscience

Background:

  • Primary ciliary dyskinesia (PCD) is a rare genetic disorder affecting cilia function.
  • Abnormal cilia lead to chronic respiratory issues, including rhinosinusitis.
  • The impact of PCD on olfaction and gustation in children is not well understood.

Purpose of the Study:

  • To investigate the prevalence of olfactory and gustatory dysfunction in children diagnosed with PCD.
  • To determine if olfactory impairment is associated with gustatory dysfunction in this population.

Main Methods:

  • A cross-sectional study was conducted at a tertiary pediatric academic hospital.
  • Twenty-five children with confirmed PCD were recruited.
  • Olfactory function was assessed using the Universal Sniff (U-Sniff) test, and gustatory function was measured with an electrogustometer.

Main Results:

  • Nearly half (48%) of children with PCD exhibited hyposmia or anosmia on the U-Sniff test, despite only 16% reporting olfactory issues.
  • No significant gustatory dysfunction was detected via electrogustometry.
  • No correlation was found between olfactory and gustatory test results.

Conclusions:

  • Olfactory dysfunction is a frequent, yet often underrecognized, consequence of PCD in children.
  • Gustatory function remains normal in children with PCD.
  • Underrecognized hyposmia in PCD patients increases risks for environmental hazards like fire or spoiled food.
Abstract

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