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Updated: Jul 9, 2025

Modeling and Simulations of Olfactory Drug Delivery with Passive and Active Controls of Nasally Inhaled Pharmaceutical Aerosols
Published on: May 20, 2016
Delivery of Topical Drugs to the Olfactory Cleft
Andreas Espehana1,2, Liam Lee1, Elizabeth Mairenn Garden1
1Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK.
Abstract:
Olfactory dysfunction affects approximately 20% of the population globally, with incidence increasing over the age of 60. The pathophysiology is complex, not yet fully understood, and depends on many factors, including the underlying cause. Despite this, the present literature on olfaction is limited due to significant heterogeneity in methodological approaches. This has resulted in limited effective treatments available for olfactory dysfunction. Medications for olfactory dysfunction can be administered locally (directly to the olfactory epithelium) or systemically (orally or intravenously). Currently, there are various methods for local drug delivery to the olfactory epithelium (nasal drops, nasal sprays, atomisers, pressured meter-dosed inhalers, rinses, and exhalation delivery systems). The aims of this review are to summarise the different methods of drug delivery to the olfactory cleft, evaluate the current literature to assess which method is the most effective in delivering drugs to the olfactory epithelium, and review the medications currently available to treat olfactory dysfunction topically. Going forward, further research is required to better establish effective methods of drug delivery to the olfactory epithelium to treat smell disorders.
Insights
Olfactory dysfunction impacts millions globally. This review evaluates local drug delivery methods to the olfactory epithelium, aiming to improve treatments for smell disorders.
Area of Science:
- Otorhinolaryngology
- Neuroscience
- Pharmacology
Background:
- Olfactory dysfunction affects 20% of the global population, rising with age.
- Complex pathophysiology and varied research methods limit effective treatments.
- Current treatments involve local or systemic drug administration.
Purpose of the Study:
- To summarize local drug delivery methods to the olfactory cleft.
- To evaluate literature on the most effective delivery methods to the olfactory epithelium.
- To review topical medications for olfactory dysfunction.
Main Methods:
- Literature review of olfactory dysfunction treatments.
- Analysis of drug delivery methods to the olfactory epithelium.
- Assessment of topical medication efficacy.
Main Results:
- Significant heterogeneity in research methodologies complicates treatment evaluation.
- Various local delivery systems exist, including nasal drops, sprays, and inhalers.
- Further research is needed to establish optimal drug delivery for smell disorders.
Conclusions:
- Effective drug delivery to the olfactory epithelium is crucial for treating smell disorders.
- Standardized research approaches are needed to advance treatment options.
- Targeted local delivery holds promise for future olfactory dysfunction therapies.
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