Morales-Puebla José M, Morales-Puebla Angel F, Jiménez-Antolín Jorge A, Muñoz-Platón Enriqueta, Padilla-Parrado Manuel, Chacón-Martínez Javier
Servicio de Otorrinolaringología, Hospital General de Ciudad Real, Ciudad Real, España.
Acta Otorrinolaringol Esp. 2010 Mar-Apr;61(2):128-34. doi: 10.1016/j.otorri.2009.10.011. Epub 2010 Feb 8.
To analyze the olfactory function in patients after total laryngectomy and evaluate the outcomes of the use of the induced nasal airflow manoeuvre.
A prospective clinical intervention study was carried out with 41 patients who had undergone total laryngectomy, of which 39 were male and 2 female. After verifying that there were no anatomical disorders, the patients were given an olfaction test that classified them into two groups, those with olfactory perception and those without. All underwent rehabilitation using the induced nasal airflow technique and, subsequently, the olfaction test was repeated to enable a comparison with the first results obtained. A semi-structured interview was held to evaluate the senses of taste and smell of the participants, also taking into account their own opinion.
Out of the 41 patients included in the study, 9 had olfactory perception before rehabilitation, according to the first olfaction test. The use of the nasal airflow maneuver meant the recovery or improvement of the olfactory capacity in 90.24% of the patients.
The induced nasal airflow technique enables an important recovery of olfaction and improvement of taste after total laryngectomy. This technique is easy to learn and to repeat. It does not require expensive materials. The recovery of olfaction and taste implies an improvement in quality of life for the patient, so this technique should be included in all protocols of comprehensive rehabilitation after total laryngectomy.
分析全喉切除术后患者的嗅觉功能，并评估诱导鼻气流操作的效果。
对41例行全喉切除术的患者进行了一项前瞻性临床干预研究，其中男性39例，女性2例。在确认无解剖结构紊乱后，对患者进行嗅觉测试，将其分为有嗅觉感知组和无嗅觉感知组。所有患者均采用诱导鼻气流技术进行康复训练，随后再次进行嗅觉测试，以便与首次获得的结果进行比较。进行了一次半结构化访谈，以评估参与者的味觉和嗅觉，同时也考虑他们自己的看法。
根据首次嗅觉测试，在纳入研究的41例患者中，9例在康复前有嗅觉感知。鼻气流操作使90.24%的患者嗅觉能力恢复或改善。
诱导鼻气流技术可使全喉切除术后患者的嗅觉得到显著恢复，味觉得到改善。该技术易于学习和重复。不需要昂贵的材料。嗅觉和味觉的恢复意味着患者生活质量的提高，因此该技术应纳入全喉切除术后所有综合康复方案中。
