An algorithmic approach to the evaluation and treatment of olfactory disorders.
作者信息
Daramola Opeyemi O, Becker Samuel S
机构信息
aBecker Ear, Nose and Throat Center, Princeton, New Jersey bDepartment of Otolaryngology - Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois cDepartment of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
出版信息
Curr Opin Otolaryngol Head Neck Surg. 2015 Feb;23(1):8-14. doi: 10.1097/MOO.0000000000000118.
PURPOSE OF REVIEW
To review the current evidence in diagnosing olfactory disorders and suggest an algorithmic approach to patients with relevant complaints.
RECENT FINDINGS
New literature suggests that the incidence of olfactory loss increases with age. Age-associated olfactory loss is often multifactorial and requires careful history and physical exam. Psychophysical tests have a role in screening patients at risk for Parkinson's and Alzheimer's disease, but there is lack of evidence regarding timing and patient selection. Prediction of olfactory improvement in patients with chronic rhinosinusitis (CRS) is difficult with variable results from different studies. Olfactory training is suggested to be an emerging modality in patients with postinfectious olfactory loss.
SUMMARY
There is no standard treatment for olfactory loss. Each patient must be approached individually based on the suspected cause. Patients with CRS may require medical management and surgical treatment for alleviation of their olfactory dysfunction.
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