Department of Speech and Hearing Sciences at Ookawa, International University of Health and Welfare, Ookawa Fukuoka, Japan.
Department of Speech and Hearing Sciences at Narita, International University of Health and Welfare, Narita, Japan.
Laryngoscope. 2020 Aug;130(8):2013-2018. doi: 10.1002/lary.28727. Epub 2020 May 14.
To evaluate the effectiveness of the nasal airflow-inducing maneuver (NAIM) using the Sniffin' Sticks (Burghart, Wedel, Germany) olfactory threshold test, Open Essence (OE, FUJIFILM Wako Pure Chemical Corporation, Osaka, Japan) olfactory identification test, and self-administered odor questionnaire (SAOQ) for olfactory perception in NAIM experienced and NAIM first-time groups. For NAIM first-time group, the relationships between time from laryngectomy to first NAIM, olfactory threshold, and identification ability were also evaluated.
Retrospective cohort study.
Sixty-six patients who had undergone laryngectomy (NAIM experienced group: 23; NAIM first-time group: 43) underwent the threshold test, OE, and SAOQ.
Mean results of the threshold test were 2.7 (±2.3) and 2.5 (±3.0) for the NAIM experienced and NAIM first-time groups, respectively, indicating no significant differences (P = .35). The mean number of correct responses in OE was 4.5 (±2.7) and 3.2 (±3.0) in the NAIM experienced and nonrehabilitation groups, respectively, indicating a higher number in the NAIM experienced group (P = .06). Mean result of SAOQ was 47.9% (±30.9%) and 25.5% (±27.0%) in the NAIM experienced and NAIM first-time groups, respectively, indicating a significantly higher result in the NAME experienced group (P = .003). There were no correlations of threshold test and identification test scores with time from laryngectomy to the first NAIM (threshold test: r = 0.03, P = .87; OE: r = -0.03, P = .87).
NAIM enabled odor perception in patients who underwent laryngectomy, and SAOQ was an effective method for evaluating this. Further, olfactory tests in both groups showed that NAIM might restore olfaction irrespective of time elapsed since laryngectomy.
评估使用嗅棒(德国 Burgart、We del 公司)嗅觉阈值测试、Open Essence(OE,FUJIFILM Wako Pure Chemical Corporation,日本大阪)嗅觉识别测试和自我管理气味问卷(SAOQ)进行鼻气流诱导动作(NAIM)的有效性,这些测试用于评估 NAIM 体验组和首次接受 NAIM 组的嗅觉感知。对于首次接受 NAIM 的组,还评估了从喉切除术到首次接受 NAIM 的时间、嗅觉阈值和识别能力之间的关系。
回顾性队列研究。
66 例接受喉切除术的患者(NAIM 体验组:23 例;NAIM 首次接受组:43 例)接受了阈值测试、OE 和 SAOQ。
NAIM 体验组和首次接受 NAIM 组的阈值测试平均结果分别为 2.7(±2.3)和 2.5(±3.0),差异无统计学意义(P =.35)。OE 中正确回答的平均次数分别为 4.5(±2.7)和 3.2(±3.0),NAIM 体验组更高(P =.06)。SAOQ 的平均结果分别为 47.9%(±30.9%)和 25.5%(±27.0%),NAIM 体验组明显更高(P =.003)。阈值测试和识别测试得分与从喉切除术到首次接受 NAIM 的时间无相关性(阈值测试:r = 0.03,P =.87;OE:r = -0.03,P =.87)。
NAIM 使接受喉切除术的患者能够感知气味,SAOQ 是评估这种效果的有效方法。此外,两组的嗅觉测试均表明,NAIM 可能会恢复嗅觉,而与喉切除术的时间无关。
4.《喉镜》,130:2013-2018,2020。