Position paper on olfactory dysfunction

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Thomas Hummel - , Department of Otorhinolaryngology, Head and Neck Surgery, University Medicine (Faculty of Medicine and University Hospital) (Author)
  • K. L. Whitcroft - , University College London, University of London, Medical Faculty Carl Gustav Carus (Author)
  • P. Andrews - , University College London, Royal National Throat, Nose and Ear Hospital (Author)
  • A. Altundag - , Istanbul Surgery Hospital (Author)
  • C. Cinghi - , Eskisehir Osmangazi University (Author)
  • R. M. Costanzo - , Virginia Commonwealth University (Author)
  • M. Damm - , University of Cologne (Author)
  • J. Frasnelli - , Université du Québec à Trois-Rivières, Montreal Sacred Heart Hospital (Author)
  • H. Gudziol - , Friedrich Schiller University Jena (Author)
  • N. Gupta - , University College of Medical Sciences (Author)
  • A. Haehner - , Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Carl Gustav Carus Dresden, TUD Dresden University of Technology (Author)
  • E. Holbrook - , Harvard University (Author)
  • S. C. Hong - , Konkuk University (Author)
  • D. Hornung - , St. Lawrence University (Author)
  • K. B. Hüttenbrink - , University of Cologne (Author)
  • R. Kamel - , Cairo University (Author)
  • M. Kobayashi - , Mie University (Author)
  • I. Konstantinidis - , Aristotle University of Thessaloniki (Author)
  • B. N. Landis - , University of Bern, Geneva University Hospitals (Author)
  • D. A. Leopold - , University of Vermont (Author)
  • A. Macchi - , University of Insubria (Author)
  • T. Miwa - , Kanazawa Medical University (Author)
  • R. Moesges - , University of Cologne (Author)
  • J. Mullol - , University of Barcelona (Author)
  • C. A. Mueller - , Medical University of Vienna (Author)
  • G. Ottaviano - , University of Padua (Author)
  • G. C. Passali - , Catholic University of the Sacred Heart (Author)
  • C. Philpott - , University of East Anglia, James Paget University Hospitals NHS Foundation Trust (Author)
  • J. M. Pinto - , The University of Chicago (Author)
  • V. J. Ramakrishnan - , University of Colorado Anschutz Medical Campus (Author)
  • P. Rombaux - , Université catholique de Louvain (Author)
  • Y. Roth - , Tel Aviv University (Author)
  • R. A. Schlosser - , Medical University of South Carolina (Author)
  • B. Shu - , Veterans General Hospital-Taipei (Author)
  • G. Soler - , Universidad de Buenos Aires (Author)
  • P. Stjärne - , Karolinska Institutet (Author)
  • B. A. Stuck - , University of Duisburg-Essen (Author)
  • J. Vodicka - , University of Pardubice (Author)
  • A. Welge-Luessen - , University of Basel (Author)

Abstract

Background: Olfactory dysfunction is an increasingly recognised condition, associated with reduced quality of life and major health outcomes such as neurodegeneration and death. However, translational research in this field is limited by heterogeneity in methodological approach, including definitions of impairment, improvement and appropriate assessment techniques. Accordingly, effective treatments for smell loss are limited. In an effort to encourage high quality and comparable work in this field, among others, we propose the following ideas and recommendations. Whilst the full set of recommendations are outlined in the main document, points include the following: • Patients with suspected olfactory loss should undergo a full examination of the head and neck, including rigid nasal endoscopy with small diameter endoscopes. • Subjective olfactory assessment should not be undertaken in isolation, given its poor reliability. • Psychophysical assessment tools used in clinical and research settings should include reliable and validated tests of odour threshold, and/or one of odour identification or discrimination. • Comprehensive chemosensory assessment should include gustatory screening. • Smell training can be helpful in patients with olfactory loss of several aetiologies. Conclusions: We hope the current manuscript will encourage clinicians and researchers to adopt a common language, and in so doing, increase the methodological quality, consistency and generalisability of work in this field.

Details

Original languageEnglish
Pages (from-to)1-30
Number of pages30
JournalRhinology
Volume54
Issue numberSuppl. 26
Publication statusPublished - 2017
Peer-reviewedYes

External IDs

PubMed 29528615
ORCID /0000-0001-9713-0183/work/156338183
ORCID /0000-0003-1311-8000/work/158767606

Keywords

ASJC Scopus subject areas