CLINICAL ANALYSIS OF THE PROGNOSIS IN PATIENTS WITH OLFACTORY DYSFUNCTION THAT CANNOT BE DETECTED BY INTRAVENOUS OLFACTOMETRY

  • Uno Keisuke
    Department of Otorhinolaryngology, The Jikei University School of Medicine Department of Otorhinolaryngology, Fuji General Hospital
  • Mori Eri
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • Matsuwaki Yoshinori
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • Mitsuyama Chieko
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • Kuboki Akihito
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • Kojima Hiromi
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • Otori Nobuyoshi
    Department of Otorhinolaryngology, The Jikei University School of Medicine

Bibliographic Information

Other Title
  • 静脈性嗅覚検査に反応しない嗅覚障害例の予後についての検討

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Description

Intravenous olfactometry (Alinamin® test) is considered as a useful test to determine the prognosis in patients with olfactory dysfunction, and it is said that patients showing no reaction in this test carry a poor prognosis. However, some patients who show no reaction to this test preliminarily show improvement in response to treatment. Therefore, we need further discussion on the results of intravenous olfactometry. We analyzed the prognosis in patients showing no reaction in intravenous olfactometry preliminarily, and attempted to identify factors that are important for the improvement of olfaction. The results revealed that patients in whom treatment was initiated at an early stage, whose detection threshold in T&T olfactometry was good or whose score on the self-administered odor questionnaire was good showed improved olfaction after treatment. Furthermore, the prognosis after treatment was also good in patients with post viral olfactory dysfunction. It is important not to give up treatment in these patients even if they show no reactions in intravenous olfactometry.

Journal

  • JIBI INKOKA TEMBO

    JIBI INKOKA TEMBO 57 (6), 316-321, 2014

    Society of Oto-rhino-laryngology Tokyo

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