Propriety of various examinations for subjective symptoms of olfactory disorders.

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-11-01 Epub Date: 2024-06-28 DOI:10.1007/s00405-024-08803-w

Tomotaka Hemmi, Kazuhiro Nomura, Yuta Kobayashi, Yuki Numano, Ryoukichi Ikeda, Mitsuru Sugawara

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Abstract

Purpose: In Japan, two types of tests for diagnosing olfactory disorders, T and T (T&T) olfactometry and intravenous olfactory tests, are covered by insurance and performed on patients with olfactory disorders. This study examined the validity of these olfactory tests and whether psychophysical or morphological tests are more helpful in evaluating olfactory disorders.

Methods: We evaluated patients who visited our department and underwent two types of olfaction tests and sinus computed tomography (CT). Data regarding the age, sex, peripheral blood eosinophil percentage, presence of bronchial asthma, diagnoses, olfactory symptom score, results of the two olfactory tests, and CT findings in eligible patients were extracted from medical records and retrospectively reviewed.

Results: One hundred and sixty-three patients underwent all tests during the study period. The results of the T&T olfactometry and intravenous olfactory tests were significantly correlated. However, only the results of T&T olfactometry and olfactory cleft opacification on CT were statistically significant predictors of the olfactory symptom scores.

Conclusion: T&T olfactometry and CT evaluations of olfactory cleft opacification helped evaluate olfactory dysfunction. It is important to note that intravenous olfactory tests are best performed with careful control and not blindly to assess olfactory disorders.

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针对嗅觉障碍主观症状的各种检查的合理性。

目的：在日本，有两种用于诊断嗅觉障碍的测试，即T和T（T&T）嗅觉测定法和静脉嗅觉测试，都属于保险范围，并对嗅觉障碍患者进行测试。本研究探讨了这些嗅觉测试的有效性，以及心理物理测试还是形态学测试更有助于评估嗅觉障碍：方法：我们对到我科就诊并接受了两种嗅觉测试和鼻窦计算机断层扫描（CT）的患者进行了评估。我们从病历中提取了符合条件的患者的年龄、性别、外周血嗜酸性粒细胞百分比、是否患有支气管哮喘、诊断、嗅觉症状评分、两种嗅觉测试结果和 CT 结果等数据，并对这些数据进行了回顾性审查：结果：163 名患者在研究期间接受了所有测试。T&T嗅觉测定和静脉嗅觉测试的结果具有显著相关性。然而，只有 T&T 嗅觉测定和 CT 上的嗅裂不透明结果对嗅觉症状评分有统计学意义：结论：T&T嗅觉测定和CT对嗅裂不透明的评估有助于评估嗅觉功能障碍。值得注意的是，静脉嗅觉测试最好在仔细控制的情况下进行，而不是盲目地评估嗅觉障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.