gms | German Medical Science

80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

20.05. - 24.05.2009, Rostock

Rehabilitation of olfaction after laryngectomy

Meeting Abstract

Suche in Medline nach

  • corresponding author Boris Haxel - Department of Otolaryngology, Head and Neck Surgery, Mainz, Germany
  • author Christian Fuchs - Department of Otolaryngology, Head and Neck Surgery, Mainz, Germany
  • author Burkard Lippert - Department of Otolaryngology, Head and Neck Surgery, Heilbronn, Germany
  • author Wolf Mann - Department of Otolaryngology, Head and Neck Surgery, Mainz, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno067

DOI: 10.3205/09hno067, URN: urn:nbn:de:0183-09hno0676

Veröffentlicht: 22. Juli 2009

© 2009 Haxel et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: In laryngectomees, voice- and pulmonary rehabilitation is already established. Loss of olfaction means an additional loss of quality of life for these patients. Therefore the Nasal Airflow Inducing Maneuver (NAIM) has been developed in the year 2003 to enable the patients to regain a nasal airflow. So far the success of this olfactory rehabilitation method has only been tested in simple (mostly identification) smell test. The aim of this study was to verify the efficacy of this maneuver in a standardized smell test.

Methods: In 25 patients after laryngectomy, the sense of smell was tested with the Sniffin´ Sticks Test before and after learning the NAIM. Here the individual level of threshold, discrimination and identification could be determined. Thus the individual SDI-score was used to classify the patients as being anosmic, hyposmic or normosmic.

Results: There was a significant increase in the three sub scores and the total SDI-score before and after the learning of the NAIM. Patients gained 7 points on average in the SDI-score. 20 of 25 patients showed an increase of five or more point in the SDI-score. In the classification of the smell ability, 15 of 25 patients changed from anosmic or hyposmic to hyposmic resp. normosmic.

Conclusion: The Nasal Airflow Inducing Maneuver is an easily learned procedure the rehabilitation of the sense of smell in laryngectomees. The evaluation with the Sniffin´ Sticks Tests showed a clinically relevant increase of olfaction in 80%. The teaching of the NAIM should be included in post-laryngectomy rehabilitation programs.


References

1.
van Dam FS, Hilgers FJ, Emsbroek G, Touw FI, van As CJ, de Jong N. Deterioration of olfaction and gustation as a consequence of total laryngectomy. The Laryngoscope. 1999;109:1150-5.
2.
Hummel T, Nordin S. Olfactory disorders and their consequences for quality of life. Acta Oto-Laryngologica. 2005;125:116-21.
3.
Miwa T, Furukawa M, Tsukatani T, Costanzo RM, DiNardo LJ, Reiter ER. Impact of olfactory impairment on quality of life and disability. Arch Otolaryngol H&N. 2001;127:497-503.
4.
Hilgers FJ, van Dam FS, Keyzers S, Koster MN, van As CJ, Muller MJ. Rehabilitation of olfaction after laryngectomy by means of a nasal airflow-inducing maneuver: the "polite yawning" technique. Arch Otolaryngol H&N. 2000;126:726-32.
5.
Risberg-Berlin B, Ylitalo R, Finizia C. Screening and rehabilitation of olfaction after total laryngectomy in Swedish patients: results from an intervention study using the Nasal Airflow-Inducing Maneuver. Arch Otolaryngol H&N. 2006;132:301-6.
6.
Hilgers FJ, Jansen HA, Van As CJ, Polak MF, Muller MJ, Van Dam FS. Long-term results of olfaction rehabilitation using the nasal airflow-inducing ("polite yawning") maneuver after total laryngectomy. Arch Otolaryngol H&N. 2002;128:648-854.
7.
Hummel T, Kobal G, Gudziol H, Mackay-Sim A. Normative data for the "Sniffin' Sticks" including tests of odor identification, odor discrimination, and olfactory thresholds: an upgrade based on a group of more than 3,000 subjects. Eur Arch Oto-Rhino-Laryngology. 2007;264:237-43.