Profiles of Odorant Specific Performance in Olfactory Testing.


Journal

American journal of rhinology & allergy
ISSN: 1945-8932
Titre abrégé: Am J Rhinol Allergy
Pays: United States
ID NLM: 101490775

Informations de publication

Date de publication:
Jan 2023
Historique:
pubmed: 8 9 2022
medline: 25 2 2023
entrez: 7 9 2022
Statut: ppublish

Résumé

Olfactory dysfunction (OD) can occur from a variety of etiologies. However, there are few reports examining whether varying etiologies have unique profiles of psychophysical testing that may provide insight into the pathophysiology of OD. Adults with chronic rhinosinusitis with and without nasal polyps (CRSwNP/CRSsNP) and healthy control adults with no sinus complaints underwent olfactory assessment with Sniffin' Sticks. Profiles of identification and discrimination were compared between CRS and non-CRS subjects across the spectrum of OD. Normosmics with or without CRS identified apple, pineapple, and turpentine less frequently than expected (range 52%-68% correct). Hyposmics with CRS correctly identified orange more frequently than control hyposmics (83%-93% vs 68% for controls) with similar findings for rose. Hyposmics of all cohorts were unable to identify apple (26%). Discrimination profiles were similar across the spectrum of OD and between diagnostic groups. Identification and discrimination rates of specific odorants may provide unique information regarding the etiology of OD, however psychophysical testing is a complex interplay of olfactory and trigeminal function, the strength of target odorant, distractor choices, and familiarity with odorants.

Sections du résumé

BACKGROUND BACKGROUND
Olfactory dysfunction (OD) can occur from a variety of etiologies. However, there are few reports examining whether varying etiologies have unique profiles of psychophysical testing that may provide insight into the pathophysiology of OD.
METHODS METHODS
Adults with chronic rhinosinusitis with and without nasal polyps (CRSwNP/CRSsNP) and healthy control adults with no sinus complaints underwent olfactory assessment with Sniffin' Sticks. Profiles of identification and discrimination were compared between CRS and non-CRS subjects across the spectrum of OD.
RESULTS RESULTS
Normosmics with or without CRS identified apple, pineapple, and turpentine less frequently than expected (range 52%-68% correct). Hyposmics with CRS correctly identified orange more frequently than control hyposmics (83%-93% vs 68% for controls) with similar findings for rose. Hyposmics of all cohorts were unable to identify apple (26%). Discrimination profiles were similar across the spectrum of OD and between diagnostic groups.
CONCLUSIONS CONCLUSIONS
Identification and discrimination rates of specific odorants may provide unique information regarding the etiology of OD, however psychophysical testing is a complex interplay of olfactory and trigeminal function, the strength of target odorant, distractor choices, and familiarity with odorants.

Identifiants

pubmed: 36069003
doi: 10.1177/19458924221124692
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

26-34

Auteurs

Rodney J Schlosser (RJ)

Department of Otolaryngology-Head and Neck Surgery, 2345Medical University of South Carolina, Charleston, SC, USA.

Zachary M Soler (ZM)

Department of Otolaryngology-Head and Neck Surgery, 2345Medical University of South Carolina, Charleston, SC, USA.

Jess Mace (J)

Department of Otolaryngology-Head and Neck Surgery, 6684Oregon Health Sciences University, Portland, OR, USA.

Nyssa Farrell (N)

Department of Otolaryngology-Head and Neck Surgery, 6684Oregon Health Sciences University, Portland, OR, USA.
Department of Otolaryngology-Head and Neck Surgery, Washington University, St Louis, MO, USA.

Ryan Rimmer (R)

Department of Otolaryngology-Head and Neck Surgery, 6684Oregon Health Sciences University, Portland, OR, USA.
Department of Otolaryngology-Head and Neck Surgery, Yale University, New Haven, CT, USA.

Jeremiah A Alt (JA)

Division of Otolaryngology-Head and Neck Surgery, 14434University of Utah, Salt Lake City, UT, USA.

Vijay R Ramakrishnan (VR)

Department of Otolaryngology-Head and Neck Surgery, 12250Indiana University School of Medicine, Indianapolis, IN, USA.

Thomas S Edwards (TS)

Department of Otolaryngology-Head and Neck Surgery, 2345Medical University of South Carolina, Charleston, SC, USA.

Timothy L Smith (TL)

Department of Otolaryngology-Head and Neck Surgery, 6684Oregon Health Sciences University, Portland, OR, USA.

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Classifications MeSH