Hostname: page-component-848d4c4894-xfwgj Total loading time: 0 Render date: 2024-06-21T09:05:09.657Z Has data issue: false hasContentIssue false
  • English
  • Français

Effect of the nasal airflow inducing manoeuvre on olfaction and quality of life after laryngectomy

Published online by Cambridge University Press:  08 April 2022

R Subbaraj ,
S S Mathews Open the ORCID record for S S Mathews [Opens in a new window] ,
S Bedford ,
R C Michael ,
R R A Albert  and
V Rupa
R Subbaraj
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
S S Mathews*
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
S Bedford
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India Audiology, Royal Surrey County Hospital, Guilford, UK
R C Michael
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
R R A Albert
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
V Rupa
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
*
Author for correspondence: Dr Suma Susan Mathews, Department of Otorhinolaryngology, Christian Medical College, Vellore, India E-mail: sumasusanm@yahoo.co.in
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To assess the effectiveness of the nasal airflow inducing manoeuvre or ‘polite yawn’ technique in improving olfaction and quality of life in laryngectomised patients.

Methods

Using a prospective study design, 42 patients scheduled to undergo laryngectomy at a tertiary care centre were subjected to olfaction testing before surgery and two weeks following the surgery. The nasal airflow inducing manoeuvre was taught, and the olfaction test was repeated with the patient performing the nasal airflow inducing manoeuvre. Quality of life was assessed using the Appetite, Hunger and Sensory Perception questionnaire with calculation of scores after the patient had learnt the nasal airflow inducing manoeuvre.

Results

There was a significant reduction in the composite olfaction score, from a mean (standard deviation) baseline value of 4.01 (1.39) to 0.44 (0.51), two weeks after surgery (p < 0.001). After practising the nasal airflow inducing manoeuvre, the olfaction scores increased to 3.05 (1.32) (p < 0.001). Appetite, Hunger and Sensory Perception questionnaire scores ranged from 52 to 110 (normal range, 29–145), suggesting an improvement in the quality of life of patients.

Conclusion

The nasal airflow inducing manoeuvre, an inexpensive, simple, patient-friendly manoeuvre, can be used in the olfaction rehabilitation of patients undergoing laryngectomy.

Keywords

OlfactionLaryngectomyRehabilitation
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 3 , March 2023 , pp. 273 - 278
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Prof S Mathews takes responsibility for the integrity of the content of the paper

References

Choi, YS, Park, SG, Song, E-K, Cho, SH, Park, MR, Park, KU et al. Comparison of the therapeutic effects of total laryngectomy and a larynx-preservation approach in patients with T4a laryngeal cancer and thyroid cartilage invasion: a multicenter retrospective review. Head Neck 2016;38:1271–7CrossRefGoogle Scholar
Miwa, T, Furukawa, M, Tsukatani, T, Costanzo, RM, DiNardo, LJ, Reiter, ER. Impact of olfactory impairment on quality of life and disability. Arch Otolaryngol Head Neck Surg 2001;127:497–503CrossRefGoogle ScholarPubMed
Risberg-Berlin, B, Möller, RY, Finizia, C. Effectiveness of olfactory rehabilitation with the nasal airflow-inducing maneuver after total laryngectomy: one-year follow-up study. Arch Otolaryngol Head Neck Surg 2007;133:650–4CrossRefGoogle ScholarPubMed
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. Laryngoscope 1999;109(7 pt 1):1150–5CrossRefGoogle ScholarPubMed
Caldas, AS, Facundes, VL, Cunha, DA, Balata, PM, Leal, LB, da Silva, HJ. Gustatory and olfactory dysfunction in laryngectomized patients. Braz J Otorhinolaryngol 2013;79:546–5410.5935/1808-8694.20130099CrossRefGoogle ScholarPubMed
Ackerstaff, AH, Hilgers, FJ, Aaronson, NK, Balm, AJ. Communication, functional disorders and lifestyle changes after total laryngectomy. Clin Otolaryngol Allied Sci 1994;19:295–300CrossRefGoogle ScholarPubMed
Riva, G, Sensini, M, Corvino, A, Pecorari, G, Garzaro, M. Smell and taste impairment after total laryngectomy. Ann Otol Rhinol Laryngol 2017;126:548–54CrossRefGoogle ScholarPubMed
Mumovic, G, Hocevar-Boltezar, I. Olfaction and gustation abilities after a total laryngectomy. Radiol Oncol 2014;48:301–6CrossRefGoogle ScholarPubMed
Schwartz, DN, Mozell, MM, Youngentob, SL, Leopold, DL, Sheehe, PR. Improvement of olfaction in laryngectomized patients with the larynx bypass. Laryngoscope 1987;97:1280–6CrossRefGoogle ScholarPubMed
Moore-Gillon, V. The nose after laryngectomy. J R Soc Med 1985;78:435–9CrossRefGoogle ScholarPubMed
Tatchell, RH, Lerman, JW, Watt, J. Olfactory ability as a function of nasal air flow volume in laryngectomees. Am J Otolaryngol 1985;6:426–3210.1016/S0196-0709(85)80021-1CrossRefGoogle ScholarPubMed
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 Head Neck Surg 2000;126:726–32CrossRefGoogle ScholarPubMed
Cain, WS, Gent, JF, Goodspeed, RB, Leonard, G. Evaluation of olfactory dysfunction in the Connecticut Chemosensory Clinical Research Center. Laryngoscope 1988;98:83–8CrossRefGoogle ScholarPubMed
de Jong, N, Mulder, I, de Graaf, C, van Staveren, WA. Impaired sensory functioning in elders: the relation with its potential determinants and nutritional intake. J Gerontol A Biol Sci Med Sci 1999;54:B324–31CrossRefGoogle ScholarPubMed
Prabhash, K, Babu, G, Chaturvedi, P, Kuriakose, M, Birur, P, Anand, AK et al. Indian clinical practice consensus guidelines for the management of squamous cell carcinoma of head and neck. Indian J Cancer 2020;57:S1–5CrossRefGoogle ScholarPubMed
Tuljapurkar, V, Dhar, H, Mishra, A, Chakraborti, S, Chaturvedi, P, Pai, PS. The Indian scenario of head and neck oncology – challenging the dogmas. South Asian J Cancer 2016;5:105–10Google ScholarPubMed
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 Head Neck Surg 2006;132:301–6CrossRefGoogle ScholarPubMed
Risberg-Berlin, B, Rydén, A, Möller, RY, Finizia, C. Effects of total laryngectomy on olfactory function, health-related quality of life, and communication: a 3-year follow-up study. BMC Ear Nose Throat Disord 2009;9:8CrossRefGoogle ScholarPubMed
Pantvaidya, GH, Raina, S, Mondal, A, Deshmukh, A, Nair, D, Pai, P et al. Total laryngectomy: surgical morbidity and outcomes – a case series. Indian J Cancer 2017;54:621–5CrossRefGoogle ScholarPubMed
Leon, EA, Catalanotto, FA, Werning, JW. Retronasal and orthonasal olfactory ability after laryngectomy. Arch Otolaryngol Head Neck Surg 2007;133:32–610.1001/archotol.133.1.32CrossRefGoogle ScholarPubMed
Doty, RL, Kamath, V. The influences of age on olfaction: a review. Front Psychol 2014;5:20CrossRefGoogle ScholarPubMed
Moor, JW, Rafferty, A, Sood, S. Can laryngectomees smell? Considerations regarding olfactory rehabilitation following total laryngectomy. J Laryngol Otol 2010;124:361–5CrossRefGoogle ScholarPubMed
Bosone, ZT. The nipple tube: a simple device for olfaction and nose blowing after laryngectomy. J Speech Hear Disord 1984;49:106–7CrossRefGoogle ScholarPubMed
Knudson, RC, Williams, EO. Olfaction through oral tracheal breathing tube. J Prosthet Dent 1989;61:471–2CrossRefGoogle ScholarPubMed
Mozell, MM, Schwartz, DN, Youngentob, SL, Leopold, DA, Hornung, DE, Sheehe, PR. Reversal of hyposmia in laryngectomized patients. Chem Senses 1986;11:397–410CrossRefGoogle Scholar
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 Head Neck Surg 2002;128:648–54CrossRefGoogle ScholarPubMed
Bjordal, K, Hammerlid, E, Ahlner-Elmqvist, M, de Graeff, A, Boysen, M, Evensen, JF et al. Quality of life in head and neck cancer patients: validation of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire--H&N35. J Clin Oncol 1999;17:1008–19CrossRefGoogle ScholarPubMed