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Endoscopy findings affect subjective smell rehabilitation in post-laryngectomy patients using the nasal airflow-inducing manoeuvre

Published online by Cambridge University Press:  28 August 2014

B Saedi*
Affiliation:
ENT Research Center, Tehran University of Medical Sciences, Tehran, Iran
E Razmpa
Affiliation:
ENT Research Center, Tehran University of Medical Sciences, Tehran, Iran
A Nikjo
Affiliation:
ENT Research Center, Tehran University of Medical Sciences, Tehran, Iran
M Ghalandarabadi
Affiliation:
Health Researchers R&D Institute, Tehran, Iran
H Ghadimi
Affiliation:
Otolaryngology Department, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
G Saidabadi
Affiliation:
ENT Research Center, Tehran University of Medical Sciences, Tehran, Iran
*
Address for correspondence: Dr B Saedi, ENT Research Center, Imam Khomeini Medical Center, Bagherkhan Street, Chamran Highway, Tehran, Iran Fax: +982166581628, E-mail: saedi@tums.ac.ir

Abstract

Objective:

To evaluate the characteristics of post-laryngectomy patients, including nasal endoscopy findings, that affect subjective smell improvement in the post-surgical period.

Methods:

Thirty patients who had undergone total laryngectomy participated in at least three sessions of a smell rehabilitation programme involving the nasal airflow-inducing manoeuvre, under the supervision of a speech-language pathologist. Patient characteristics and nasal endoscopy findings were evaluated.

Results:

Participants experienced a mean improvement in sense of smell of 61 per cent (p < 0.001) and a significant improvement in appetite (p = 0.002). Male patients and patients with a nasal discharge had a significantly better outcome.

Conclusion:

The nasal airflow-inducing manoeuvre is an effective method for improving smell perception and appetite in laryngectomy patients. There was no relationship between nasal endoscopy findings and outcome of the nasal airflow-inducing manoeuvre rehabilitation programme in our case series.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Moore-Gillon, V. The nose after laryngectomy. J R Soc Med 1985;78:435–9CrossRefGoogle ScholarPubMed
2Hilgers, FJM, Ackerstaff, AH. Comprehensive rehabilitation after total laryngectomy is more than voice alone. Folia Phoniatr Logop 2000;52:6573CrossRefGoogle ScholarPubMed
3van Dam, FS, Hilgers, FJ, Emsbroek, G, Tuow, FI, van As, CJ, de Jong, N.Deterioration of olfaction and gustation as a consequence of total laryngectomy. Laryngoscope 1999;109:1150–5CrossRefGoogle ScholarPubMed
4Göktas, O, Fleiner, F, Paschen, C, Lammert, I, Schrom, T. Rehabilitation of the olfactory sense after laryngectomy: long-term use of the larynx bypass. Ear Nose Throat J 2008;87:528–30Google ScholarPubMed
5Moor, JW, Rafferty, A, Sood, S. Can laryngectomees smell? Considerations regarding olfactory rehabilitation following total laryngectomy. J Laryngol Otol 2010;124:361–5CrossRefGoogle ScholarPubMed
6Miani, C, Ortolani, F, Bracale, AMB, Petrelli, L, Staffieri, A, Marchini, M. Olfactory mucosa histological findings in laryngectomees. Eur Arch Otorhinolaryngol 2003;260:529–35CrossRefGoogle ScholarPubMed
7Welge-Luessen, A, Kobal, G, Wolfensberger, M. Assessing olfactory function in laryngectomees using the Sniffin' Sticks test battery and chemosensory evoked potentials. Laryngoscope 2000;110:300–3CrossRefGoogle Scholar
8Leon, EA, Catalanotto, FA, Werning, JW. Retronasal and Orthonasal Olfactory Ability After Laryngectomy. Arch Otolaryngol Head Neck Surg 2007;133:32–6CrossRefGoogle ScholarPubMed
9Hilgers, FJM, van Dam, F, 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
10Fujii, M, Fukazawa, K, Hatta, C, Yasuno, H, Sakagami, M. Olfactory acuity after total laryngectomy. Chem Senses 2002;27:117–21CrossRefGoogle ScholarPubMed
11Risberg-Berlin, B, Ryden, A, Ylitalo, R, Finzia, C. Development of a clinical instrument improving rehabilitation of olfaction with the Nasal Airflow-Inducing Maneuver in Swedish laryngectomized patients. Acta Otolaryngol 2009;129:1026–32CrossRefGoogle ScholarPubMed
12Goektas, O, Fleiner, F, Frieler, K, Scherer, H, Paschen, C. The scent-diffusing ventilator for rehabilitation of olfactory function after laryngectomy. Am J Rhinol 2008;22:487–90CrossRefGoogle ScholarPubMed
13Ward, E, Coleman, A, As-Brooks, C, Kerle, S. Rehabilitation of olfaction post-laryngectomy: a randomised control trial comparing clinician assisted versus a home practice approach. Clin Otolaryngol 2010;35:3945CrossRefGoogle ScholarPubMed
14Risberg-Berlin, B, Moller, RY, Finizia, C. Effectiveness of olfactory rehabilitation with the nasal airflow-inducing maneuver after total laryngectomy: one-year follow-up study. Arch of Otolaryngol Head Neck Surg 2007;133:650–4CrossRefGoogle ScholarPubMed
15Risberg-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
16Hilgers, FJM, Jansen, HA, van As, CJ, Polak, MF, Muller, MJ, van Dam, F. Long-term results of olfaction rehabilitation using the nasal airflow-inducing (“polite yawning”) maneuver after total laryngectomy. Arch Otolaryngol Head Neck Surg 2002;128:648–73CrossRefGoogle ScholarPubMed
17Ho, W, Kwong, DLW, Wei, WI, Sham, JST. Change in olfaction after radiotherapy for nasopharyngeal cancer—a prospective study. Am J Otolaryngol 2002;23:209–14CrossRefGoogle ScholarPubMed
18Ozdemir, I, Oztürkcan, S, Bağrıyanık, A, Başoğlu, S, Ozkul, Y, Güvenç, IA et al. The maxillary sinus after total laryngectomy: an electron microscopic study. Eur Arch Otorhinolaryngol 2009;267:715–20CrossRefGoogle Scholar
19Sesterhenn, AM, Fiedler, G, Müller, HH, Wiegand, S, Folz, BJ, Werner, JA. Incidence of sinunasal disease in laryngectomized patients. ORL J Otorhinolaryngol Relat Spec 2008;70:185–8CrossRefGoogle ScholarPubMed
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