CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(02): e326-e331
DOI: 10.1055/s-0043-1777448
Original Research

Olfactory Dysfunction in Adults from Rio Grande do Norte: A Cross-Sectional Study

1   Department of Surgery, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
,
2   Health Sciences Center, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
,
2   Health Sciences Center, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
,
2   Health Sciences Center, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
,
1   Department of Surgery, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
,
1   Department of Surgery, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
,
1   Department of Surgery, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
› Institutsangaben
Funding Source The author(s) received no financial support for the research.

Abstract

Introduction Smell is one of the senses of the human body, and it can be affected by several factors, such as viral infections, traumatic brain injury, iatrogenesis, smoking, and neurodegenerative and systemic diseases.

Objectives The main goal of the present study is to describe the epidemiology of olfactory disorders in Rio Grande do Norte (RN). More specifically, to determine the prevalence of olfactory dysfunction and to identify the main risk factors related to these dysfunctions in the state's population.

Methods A total of 180 volunteers living in the RN underwent the Connecticut Clinical Research Center (CCCRC) smell test and a clinical and demographic questionnaire.

Results A total of 58.89% of the patients presented normosmia and 87.78% were classified as having between normal and mild hyposmia. A statistically significant relationship was found between worse performance in the test and nasal surgery (p = 0.041) and the subjective feeling of not having an accurate sense of smell (p = 0.006 on the right nostril). There was no statistical relationship between the olfactory status and the report of coronavirus disease 2019 (COVID-19) infection (p = 0.254).

Conclusion The occurrence of altered sense of smell in our study was different from that reported in other studies that used the same test. The relationship with COVID-19 was not clear.



Publikationsverlauf

Eingereicht: 15. Juni 2023

Angenommen: 15. Oktober 2023

Artikel online veröffentlicht:
05. Februar 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Branigan B, Tadi P. Physiology, Olfactory. In: StatPearls. Treasure Island (FL): StatPearls Publishing;; May 8, 2022
  • 2 Bear MF, Connors BW, Paradiso MA. Neuroscience: Exploring The Brain. Jones & Bartlett Learning; 2015
  • 3 Manzini I, Frasnelli J, Croy I. Wie wir riechen und was es für uns bedeutet : Grundlagen des Geruchssinns. [How we smell and what it means to us: basic principles of the sense of smell] HNO 2014; 62 (12) 846-852
  • 4 Reed DR, Knaapila A. Genetics of taste and smell: poisons and pleasures. Prog Mol Biol Transl Sci 2010; 94: 213-240
  • 5 Kohli P, Soler ZM, Nguyen SA, Muus JS, Schlosser RJ. The Association Between Olfaction and Depression: A Systematic Review. Chem Senses 2016; 41 (06) 479-486
  • 6 Nordin S, Brämerson A. Complaints of olfactory disorders: epidemiology, assessment and clinical implications. Curr Opin Allergy Clin Immunol 2008; 8 (01) 10-15
  • 7 Syed I, Philpott C. Hyposmia. Br J Hosp Med (Lond) 2015; 76 (03) C41-C42, C44–C45
  • 8 Montalvan V, Lee J, Bueso T, De Toledo J, Rivas K. Neurological manifestations of COVID-19 and other coronavirus infections: A systematic review. Clin Neurol Neurosurg 2020; 194: 105921
  • 9 Yücepur C, Ozücer B, Değirmenci N, Yıldırım Y, Veyseller B, Ozturan O. University of Pennsylvania smell identification test: application to Turkish population. Kulak Burun Bogaz Ihtis Derg 2012; 22 (02) 77-80
  • 10 Cain WS, Gent JF, Goodspeed RB, Leonard G. Evaluation of olfactory dysfunction in the Connecticut Chemosensory Clinical Research Center. Laryngoscope 1988; 98 (01) 83-88
  • 11 Fenólio GHM, Anselmo-Lima WT, Tomazini GC. et al. Validation of the Connecticut olfactory test (CCCRC) adapted to Brazil. Rev Bras Otorrinolaringol (Engl Ed) 2022; 88 (05) 725-732
  • 12 Bedaque HP, Guimarães MLNMS, Ferreira LMBM. Letter to the editor: “Validation of the Connecticut olfactory test (CCCRC) adapted to Brazil”. Braz J Otorhinolaryngol. 2022; 88 (01) 151
  • 13 Glezer I, Malnic B. Olfactory receptor function. Handb Clin Neurol 2019; 164: 67-78
  • 14 Sharma A, Kumar R, Aier I, Semwal R, Tyagi P, Varadwaj P. Sense of Smell: Structural, Functional, Mechanistic Advancements and Challenges in Human Olfactory Research. Curr Neuropharmacol 2019; 17 (09) 891-911 . Doi: 10.2174/1570159. Doi: × 17666181206095626
  • 15 Pinto JM. Olfaction. Proc Am Thorac Soc 2011; 8 (01) 46-52
  • 16 Hummel T, Sekinger B, Wolf SR, Pauli E, Kobal G. ‘Sniffin’ sticks': olfactory performance assessed by the combined testing of odor identification, odor discrimination and olfactory threshold. Chem Senses 1997; 22 (01) 39-52
  • 17 Doty RL, Shaman P, Kimmelman CP, Dann MS. University of Pennsylvania Smell Identification Test: a rapid quantitative olfactory function test for the clinic. Laryngoscope 1984; 94 (2 Pt 1): 176-178
  • 18 Sano K, Tsuda Y, Sugano H, Aou S, Hatanaka A. Concentration effects of green odor on event-related potential (P300) and pleasantness. Chem Senses 2002; 27 (03) 225-230
  • 19 Takahashi S, Tanabe E, Sakai T. et al. Relationship between exploratory eye movement, P300, and reaction time in schizophrenia. Psychiatry Clin Neurosci 2008; 62 (04) 396-403
  • 20 Yilmaz FT, Özkaynak SS, Barçin E. Contribution of auditory P300 test to the diagnosis of mild cognitive impairment in Parkinson's disease. Neurol Sci 2017; 38 (12) 2103-2109
  • 21 Arslan F, Tasdemir S, Durmaz A, Tosun F. The effect of nasal polyposis related nasal obstruction on cognitive functions. Cogn Neurodynamics 2018; 12 (04) 385-390
  • 22 Toledano A, González E, Rodríguez G, Galindo AN. Desarrollo de un test de screening olfatorio a partir del test de Connecticut (CCCRC). [Development of an olfactory screening test based on the Connecticut test (CCCRC)] Acta Otorrinolaringol Esp 2005; 56 (03) 116-121
  • 23 Veyseller B, Ozucer B, Karaaltin AB. et al. Connecticut (CCCRC) Olfactory Test: Normative Values in 426 Healthy Volunteers. Indian J Otolaryngol Head Neck Surg 2014; 66 (01) 31-34
  • 24 Rodriguez-Sevilla JJ, Güerri-Fernádez R, Bertran Recasens B. Is There Less Alteration of Smell Sensation in Patients With Omicron SARS-CoV-2 Variant Infection?. Front Med (Lausanne) 2022; 9: 852998