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J Laryngol Otol. 2014 Sep;128(9):780-3. doi: 10.1017/S0022215114001777. Epub 2014 Aug 28.

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

Author information

1
ENT Research Center,Tehran University of Medical Sciences,Tehran,Iran.
2
Health Researchers R&D Institute,Tehran,Iran.
3
Otolaryngology Department,Faculty of Medicine,Tehran University of Medical Sciences,Tehran,Iran.

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.

PMID:
25165972
DOI:
10.1017/S0022215114001777
[Indexed for MEDLINE]

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