Assessment of olfactory level in acute sinusitis

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OBJECTIVE

To study the olfactory level in patients with acute sinusitis.

PATIENTS AND METHODS

A number of patients equal 67 with acute sinusitis aged 18—70 years was examined: 35 (52.2%) women and 32 (47.8%) men. An endoscopic examination of the olfactory recess was performed to analyze the mechanism of hyposmia. The Russian version of the Sniffin’ Sticks test was used to assess the olfactory thresholds.

RESULTS AND DISCUSSION

It has been revealed during the study that hyposomia is a frequent symptom of acute sinusitis (83.6%). In 52.2% of cases, conductive hyposmia has been determined in patients, neurosensory — in 31.3% of subjects. Olfaction was reduced more in men than in women. However, these data were not statistically significant. The degree of hyposmia was significantly higher in patients with inflammatory changes of the mucosa in the area of the olfactory recess (5.5 versus 6.4), which may correlate with the severity of acute sinusitis.

CONCLUSION

The olfactory level determination in patients with acute sinusitis is an important diagnostic criterion that allows to assess the severity of sinusitis and to choose effective treatment tactics. The Russian version of the Sniffin’ Sticks test is a simple and standardized method that can be used in the clinical practice of otorinolaryngologists.

Keywords:

hyposmia

olfactory dysfunction

Russian version of the Sniffin’ Sticks test

RVSS

threshold evaluation of olfaction

acute sinusitis

olfactory recess

inflammation

conductive hyposmia

neurosensory hyposmia

olfaction

Authors:

Dobretsov K.G.

Russian State Social University

SPIN RSCI: 1017-7664
Scopus AuthorID: 24477018000
ORCID: 0000-0002-7468-9117

Kashirsky D.V.

Russian State Social University;
Financial University under the Government of the Russian Federation

SPIN RSCI: 4389-5243
Scopus AuthorID: 6506320819
ResearcherID: AAK-2382-2020
ORCID: 0000-0002-8251-2653

Received:

25.01.2024

Accepted:

25.03.2024

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