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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 ,
E Razmpa ,
A Nikjo ,
M Ghalandarabadi ,
H Ghadimi  and
G Saidabadi
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: [email protected]
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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.

Keywords

LaryngectomyEndoscopySense of SmellYawning
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 9 , September 2014 , pp. 780 - 783
Copyright
Copyright © JLO (1984) Limited 2014 

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