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Otolaryngol Head Neck Surg . SARS-CoV-2 Effects on Psychophysical Olfactory Scores: Prospective Study With Evaluation Before and 60-Days After Infec

tetano

Editor, Senior Moderator
Otolaryngol Head Neck Surg


. 2023 Feb 23.
doi: 10.1002/ohn.166. Online ahead of print.
SARS-CoV-2 Effects on Psychophysical Olfactory Scores: Prospective Study With Evaluation Before and 60-Days After Infection


Luigi Angelo Vaira[SUP] 1 2 [/SUP], Jerome R Lechien[SUP] 3 4 [/SUP], Giovanni Salzano[SUP] 1 5 [/SUP], Fabio Maglitto[SUP] 1 5 [/SUP], Paolo Boscolo-Rizzo[SUP] 6 [/SUP], Claire Hopkins[SUP] 7 8 [/SUP], Giacomo De Riu[SUP] 1 [/SUP]



Affiliations

Abstract

The aim of this study was to prospectively evaluate the olfactory function in a series of individuals infected with SARS-CoV-2 and who had undergone psychophysical olfactory assessment prior to infection. Individuals unexposed to SARS-CoV-2 infection underwent a psychophysical evaluation of smell with the Sniffin' Sticks test. The subjects were followed prospectively and included in the study if they developed SARS-CoV-2 infection with a second test 60 days after recovery. At the 60-day follow-up of the 41 included subjects, 2 (4.9%) self-reported persistent olfactory dysfunction (OD). The differences between TDI scores before and after infection were statistically significant (37 [interquartile range (IQR), 34.25-39.25] vs 34.75 [IQR, 32.25-38]; p = .021). Analyzing the individual olfactory domains, the differences were significant for threshold (T) (9.75 [IQR, 9-11.25] vs 8.25 [IQR, 7.25-10.25]; p = .009) but not for odor discrimination (D) (p = .443) and identification (I) (p = .159). SARS-CoV-2 causes a significant reduction in the olfactory function, in particular affecting the olfactory threshold, even in subjects who do not self-report an OD.

Keywords: COVID-19; Maxillofacial Surgery; Omicron variant; PS/QI; SARS-CoV-2; ageusia; anosmia; coronavirus; olfactory dysfunction; olfactory function; prospective study; smell; taste; taste dysfunction.
 
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