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REVIEW ARTICLE
Year : 2012  |  Volume : 2  |  Issue : 1  |  Page : 10-20

Olfaction following total laryngectomy


1 The University of Queensland, Division of Speech Pathology, School of Health and Rehabilitation Sciences; Centre for Functioning and Health Research (CFAHR), Queensland Health, Queensland, Australia
2 The University of Queensland, Division of Speech Pathology, School of Health and Rehabilitation Sciences, Queensland, Australia
3 Department of Otolaryngology-Head and Neck Surgery, Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands

Correspondence Address:
Corina J van As-Brooks
Department of Otolaryngology-Head and Neck Surgery, Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066CX Amsterdam
The Netherlands
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-9748.94728

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Total laryngectomy (TL) results in the complete disconnection of the upper and lower respiratory tract, ceasing orthonasal airflow. Hence, olfaction and olfactory acuity are negatively impacted. Prior to the late 1990s, impaired olfaction was simply accepted as a negative consequence of TL surgery. However, a growing body of research conducted within this past decade has demonstrated that rehabilitation is possible with a simple and effective behavioral technique. The current review outlines the literature supporting the negative impact of altered olfaction on quality of life, details of known best practice methods for olfactory assessment both for research and clinical use, and outlines the evidence for interventions known to improve olfactory performance in the TL population. Intervention for olfactory impairment should be part of a holistic, evidence-based rehabilitation process for patients post-laryngectomy.


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