Olfactory function and quality of life after olfaction rehabilitation in total laryngectomees.

Olfactory function and quality of life after olfaction rehabilitation in total laryngectomees.
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全喉切除者嗅觉康复后的嗅觉功能和生活质量。

DOI:
10.1590/2317-1782/20162015255
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发表时间:
2016
期刊:
影响因子:
0.8
通讯作者:
T. Valente
T. Valente
中科院分区:
--
文献类型:
--
作者:
Christiane Gouvêa dos Santos;A. Bergmann;K. Coça;Angela Albuquerque Garcia;T. Valente

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目的
Purpose To evaluate the effects of olfaction rehabilitation in the olfactory function and quality of life of total laryngectomized patients. Methods Pre-post intervention clinical study conducted with total laryngectomees submitted to olfaction rehabilitation by means of the Nasal Airflow-Inducing Maneuver (NAIM) using the University of Pennsylvania Smell Identification Test (UPSIT), Olfactory Acuity Questionnaires, a Monitoring Questionnaire, and the University of Washington Quality of Life Questionnaire (UW-QOL). Results Participants were 45 total laryngectomees. Before olfaction rehabilitation, 48.9% of the participants had their olfactic abilities classified as anosmia, 46.8% as microsmia, and 4.4% were considered within the normal range. After olfaction rehabilitation, 4.4% of the participants were classified as anosmia and 31.1% were within the normal range. In the Smell Identification Test, the mean score after rehabilitation showed statistically significant improvement. Reponses to the Olfactory Acuity Questionnaires after rehabilitation showed improvement in the frequency of perception regarding smell, taste, and the ability to smell perfume, food, leaking gas, and smoke, after learning the maneuver. Although the scores in the Quality of Life Questionnaire already indicated good quality of life before the surgery, post-intervention values were statistically significant. Conclusion Olfaction rehabilitation improves olfactory function and has a positive impact on the activities of daily living and quality of life of total laryngectomized patients.