The University of Pennsylvania Smell Identification Test (UPSIT) and a smell ability questionnaire were administered to 167 Japanese volunteers ranging in age from 20 to 59 years. Of these subjects, 80 also received the T&T olfactometer threshold test. Of the latter subjects, 36 were patients tested before endoscopic nasal surgery for sinusitis and polyposis. The patients exhibited decreased smell function, as measured by the T&T olfactometer, the UPSIT, and a 30-item version of the UPSIT in which the 10 least familiar items were removed (ps < 0.001). Spearman correlations ranging from 0.53 to 0.70 were found between (i) scores on the 30- and 40-item UPSITs and (ii) the T&T detection and recognition threshold values. Significant correlations were found between scores on the smell ability questionnaire and the olfactory test measures (UPSIT30 r = 0.56; UPSIT40 r = 0.58; T&T detection r = 0.56; T&T recognition r = 0.69, p < 0.001), indicating that subjects are relatively accurate in assessing their olfactory ability. This study suggests that the 30 and 40-item UPSITs correlate well with measures derived from the T&T olfactometer, and that all three tests are sensitive to the smell loss of Japanese sinusitis/polyposis patients.

Using a signal detection procedure and a microprocessor-controlled gustometer, sensitivity to three concentrations of NaCl (0.01, 0.1 and 1.0 M) was measured on the tongue tip, and on a region 3.0 cm posterior to the tongue tip in 12 young (20-29 years of age) and 12 elderly (70-79 years of age) subjects. Stimulus duration was 2 s; the sizes of the tongue areas stimulated were 12.5, 25 and 50 mm2. On average, the young subjects were more sensitive to NaCl on the tongue tip than on the more posterior stimulation site and exhibited, at both tongue loci, an increase in detection performance as stimulus concentration increased. The elderly subjects, on the other hand, performed at chance level at both tongue loci for all three stimulus sizes and concentrations tested. No sex differences were observed. In the young subjects, the mean R-index increased monotonically as a function of stimulus size for the two highest NaCl concentrations at both tongue loci. A hyperbolic function provided the best fit to these data at the tongue tip, and an exponential function at the more posterior tongue region, implying a different pattern of spatial summation at these two sites. Overall, this study demonstrates that marked age-related changes in regional taste sensitivity to NaCl are present in elderly persons.

In order to study the efficacy of surgical intervention, as well as the influence of cigarette smoking on olfaction in clinical states, we examined olfactory ability by means of the University of Pennsylvania Smell Identification Test (UPSIT). We enrolled 37 patients 21 to 60 years of age who underwent surgery for chronic sinusitis. Normosmia was defined as an UPSIT score of 30 or more. Among these patients, 31 had a disturbance in their smelling ability in the preoperative stage, and the improvement rate, defined as a rise in score of 4 or more points after surgery, was 64.5%; 11 were well healed. However, all 7 patients who were more than 40 years old at the time of surgery, and currently smoking cigarettes, had a significant deficit in olfaction in the preoperative stage and even in the postoperative stage. This study demonstrated that cigarette smoking has adverse effects on olfactory ability, especially for older patients.

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