Olfactory perception rehabilitation after total laryngectomy (OPRAT): proposal of a new protocol based on training of sensory perception skills

Longobardi, Ylenia; Parrilla, Claudio; Cintio, Giovanni Di; Corso, Eugenio De; Marenda, Maria Elisabetta; Mari, Giorgia; Paludetti, Gaetano; D’Alatri, Lucia; Passàli, Giulio Cesare

doi:10.1007/s00405-020-05918-8

Cited by 14 publications

(17 citation statements)

References 26 publications

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“…Для оценки функции обоняния применяют различные шкалы и опросники: Subjective Olfactometryсубъективная ольфактометрия; Chemosensory Complaint Score Questionnaire -опросник по хемосенсорным жалобам; University of Washington Quality of Life Questionnaire -опросник качества жизни Вашингтонского университета [12]. Применение всех этих диагностических методов исследования позволяет объективизировать эффективность терапевтических мероприятий, направленных на восстановление у пациентов нарушенной ольфакторной функции.…”

Section: том 11 Vol 11unclassified

“…Тренировка обонятельной функции проводится с использованием ряда общепринятых протоколов, различающихся в основном применяемым набором запахов и частотой их предъявления [15]. В частности, после тотальной ларингэктомии используется протокол, направленный на восстановление различных уровней функционирования ольфакторной системы: выявления, различения, идентификации и опознания запахов [12]. Для этого пациенту предъявляются сильнопахнущие палочки, пропитанные 10 меняющимися и 6 постоянными запахами, с частотой 5 раз в течение 45 мин 1 раз в неделю.…”

Section: том 11 Vol 11unclassified

“…Существуют разнообразные подходы к восстановлению у пациентов обонятельной функции, в большинстве случаев используются палочки / другие носители, обработанные определенными легко различаемыми запахами. Эффективность данного реабилитационного лечения составляет в среднем 40 %, 45,7 % -при постинфекционной ольфакторной дисфункции и 32,4 %при посттравматической; статистически достоверного Протокол тренинга ольфакторной функции OPRAT (Olfactory perception rehabilitation after total laryngectomy -восстановление обонятельного восприятия после тотальной ларингэктомии) (по Longobardi et al, 2020) The OPRAT (Olfactory perception rehabilitation after total laryngectomy) protocol of olfactory system's training (by Longobardi et al, с выраженным местным противовоспалительным и противоаллергическим действием из расчета 1 мг / 2 мл в 250 мл физиологического раствора) в виде орошения каждой ноздри по 3 шприца 20 мл утром и вечером в течение 1 мес [16]. Данный подход основан на положительном опыте интраназального применения бетаметазона и флунизолида, использовавшихся в 1990-х годах у пациентов с аносмией и гипосмией различного генеза [17][18][19].…”

Section: том 11 Vol 11unclassified

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Management and rehabilitation of patients with persistent olfactory disorders (hypo- and anosmia) (literature review)

Войтенков

Екушева

Lavrenova

et al. 2021

Neuromuscular Diseases

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We present a review of the literature and our own data on the management and rehabilitation of impairment or persis‑tent loss of the olfactory function – hypo‑ and anosmia. Approaches for restoring impaired olfactory function can be divided into olfactory training, pharmacological and physiotherapy. Smell training is carried out according to a number of protocols that differ mainly in the used arsenal of smells, as well as in the frequency of their presentation. Pharma‑cologically, it is proposed to use steroids used both topically (intranasally) and systemically; there is no common view on the effectiveness of this approach. Physiotherapy involve electrical stimulation of the olfactory filaments in the area of their exit into the nasal cavity (lateral masses of the ethmoid bone). In our opinion the most rational approach is the use of training methods using different smells.

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Section: том 11 Vol 11unclassified

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Management and rehabilitation of patients with persistent olfactory disorders (hypo- and anosmia) (literature review)

Войтенков

Екушева

Lavrenova

et al. 2021

Neuromuscular Diseases

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show abstract

“…As far as the recovery of the olfactory function is concerned, the NAIM technique (the so named "Polite Yawning") [3] is widely suggested for this aim and also adequate modifi cations of the original procedure were proposed to obtain better and more durable results in the regain of an acceptable olfactory function [4]. The NAIM consists of an extended yawning movement together with a simultaneous lowering of the jaw, as well as of both the body and the base of the tongue and the soft palate, while keeping the lips securely closed.…”

Section: Introductionmentioning

confidence: 99%

The Role of Speech Therapists in Olfactory Rehabilitation: a Short Report on Ten Cases of Total Laryngectomy

Passerini¹,

Re²,

Antoni³

et al. 2020

Arch Otolaryngol Rhinol

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“…In addition, the risk of poor outcomes with COVID-19 is higher in patients who underwent a laryngectomy because of the frequent presence of medical comorbidities (ie, chronic lung disease, peripheral vascular disease, heart disease, cerebrovascular disease, and diabetes), history of smoking, and impairment of mucociliary function by inhalation of cold and dry air. 8 , 9 …”

mentioning

confidence: 99%

Patients With Voice Prosthesis Rehabilitation During the COVID‐19 Pandemic: Analyzing the Effectiveness of Remote Triage and Management

Longobardi

Galli

D’Alatri

et al. 2020

Otolaryngol.--head neck surg.

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Objective To describe a remote approach used with patients with voice prosthesis after laryngectomy during the COVID-19 pandemic and the resulting clinical outcomes in terms of voice prosthesis complications management, oncological monitoring, and psychophysical well-being. Study Design Prospective cohort study. Setting Otolaryngology Clinic of the University Polyclinic A. Gemelli, IRCCS Foundation. Subjects and Methods All patients with voice prosthesis who underwent laryngectomy followed by our institute were offered enrollment. Patients who agreed to participate were interviewed to inquire about the nature of the need and to plan a video call with the appropriate clinician. Before and 1 week after the clinician’s call, patients were tested with the Hospital Anxiety and Depression Scale. Degrees of satisfaction were investigated with a visual analog scale. A comparison between those who accepted and refused telematic support was carried out to identify factors that influence patient interest in teleservice. Results Video call service allowed us to reach 37 (50.68%) of 73 patients. In 23 (62.16%) of 37 cases, the video call was sufficient to manage the problem. In the remaining 14 cases (37.83%), an outpatient visit was necessary. Participants who refused telematic support had a significantly shorter time interval from the last ear, nose, and throat visit than patients who accepted (57.95 vs 96.14 days, P = .03). Video-called patients showed significantly decreased levels of anxiety and depression (mean Hospital Anxiety and Depression Scale total score pre– vs post–video call: 13.97 vs. 10.23, P < .0001) and reported high levels of satisfaction about the service. Conclusion Remote approach may be a viable support in the management of patients with voice prosthesis rehabilitation.

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Olfactory perception rehabilitation after total laryngectomy (OPRAT): proposal of a new protocol based on training of sensory perception skills

Cited by 14 publications

References 26 publications

Management and rehabilitation of patients with persistent olfactory disorders (hypo- and anosmia) (literature review)

Management and rehabilitation of patients with persistent olfactory disorders (hypo- and anosmia) (literature review)

The Role of Speech Therapists in Olfactory Rehabilitation: a Short Report on Ten Cases of Total Laryngectomy

Patients With Voice Prosthesis Rehabilitation During the COVID‐19 Pandemic: Analyzing the Effectiveness of Remote Triage and Management

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