Rehabilitation of Olfaction After Laryngectomy by Means of a Nasal Airflow-Inducing Maneuver

Hilgers, Frans J. M.; Dam, F.S.A.M. van; Keyzers, Saskia; Koster, Marike N.; As, C.J. van; Müller, Martin

doi:10.1001/archotol.126.6.726

Cited by 82 publications

(122 citation statements)

References 23 publications

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“…Although several international studies have described aspects of the assessment and rehabilitation of olfaction in total laryngectomized patients, for decades 9,29,36 , few Brazilian studies have been giving attention to this theme 27,37 . It is necessary to assess and rehabilitate such function, since its alteration causes negative impacts on quality of life, nourishment and even on the patients' safety.…”

Section: Discussionmentioning

confidence: 99%

Acuidade olfatória e qualidade de vida após a laringectomia total

et al. 2015

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RESUMO: Objetivo: identificar a prevalência e os fatores associados às alterações do olfato e descrever a qualidade de vida após a laringectomia total. Métodos: estudo transversal para avaliar a acuidade olfatória e a qualidade de vida de laringectomizados totais no Instituto Nacional de Câncer por meio da aplicação do Teste de Identificação do Olfato da Universidade da Pensilvânia, do Questionário de Qualidade de Vida da Universidade de Washington e do Questionário sobre a Acuidade Olfatória Pré-Reabilitação do Olfato. Resultados: foram avaliados 48 laringectomizados totais, sendo 39 do sexo masculino e 9 do sexo feminino, com idade média de 62 anos e tempo médio de 5,6 anos desde a laringectomia total. No Teste de Identificação do Olfato a pontuação média foi de 17,9. De acordo com a classificação do olfato no teste, a maioria dos participantes apresentou algum grau de alteração, sendo que apenas 2 indivíduos tiveram o olfato considerado dentro da normalidade. No Questionário de Qualidade de vida da Universidade de Washington, o escore composto foi 80,47. Os domínios que apresentaram as médias de pontos mais baixas foram paladar, saliva e fala. No questionário sobre a acuidade olfatória pré-reabilitação do olfato, a maioria dos participantes consideraram seu olfato de ruim a razoável. 21 indivíduos relataram apresentar algum grau de dificuldade em suas atividades de vida diária em decorrência de alterações do olfato. Conclusão: os laringectomizados totais apresentaram alta prevalência de alterações do olfato, com comprometimentos relacionados às suas atividades de vida diária.

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Section: Discussionmentioning

confidence: 99%

Acuidade olfatória e qualidade de vida após a laringectomia total

et al. 2015

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“…However, researchers are now aiming to improve the sense of smell because of its impact on quality of life. 3 Attempts to solve this problem had varying success rates 4,5 before the introduction of the nasal airflow-inducing manoeuvre by Hilgers et al 9 This technique has now been widely adopted. However, the effect of patient characteristics on nasal airflow-inducing manoeuvre outcome is unclear.…”

Section: Discussionmentioning

confidence: 99%

“…To achieve this, patients were instructed to perform an extended yawn while simultaneously decreasing the pressure in the oral cavity and oropharynx to allow the airflow to reach the post-nasal area and olfactory cleft. 9,13 Biofeedback via a water manometer or similar apparatus was not used in this study. Each session lasted for at least 1 hour and continued until the patient could perform the manoeuvre efficiently.…”

Section: Methodsmentioning

confidence: 99%

“…[2][3][4][5] Separation of the airway passage from the nose prevents odorous particles reaching the olfactory cleft, leading to deterioration in the sense of smell and taste. [1][2][3][4][5][6][7][8] Olfactory epithelial damage is also reported to be a consequence of laryngectomy, 1,3,6,7,9 although this is controversial. 10 Much effort has been put into overcoming this problem, 4,5,11 but most attempts have been unsuccessful.…”

Section: Introductionmentioning

confidence: 99%

“…12 In 2000, Hilgers et al reported a nasal airflow-inducing manoeuvre that aimed to solve this problem, and had a noticeable success rate. 9 Since then, other researchers have adopted the nasal airflow-inducing manoeuvre, with varying success. 11,[13][14][15] Despite the efficiency of this technique in improving patient quality of life after laryngectomy, the effect of different nasal variables on the outcome of this procedure and on outcome stability are unclear.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopy findings affect subjective smell rehabilitation in post-laryngectomy patients using the nasal airflow-inducing manoeuvre

et al. 2014

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Objective: To evaluate the characteristics of post-laryngectomy patients, including nasal endoscopy findings, that affect subjective smell improvement in the post-surgical period.Methods: Thirty patients who had undergone total laryngectomy participated in at least three sessions of a smell rehabilitation programme involving the nasal airflow-inducing manoeuvre, under the supervision of a speechlanguage pathologist. Patient characteristics and nasal endoscopy findings were evaluated.Results: Participants experienced a mean improvement in sense of smell of 61 per cent ( p < 0.001) and a significant improvement in appetite ( p = 0.002). Male patients and patients with a nasal discharge had a significantly better outcome.Conclusion: The nasal airflow-inducing manoeuvre is an effective method for improving smell perception and appetite in laryngectomy patients. There was no relationship between nasal endoscopy findings and outcome of the nasal airflow-inducing manoeuvre rehabilitation programme in our case series.

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Long-term Results of Olfaction Rehabilitation Using the Nasal Airflow–Inducing ("Polite Yawning") Maneuver After Total Laryngectomy

Hilgers

Jansen²,

As³

et al. 2002

Arch Otolaryngol Head Neck Surg

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The effectiveness of the NAIM, or so-called polite yawning technique, for the rehabilitation of olfaction in individuals who have undergone total laryngectomy was reconfirmed. Long-term olfaction rehabilitation was achieved in about 50% of the patients, but more intensified training may be needed to increase the percentage of successfully rehabilitated individuals. The SDT is an effective and simple test for the assessment of olfaction acuity after laryngectomy.

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Rehabilitation of Olfaction After Laryngectomy by Means of a Nasal Airflow-Inducing Maneuver

Abstract: The nasal airflow-inducing maneuver (the "polite yawning" technique) allowed almost half of the patients to recover their sense of smell.

Cited by 82 publications

References 23 publications

Acuidade olfatória e qualidade de vida após a laringectomia total

Acuidade olfatória e qualidade de vida após a laringectomia total

Endoscopy findings affect subjective smell rehabilitation in post-laryngectomy patients using the nasal airflow-inducing manoeuvre

Long-term Results of Olfaction Rehabilitation Using the Nasal Airflow–Inducing ("Polite Yawning") Maneuver After Total Laryngectomy

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