Total laryngectomy negatively impacts sinonasal and olfactory-specific quality of life

Chen, Joy; Solis, Roberto N.; Mehrzad, Mehrnaz; Gill, Amarbir S.; Garber, Beverly B; Beliveau, Angela M.; Bewley, Arnaud F.; Steele, Toby O.; Birkeland, Andrew C.; Abouyared, Marianne

doi:10.1016/j.amjoto.2022.103471

American Journal of Otolaryngology

2022

DOI: 10.1016/j.amjoto.2022.103471

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Total laryngectomy negatively impacts sinonasal and olfactory-specific quality of life

Joy Chen

Roberto N. Solis

Mehrnaz Mehrzad

et al.

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Cited by 3 publications

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Efficacy of the nasal airflow‐inducing maneuver in the olfactory rehabilitation of laryngectomy patients: A systematic review and meta‐analysis

Young,

Morden,

Blount

et al. 2024

Int Forum Allergy Rhinol

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IntroductionThis is the first systematic review and meta‐analysis to investigate the effectiveness of the nasal airflow‐inducing maneuver (NAIM) in olfactory rehabilitation for total laryngectomy (TL) patients.MethodsWe conducted a systematic literature search following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. The inclusion criteria required that patients must have undergone a TL with subsequent NAIM training for at least 2 weeks and olfactory evaluation. The impact of NAIM on olfactory outcomes compared to that at baseline was measured. Olfactory measures included the Sniffin’ Sticks Test, Smell Disk Test, Scandinavian Odor Identification Test, and Quick Odor Detection Test. The primary outcome measures were the proportion of patients with normosmia at baseline and after intervention.ResultsSeven studies from 2000 to 2023 comprising a total of 290 TL patients met the inclusion criteria. The meta‐analysis revealed that prior to intervention, the pooled proportion of patients with normosmia was 0.16 (95% confidence interval [CI]: 0.09‒0.27, p = 0.01). After intervention, the same proportion increased to 0.55 (95% CI: 0.45‒0.68, p = 0.001). Among the included patients, 88.3% were initially anosmic or hyposmic, which was reduced to 48.9% after NAIM practice, with 51.1% achieving normosmia. The percent improvement was not found to be significantly associated with the timing of intervention post‐TL (p = 0.18).ConclusionsNAIM increased the proportion of patients who achieved normosmia in TL patients. NAIM stands out as a safe, easily teachable maneuver with promising results. Further efforts are warranted to provide specific recommendations and guidelines for the use of NAIM in clinical practice.

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Efficacy of the nasal airflow‐inducing maneuver in the olfactory rehabilitation of laryngectomy patients: A systematic review and meta‐analysis

Young,

Morden,

Blount

et al. 2024

Int Forum Allergy Rhinol

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Revisión narrativa de la literatura: rehabilitación olfatoria en pacientes sometidos a laringectomía total

Espitia Rojas,

Gonzalez Galvis

2023

Rev. Areté

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La laringectomía total es un procedimiento quirúrgico que implica la extracción de la laringe, ocasionando la separación de las vías aéreas superiores e inferiores, identificándose disminución en la percepción del olfato y gusto en pacientes laringectomizados totales. Sin embargo, las investigaciones actuales acerca de la rehabilitación del olfato son escasas, especialmente en América Latina. La presente revisión narrativa de la literatura tiene como objetivo presentar los métodos actuales utilizados para la rehabilitación y recuperación de la percepción el olfato en pacientes laringectomizados totales, mediante la búsqueda de literatura en la base de datos: PubMed, así como, literatura gris. Esta revisión se consolidó con base en el análisis de 35 artículos. Los resultados permitieron identificar diferentes protocolos para la evaluación del olfato, así mismo, la rehabilitación olfatoria, siendo identificados diferentes métodos como; el bypass laríngeo, enjuague sinusal, la maniobra de flujo de aire nasal espiratorio (ENAMM) y la maniobra de inducción del flujo de aire nasal (NAIM), la cual presenta mayor evidencia científica. Por lo anterior, se resalta la necesidad de analizar el impacto de los tratamientos oncológicos en la percepción del olfato y la necesidad de crear programas por parte de fonoaudiología para la rehabilitación olfatoria, generando efectos positivos en la calidad de vida de los pacientes.

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A Study on the Usefulness of Olfactory Rehabilitation After Total Laryngectomy

Yamauchi,

Sato,

Deishi

et al. 2024

Nippon Jibiinkoka Tokeibugeka Gakkai Kaiho(Tokyo)

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Total laryngectomy negatively impacts sinonasal and olfactory-specific quality of life

Cited by 3 publications

References 33 publications

Efficacy of the nasal airflow‐inducing maneuver in the olfactory rehabilitation of laryngectomy patients: A systematic review and meta‐analysis

Efficacy of the nasal airflow‐inducing maneuver in the olfactory rehabilitation of laryngectomy patients: A systematic review and meta‐analysis

Revisión narrativa de la literatura: rehabilitación olfatoria en pacientes sometidos a laringectomía total

A Study on the Usefulness of Olfactory Rehabilitation After Total Laryngectomy

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