Results of olfactory examination in patients with rhinosinusitis based on various olfactory tests

Olfactory impairment is one of the rhinosinusitis symptoms, the incidence of which varies ranging from 25 to 35% in acute rhinosinusitis and up to 83% in chronic form of this disease. Objective. Comparative analysis of the results of using various methods of olfactory assessment in patients with acute and chronic rhinosinusitis. Patients and methods. The olfactory function was assessed in two groups: the 1st group included 62 patients with acute rhinosinusitis (mean age 34.9±15.0 years), the 2nd group — 42 patients with chronic rhinosinusitis (mean age 39.0±15.6 years). The examination included the olfactory evaluation using Sniffin’ Sticks Screening Test-12 (SST-12), V.I. Voyachek odorimetric set and ReviSmell hardware and software complex (ReviSmell HSC). Results. There have been no olfactory impairments (I degree) in 25.8% of cases in the group of patients with acute rhinosinusitis. The olfactory impairment has been observed in 72% of cases, of which hyposmia in 48.4%, anosmia in 22.6% according to the data of SST-12. The most frequently identified scents were peony (40.3%) and pine (41.9%), while the least frequently — lemon balm (14.5%) and wormwood (16.1%), least pleasant were such odorants as valerian and wormwood. There have been no olfactory impairments (I degree) in 23.8% of cases in the group of patients with chronic rhinosinusitis according to the data of V.I. Voyachek set application. The recognition of odorants in the patients with chronic rhinosinusitis was 71.4—88.1% of cases according to the ReviSmell HSC. Conclusion. The obtained data on individual olfactory profile of patients with rhinosinusitis are of practical interest regarding selection of optimal measures complex on olfactory dysfunction correction, in particular olfactory trainings carrying out.