Article

Effects of traditional Chinese acupuncture in post-viral olfactory dysfunction

Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne Medical Center, Cologne, Germany.
Otolaryngology Head and Neck Surgery (Impact Factor: 2.02). 04/2010; 142(4):505-9. DOI: 10.1016/j.otohns.2010.01.012
Source: PubMed

ABSTRACT

To date, recovery of olfactory function after viral infection of the upper airway cannot be achieved reliably with pharmacotherapy. The aim of this study was to evaluate the effects of traditional Chinese acupuncture (TCA) on olfactory function in patients with persistent post-viral olfactory dysfunction (PVOD).
Historical cohort study.
University Medical Center, Department of Otorhinolaryngology.
A total of 15 patients presenting to the outpatient clinic with PVOD were treated by TCA in 10 weekly, 30-minute sessions. Subjective olfactometry was performed with the Sniffin' Sticks test set. Treatment success was defined as an increase in Sniffin' Sticks test scores of at least six points. The effects of TCA, obtained with the chi(2) test, were compared with those of matched pairs suffering from PVOD who had been treated with vitamin B complex over 12 weeks.
Eight patients treated with TCA had improved olfactory function compared with two treated with vitamin B complex. chi(2) test revealed a significantly better outcome in olfactory function in patients undergoing acupuncture compared with patients receiving vitamin B complex (P = 0.02).
TCA possibly offers a new therapeutic regimen for post-viral dysosmia. More research in a larger case series is needed before a clearer picture will emerge.

Download full-text

Full-text

Available from: Michael Damm, Jun 03, 2014
  • Source
    • "Peroral caroverine, an N-methyl-D-aspartic acid (NMDA) receptor antagonist [88], as well as sodium citrate nasal spray [95] have been shown to be effective in placebo-controlled studies. In addition to drug treatments, acupuncture [96-99] and olfactory training [100,101] have also been investigated. It is likely that any successful treatment of smell loss would also improve the associated symptoms of distorted olfactory perception. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The negative consequences of olfactory dysfunction for the quality of life are not widely appreciated and the condition is therefore often ignored or trivialized. 1,000 patients with olfactory dysfunction participated in an online study by submitting accounts of their subjective experiences of how they have been affected by their condition. In addition, they were given the chance to answer 43 specific questions about the consequences of their olfactory dysfunction. Although there are less practical problems associated with impaired or distorted odor perception than with impairments in visual or auditory perception, many affected individuals report experiencing olfactory dysfunction as a debilitating condition. Smell loss-induced social isolation and smell loss-induced anhedonia can severely affect quality of life. Olfactory dysfunction is a serious condition for those affected by it and it deserves more attention from doctors who treat affected patients as well as from scientist who research treatment options.
    Full-text · Article · Jul 2013 · BMC Ear Nose and Throat Disorders
  • [Show abstract] [Hide abstract]
    ABSTRACT: Derzeit sind eine Reihe prognostischer Faktoren bekannt, mit denen die Remissionswahrscheinlichkeit bei Riechstörungen auf individueller Ebene vorausgesagt werden kann. Anders verhält es sich bei der Therapie von Riechstörungen. Bei sinunasal bedingten Riechstörungen haben sich medikamentöse und operative Verfahren als effizient erwiesen. Dabei werden v.a. Glukokortikoide topisch und systemisch eingesetzt. Bei schweren mechanischen Behinderungen der Riechfunktion sowie bei fortgeschritteneren Stadien der nasalen Polyposis hat sich die funktionelle endoskopische Nasennebenhöhlenchirurgie bewährt. Hinsichtlich der Therapie posttraumatischer und postviraler Riechstörungen existieren derzeit lediglich nichtmedikamentöse Ansätze, wie das „Riechtraining“. A number of prognostic factors regarding the individual prognosis of untreated olfactory disorders are available. Nevertheless, individual prognostic factors regarding the effects of therapeutic interventions are lacking. Surgical and pharmaceutical interventions have been proven to be effective in the treatment of olfactory disorders due to sinonasal disease. At present, treatment with topical or systemic corticosteroids is most widespread in the management of those disorders. In severe mechanical alterations of nasal airflow and in cases of significant nasal polyposis, functional endoscopic sinus surgery may be helpful. With regard to post-traumatic or postviral olfactory disorders, treatment is currently limited to non-pharmacological intervention such as olfactory training. SchlüsselwörterRiechen-Entzündung-Hyposmie-Anosmie-Riechstörung KeywordsOlfaction-Inflammation-Hyposmia-Anosmia-Smell disorders
    No preview · Article · Jul 2010 · HNO
  • [Show abstract] [Hide abstract]
    ABSTRACT: A number of prognostic factors regarding the individual prognosis of untreated olfactory disorders are available. Nevertheless, individual prognostic factors regarding the effects of therapeutic interventions are lacking. Surgical and pharmaceutical interventions have been proven to be effective in the treatment of olfactory disorders due to sinonasal disease. At present, treatment with topical or systemic corticosteroids is most widespread in the management of those disorders. In severe mechanical alterations of nasal airflow and in cases of significant nasal polyposis, functional endoscopic sinus surgery may be helpful. With regard to post-traumatic or postviral olfactory disorders, treatment is currently limited to non-pharmacological intervention such as olfactory training.
    No preview · Article · Jul 2010 · HNO
Show more