Measurement of chemosensory function

Although hundreds of thousands of patients seek medical help annually for disorders of taste and smell, relatively few medical practitioners quantitatively test their patients' chemosensory function, taking their complaints at face value. This is clearly not the approach paid to patients compla...

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Autor principal: Richard L. Doty
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2018
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Acceso en línea:https://doaj.org/article/bae56df9aed6406d8828c198739229ca
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spelling oai:doaj.org-article:bae56df9aed6406d8828c198739229ca2021-12-02T14:14:23ZMeasurement of chemosensory function2095-881110.1016/j.wjorl.2018.03.001https://doaj.org/article/bae56df9aed6406d8828c198739229ca2018-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881118300222https://doaj.org/toc/2095-8811Although hundreds of thousands of patients seek medical help annually for disorders of taste and smell, relatively few medical practitioners quantitatively test their patients' chemosensory function, taking their complaints at face value. This is clearly not the approach paid to patients complaining of visual, hearing, or balance problems. Accurate chemosensory testing is essential to establish the nature, degree, and veracity of a patient's complaint, as well as to aid in counseling and in monitoring the effectiveness of treatment strategies and decisions. In many cases, patients perseverate on chemosensory loss that objective assessment demonstrates has resolved. In other cases, patients are malingering. Olfactory testing is critical for not only establishing the validity and degree of the chemosensory dysfunction, but for helping patients place their dysfunction into perspective relative to the function of their peer group. It is well established, for example, that olfactory dysfunction is the rule, rather than the exception, in members of the older population. Moreover, it is now apparent that such dysfunction can be an early sign of neurodegenerative diseases such as Alzheimer's and Parkinson's. Importantly, older anosmics are three times more likely to die over the course of an ensuring five-year period than their normosmic peers, a situation that may be averted in some cases by appropriate nutritional and safety counseling. This review provides the clinician, as well as the academic and industrial researcher, with an overview of the available means for accurately assessing smell and taste function, including up-to-date information and normative data for advances in this field. Keywords: Smell, Taste, Psychophysics, Age, Identification, Detection, Threshold, Olfaction, Anosmia, Ageusia, Hyposmia, HypogeusiaRichard L. DotyKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 4, Iss 1, Pp 11-28 (2018)
institution DOAJ
collection DOAJ
language EN
topic Otorhinolaryngology
RF1-547
Surgery
RD1-811
spellingShingle Otorhinolaryngology
RF1-547
Surgery
RD1-811
Richard L. Doty
Measurement of chemosensory function
description Although hundreds of thousands of patients seek medical help annually for disorders of taste and smell, relatively few medical practitioners quantitatively test their patients' chemosensory function, taking their complaints at face value. This is clearly not the approach paid to patients complaining of visual, hearing, or balance problems. Accurate chemosensory testing is essential to establish the nature, degree, and veracity of a patient's complaint, as well as to aid in counseling and in monitoring the effectiveness of treatment strategies and decisions. In many cases, patients perseverate on chemosensory loss that objective assessment demonstrates has resolved. In other cases, patients are malingering. Olfactory testing is critical for not only establishing the validity and degree of the chemosensory dysfunction, but for helping patients place their dysfunction into perspective relative to the function of their peer group. It is well established, for example, that olfactory dysfunction is the rule, rather than the exception, in members of the older population. Moreover, it is now apparent that such dysfunction can be an early sign of neurodegenerative diseases such as Alzheimer's and Parkinson's. Importantly, older anosmics are three times more likely to die over the course of an ensuring five-year period than their normosmic peers, a situation that may be averted in some cases by appropriate nutritional and safety counseling. This review provides the clinician, as well as the academic and industrial researcher, with an overview of the available means for accurately assessing smell and taste function, including up-to-date information and normative data for advances in this field. Keywords: Smell, Taste, Psychophysics, Age, Identification, Detection, Threshold, Olfaction, Anosmia, Ageusia, Hyposmia, Hypogeusia
format article
author Richard L. Doty
author_facet Richard L. Doty
author_sort Richard L. Doty
title Measurement of chemosensory function
title_short Measurement of chemosensory function
title_full Measurement of chemosensory function
title_fullStr Measurement of chemosensory function
title_full_unstemmed Measurement of chemosensory function
title_sort measurement of chemosensory function
publisher KeAi Communications Co., Ltd.
publishDate 2018
url https://doaj.org/article/bae56df9aed6406d8828c198739229ca
work_keys_str_mv AT richardldoty measurementofchemosensoryfunction
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