.

ISSN 2063-5346
For urgent queries please contact : +918130348310

An Overview about Olfactory Dysfunction and Possible Role of Platelet Rich Plasma in its Management

Main Article Content

Samir Sorour Sorour, Ahmed Mohamed Elhady, Sameh Mohamed Hosny, Eman Mohamed Abdelhady Gad
» doi: 10.31838/ecb/2023.12.1.364

Abstract

The clinical evaluation of patients with olfactory dysfunction should include a thorough history taking, physical examination, psychophysical olfactory tests, and/or imaging. There have been a few case reports for a natural history of spontaneous recovery from anosmia after post-URI and head trauma, mostly within the first year. Various medical treatments have been tried, including topical and systemic steroids may improve conductive, post-viral, and idiopathic olfactory loss. Topical steroids have been used as monotherapy or adjuvant therapy.Systemic steroids can restore many patients (83%) who still complained smell loss after endoscopic sinus surgery but long-term prognosis is less promising. Platelet-rich plasma is defined as a plasma fraction of autologous blood having platelet concentration above baseline, and prepared from blood drawn from the patient. Following the application of PRP in the olfactory area of 5 patients with idiopathic anosmia in 4 sessions, the sense of smell returned in 4 patients, and one patient stated that he could smell a little but could not smell all. In a similar study conducted in 2020, although there was no significant improvement in Sniffin Sticks score in 2 patients with anosmia, it was observed that all 5 patients with hyposmia reached normosmia after 3 months of follow-up.

Article Details