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Anosmia: diagnosis and management

Holbrook, Eric H. MD; Leopold, Donald A. MD, FACS

Current Opinion in Otolaryngology & Head and Neck Surgery: February 2003 - Volume 11 - Issue 1 - p 54-60
Nose and paranasal sinuses
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Disorders of the sense of smell can be frustrating for both the patient and physician. Ongoing research in this field has provided insight into the possible mechanisms for smell loss; however, therapy is still limited. Commercially distributed smell testing kits and newer screening tests using material available in all clinical settings have made diagnosis and measurement of the degree of impairment available to all physicians. A detailed history and physical examination are the most powerful tools in the evaluation of smell disorders, whereas imaging studies are reserved for preoperative planning or detailed assessment of positive physical findings.

Department of Otolaryngology–Head and Neck Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Correspondence to Donald A. Leopold, MD, FACS, Department of Otolaryngology–Head and Neck Surgery, University of Nebraska Medical Center, 981225 Nebraska Medical Center, Omaha, NE 68198-1225, USA; dleopold@unmc.edu

© 2003 Lippincott Williams & Wilkins, Inc.