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J Laryngol Otol ; 130(5): 453-61, 2016 May.
Article in English | MEDLINE | ID: mdl-26931794

ABSTRACT

OBJECTIVE: Olfactory dysfunction is a possible side effect of chemo-radiotherapy performed in patients affected by nasopharyngeal carcinoma. Self-rating measurements and olfactory event-related potentials were used and compared in order to evaluate the impact of this treatment on the olfactory system. METHODS: Nine patients underwent subjective evaluation of olfactory function (using visual analogue scales for olfactory symptoms and quality of life, and a six-item Hyposmia Rating Scale), and a quantitative and objective measurement (olfactory event-related potentials). RESULTS: Spearman's rank correlation analyses highlighted significant relationships between the clinical scales and olfactory event-related potentials. Inter-group analyses showed significant differences in the latency and in the amplitude of olfactory event-related potentials between patients and controls. CONCLUSION: Taking into account the small sample size and the lack of pre-treatment assessment, olfactory event-related potentials seemed to allow a more objective diagnosis of unilateral and bilateral olfactory loss. Moreover, olfactory event-related potentials and subjective scales results were concordant.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/adverse effects , Chemoradiotherapy/methods , Evoked Potentials/physiology , Nasopharyngeal Neoplasms/therapy , Olfaction Disorders/diagnosis , Radiotherapy, Intensity-Modulated/adverse effects , Smell/physiology , Adult , Carcinoma , Chemoradiotherapy/adverse effects , Cisplatin/administration & dosage , Docetaxel , Fluorouracil/administration & dosage , Humans , Male , Middle Aged , Nasopharyngeal Carcinoma , Olfaction Disorders/etiology , Olfaction Disorders/physiopathology , Surveys and Questionnaires , Taxoids/administration & dosage
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