Objective evaluation of anosmia and ageusia in COVID-19 patients: Single-center experience on 72 cases

Luigi Angelo Vaira, Giovanna Deiana, Alessandro Giuseppe Fois, Pietro Pirina, Giordano Madeddu, Andrea De Vito, Sergio Babudieri, Marzia Petrocelli, Antonello Serra, Francesco Bussu, Enrica Ligas, Giovanni Salzano, Giacomo De Riu, Luigi Angelo Vaira, Giovanna Deiana, Alessandro Giuseppe Fois, Pietro Pirina, Giordano Madeddu, Andrea De Vito, Sergio Babudieri, Marzia Petrocelli, Antonello Serra, Francesco Bussu, Enrica Ligas, Giovanni Salzano, Giacomo De Riu

Abstract

Background: The first European case series are detecting a very high frequency of chemosensitive disorders in COVID-19 patients, ranging between 19.4% and 88%.

Methods: Olfactory and gustatory function was objectively tested in 72 COVID-19 patients treated at University Hospital of Sassari.

Results: Overall, 73.6% of the patients reported having or having had chemosensitive disorders. Olfactory assessment showed variable degree hyposmia in 60 cases and anosmia in two patients. Gustatory assessment revealed hypogeusia in 33 cases and complete ageusia in one patient. Statistically significant differences in chemosensitive recovery were detected based on age and distance from the onset of clinical manifestations.

Conclusion: Olfactory and gustatory dysfunctions represent common clinical findings in COVID-19 patients. Otolaryngologists and head-neck surgeons must by now keep this diagnostic option in mind when evaluating cases of ageusia and nonspecific anosmia that arose suddenly and are not associated with rhinitis symptoms.

Keywords: COVID-19; ageusia; anosmia; gustatory function; olfactory function.

Conflict of interest statement

None of the authors has a financial interest in any of the products, devices or drugs mentioned in this manuscript.

© 2020 Wiley Periodicals, Inc.

Figures

FIGURE 1
FIGURE 1
Olfactory and gustatory dysfunction clinical course [Color figure can be viewed at http://wileyonlinelibrary.com]

References

    1. Wu F, Zhao S, Yu B, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020;579:265‐269.
    1. Mao L, Wang M, Chen S, et al. Neurological manifestations of hospitalized patients with COVID‐19 in Wuhan, China: a retrospective case series study. MedRXiv. 2020. 10.1101/2020.02.22.200.26500
    1. Vaira LA, Salzano G, Deiana G, De Riu G. Anosmia and ageusia: common findings in COVID‐19 patients. Laryngoscope. 2020. 10.1002/lary.28692. [Epub ahead of print].
    1. Gane SB, Kelly C, Hopkins C. Isolated sudden onset anosmia in COVID‐19 infection. A novel syndrome? Rhinology. 2020. 10.4193/Rhin20.114. [Epub ahead of print].
    1. Lechien JR, Chiesta‐Estomba CM, De Siati DR, Horoi M, Le Bon SD, Rodriguez A, Dequanter A, Dequanter D, Blecic S, El Afia F, Distinguin L, Chekkoury‐Idrissi Y, Hans S, Delgado IL, Calvo‐Henriquez C, Lavigne P, Falanga C, Barillari MR, Cammaroto G, Khalife M, Leich P, Souchay C, Rossi C, Journe F, Hsieh J, Edjlali M, Carlier R, Lovato A, De Filippis C, Coppee F, Fakhry N, Ayad T, Saussez S. Olfactory and gustatory dysfunctions as a clinical presentation of mild‐to‐moderate forms of the coronavirus disease (COVID‐19): a multicenter European study.
    1. Giacomelli A, Pezzati L, Conti F, et al. Self‐reported olfactory and taste disorders in SARS‐CoV‐2 patients: a cross‐sectional study. Clin Infect Dis. 2020. 10.1093/cid/ciaa330. [Epub ahead of print].
    1. Cain WS, Gent J, Catalanotto FA, Goodspeed RB. Clinical evaluation of olfaction. Am J Otolaryngol. 1983;4:252‐256.
    1. Cain WS, Gent JF, Goodspeed RB, Leonard G. Evaluation of olfactory dysfunction in the Connecticut Chemosensory Clinical Research Center. Laryngoscope. 1988;98:83‐88.
    1. Leon EA, Catalanotto FA, Werning JW. Retronasal and orthonasal olfactory ability after laryngectomy. Arch Otolaryngol Head Neck Surg. 2007;133:32‐36.
    1. Aksoy C, Elsurer C, Artaç H, Bozkurt MK. Evaluation of olfactory function in children with seasonal allergic rhinitis and its correlation with acoustic rhinometry. Int J Ped Otorhinolaryngol. 2018;113:188‐191.
    1. Veyseller B, Ozucer B, Karaaltin AB, et al. Connecticut (CCCRC) olfactory test: normative values in 426 healthy volunteers. Indian J Otolaryngol Head Neck Surg. 2014;66:31‐34.
    1. Massarelli O, Vaira LA, Biglio A, Gobbi R, Dell'aversana Orabona G, De Riu G. Sensory recovery of myomucosal flap oral cavity reconstructions. Head Neck. 2018;40:467‐474.
    1. Loewen IJ, Boliek CA, Harris J, Seikaly H, Rieger JM. Oral sensation and function: a comparison of patients with innervated radial forearm free flap reconstruction to healthy matched controls. Head Neck. 2010;32:85‐95.
    1. Doty RL. Age‐related deficits in taste and smell. Otolaryngol Clin North Am. 2018;51:815‐825.
    1. Vaira LA, Salzano G, Piombino P, De Riu G. Pathogenesis of ageusia and anosmia in COVID‐19 patients: a literature review; 2020. 10.1002/alr.2259. [Epub ahead of print].
    1. Liu Y, Yang Y, Zhang C, et al. Clinical and biochemical indexes from 2019‐nCoV infected patients linked to viral loads and lung injury. Sci China Life Sci. 2020;63:364‐374.

Source: PubMed

3
Abonnieren