Clinical and Radiological Evaluations of COVID-19 Patients With Anosmia: Preliminary Report

To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID-19). Prospective non controlled study. Sixteen COVID-19 patients were recruited. The epidemiological and clinical data were extracted. Nasal complaints were assessed through th...

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Published inThe Laryngoscope Vol. 130; no. 11; p. 2526
Main Authors Lechien, Jerome R, Michel, Justin, Radulesco, Thomas, Chiesa-Estomba, Carlos M, Vaira, Luigi A, De Riu, Giacomo, Sowerby, Leigh, Hopkins, Claire, Saussez, Sven
Format Journal Article Web Resource
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.11.2020
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Abstract To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID-19). Prospective non controlled study. Sixteen COVID-19 patients were recruited. The epidemiological and clinical data were extracted. Nasal complaints were assessed through the 22-item Sino-Nasal Outcome Test. Patients underwent psychophysical olfactory testing, olfactory cleft examination, and computed tomography (CT) scans. Sixteen anosmic patients were included. The mean Sniffin' Sticks score was 4.6 ± 1.7. The majority of patients had no endoscopical abnormality, with a mean olfactory cleft endoscopy score of 0.6 ± 0.9. The olfactory clefts were opacified in three patients on the CT scan. The mean radiological olfactory cleft score was 0.7 ± 0.8. There were no significant correlations between clinical, radiological, and psychophysical olfactory testing. The olfactory cleft of anosmic COVID-19 patients is free regarding endoscopic examination and imaging. The anosmia etiology is not related to edema of the olfactory cleft. 4 Laryngoscope, 130:2526-2531, 2020.
AbstractList Objective To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID‐19). Methods Sixteen COVID‐19 patients were recruited. The epidemiological and clinical data were extracted. Nasal complaints were assessed through the sino‐nasal outcome test 22 (SNOT‐22). Patients underwent psychophysical olfactory testing, olfactory cleft examination and CT‐scan. Results Sixteen anosmic patients were included. The mean Sniffin'Sticks score was 4.6±1.7. The majority of patients had no endoscopical abnormality, with a mean olfactory cleft endoscopy score of 0.6±0.9. The olfactory clefts were opacified in 3 patients on the CT‐scan. The mean radiological olfactory cleft score was 0.7±0.8. There were no significant correlations between clinical, radiological and psychophysical olfactory testing. Conclusion The olfactory cleft of anosmic COVID‐19 patients is free regarding endoscopic examination and imaging. The anosmia etiology would be not related to edema of the olfactory cleft.
To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID-19). Prospective non controlled study. Sixteen COVID-19 patients were recruited. The epidemiological and clinical data were extracted. Nasal complaints were assessed through the 22-item Sino-Nasal Outcome Test. Patients underwent psychophysical olfactory testing, olfactory cleft examination, and computed tomography (CT) scans. Sixteen anosmic patients were included. The mean Sniffin' Sticks score was 4.6 ± 1.7. The majority of patients had no endoscopical abnormality, with a mean olfactory cleft endoscopy score of 0.6 ± 0.9. The olfactory clefts were opacified in three patients on the CT scan. The mean radiological olfactory cleft score was 0.7 ± 0.8. There were no significant correlations between clinical, radiological, and psychophysical olfactory testing. The olfactory cleft of anosmic COVID-19 patients is free regarding endoscopic examination and imaging. The anosmia etiology is not related to edema of the olfactory cleft. 4 Laryngoscope, 130:2526-2531, 2020.
Author Lechien, Jerome R
Michel, Justin
Radulesco, Thomas
Vaira, Luigi A
Saussez, Sven
Hopkins, Claire
Sowerby, Leigh
Chiesa-Estomba, Carlos M
De Riu, Giacomo
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  organization: Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France
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  surname: Michel
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  organization: Department of Oto-Rhino-Laryngology-Head and Neck Surgery, Aix Marseille University, APHM, IUSTI, La Conception University Hospital, Marseille, France
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  organization: Department of Oto-Rhino-Laryngology-Head and Neck Surgery, Aix Marseille University, APHM, IUSTI, La Conception University Hospital, Marseille, France
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  givenname: Carlos M
  orcidid: 0000-0001-9454-9464
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  surname: Hopkins
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  organization: Department of Otolaryngology, King's College, London, United Kingdom
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  surname: Saussez
  fullname: Saussez, Sven
  organization: Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium
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Issue 11
Keywords COVID-19
evaluation
computed tomography scan
anosmia
taste
coronavirus
olfaction
olfactory
smell
imaging
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Snippet To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID-19). Prospective non controlled...
Objective To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID‐19). Methods Sixteen...
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SubjectTerms Adult
Anosmia - diagnostic imaging
Anosmia - pathology
Anosmia - virology
COVID-19 - complications
COVID-19 - diagnostic imaging
COVID-19 - pathology
Female
Humans
Male
Middle Aged
Olfaction Disorders - diagnostic imaging
Olfaction Disorders - pathology
Olfaction Disorders - virology
Prospective Studies
SARS-CoV-2
Tomography, X-Ray Computed
Title Clinical and Radiological Evaluations of COVID-19 Patients With Anosmia: Preliminary Report
URI https://www.ncbi.nlm.nih.gov/pubmed/32678494
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