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Published in: European Archives of Oto-Rhino-Laryngology 6/2014

01-06-2014 | Rhinology

The impact and prospect of traumatic brain injury on olfactory function: a cross-sectional and prospective study

Authors: Volker Gudziol, Irene Hoenck, Basile Landis, Dino Podlesek, Maria Bayn, Thomas Hummel

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2014

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Abstract

Traumatic brain injury (TBI) can cause olfactory loss. The aim of this cross-sectional and prospective study was to determine the prevalence of olfactory loss among 110 patients with TBI within 3 months after the trauma. In 81 patients (“cross-sectional”-group), olfactory function could be measured using the validated “Sniffin’ Sticks” test for odor threshold and odor identification. In addition, the prospective change of olfactory function was studied in 36 patients (“follow-up”-group) by means of a validated odor threshold, discrimination and identification test. Olfactory function was significantly better in patients with TBI I° compared to individuals with TBI II° and III°. Clinically significant improvement of olfactory function was found in 36 % of the patients, most frequently during the first 6 months after the injury, in a median follow-up interval of 21 months. TBI I° has in general no major effect on olfaction. In contrast, patients with TBI II° and III° exhibit smell loss in 57 %. Chances for olfactory recovery were highest within the first 6 months after the trauma.
Literature
1.
go back to reference Plant GW, Harvey AR, Leaver SG, Lee SV (2011) Olfactory ensheathing glia: repairing injury to the mammalian visual system. Exp Neurol 229(1):99–108PubMedCrossRef Plant GW, Harvey AR, Leaver SG, Lee SV (2011) Olfactory ensheathing glia: repairing injury to the mammalian visual system. Exp Neurol 229(1):99–108PubMedCrossRef
2.
go back to reference Feghali JG, Lefebvre PP, Staecker H, Kopke R, Frenz DA, Malgrange B, Liu W, Moonen G, Ruben RJ, Van de Water TR (1998) Mammalian auditory hair cell regeneration/repair and protection: a review and future directions. Ear Nose Throat J 77 (4):276, 280, 282–275 Feghali JG, Lefebvre PP, Staecker H, Kopke R, Frenz DA, Malgrange B, Liu W, Moonen G, Ruben RJ, Van de Water TR (1998) Mammalian auditory hair cell regeneration/repair and protection: a review and future directions. Ear Nose Throat J 77 (4):276, 280, 282–275
4.
go back to reference Graziadei PP, Metcalf JF (1971) Autoradiographic and ultrastructural observations on the frog’s olfactory mucosa. Z Zellforsch Mikrosk Anat 116(3):305–318PubMedCrossRef Graziadei PP, Metcalf JF (1971) Autoradiographic and ultrastructural observations on the frog’s olfactory mucosa. Z Zellforsch Mikrosk Anat 116(3):305–318PubMedCrossRef
5.
go back to reference Nissant A, Bardy C, Katagiri H, Murray K, Lledo PM (2009) Adult neurogenesis promotes synaptic plasticity in the olfactory bulb. Nat Neurosci 12(6):728–730PubMedCrossRef Nissant A, Bardy C, Katagiri H, Murray K, Lledo PM (2009) Adult neurogenesis promotes synaptic plasticity in the olfactory bulb. Nat Neurosci 12(6):728–730PubMedCrossRef
6.
go back to reference Curtis MA, Kam M, Nannmark U, Anderson MF, Axell MZ, Wikkelso C, Holtas S, van Roon-Mom WM, Bjork-Eriksson T, Nordborg C, Frisen J, Dragunow M, Faull RL, Eriksson PS (2007) Human neuroblasts migrate to the olfactory bulb via a lateral ventricular extension. Science 315(5816):1243–1249PubMedCrossRef Curtis MA, Kam M, Nannmark U, Anderson MF, Axell MZ, Wikkelso C, Holtas S, van Roon-Mom WM, Bjork-Eriksson T, Nordborg C, Frisen J, Dragunow M, Faull RL, Eriksson PS (2007) Human neuroblasts migrate to the olfactory bulb via a lateral ventricular extension. Science 315(5816):1243–1249PubMedCrossRef
7.
go back to reference Altmann J, Das G (1965) Autoradiographic and histological evidence of postnatal hippocampal neurogenesis in rats. J Comp Neurol 124:319–335CrossRef Altmann J, Das G (1965) Autoradiographic and histological evidence of postnatal hippocampal neurogenesis in rats. J Comp Neurol 124:319–335CrossRef
8.
go back to reference Gudziol V, Buschhuter D, Abolmaali N, Gerber J, Rombaux P, Hummel T (2009) Increasing olfactory bulb volume due to treatment of chronic rhinosinusitis—a longitudinal study. Brain 132(Pt 11):3096–3101PubMedCrossRef Gudziol V, Buschhuter D, Abolmaali N, Gerber J, Rombaux P, Hummel T (2009) Increasing olfactory bulb volume due to treatment of chronic rhinosinusitis—a longitudinal study. Brain 132(Pt 11):3096–3101PubMedCrossRef
9.
go back to reference Damm M, Temmel A, Welge-Lussen A, Eckel HE, Kreft MP, Klussmann JP, Gudziol H, Huttenbrink KB, Hummel T (2004) Riechstorungen. Epidemiologie und Therapie in Deutschland, Osterreich und der Schweiz. HNO 52(2):112–120PubMedCrossRef Damm M, Temmel A, Welge-Lussen A, Eckel HE, Kreft MP, Klussmann JP, Gudziol H, Huttenbrink KB, Hummel T (2004) Riechstorungen. Epidemiologie und Therapie in Deutschland, Osterreich und der Schweiz. HNO 52(2):112–120PubMedCrossRef
10.
go back to reference Coello AF, Canals AG, Gonzalez JM, Martin JJ (2010) Cranial nerve injury after minor head trauma. J Neurosurg 113(3):547–555PubMedCrossRef Coello AF, Canals AG, Gonzalez JM, Martin JJ (2010) Cranial nerve injury after minor head trauma. J Neurosurg 113(3):547–555PubMedCrossRef
11.
14.
go back to reference Costanzo RM, Becker DP (1986) Smell and taste disorders in head injury and neurosurgery patients. In: Meiselman HL, Rivlin RS (eds) Clinical measurements of taste and smell. MacMillian, New York, pp 565–578 Costanzo RM, Becker DP (1986) Smell and taste disorders in head injury and neurosurgery patients. In: Meiselman HL, Rivlin RS (eds) Clinical measurements of taste and smell. MacMillian, New York, pp 565–578
15.
go back to reference Doty RL, Yousem DM, Pham LT, Kreshak AA, Geckle R, Lee WW (1997) Olfactory dysfunction in patients with head trauma. Arch Neurol 54(9):1131–1140PubMedCrossRef Doty RL, Yousem DM, Pham LT, Kreshak AA, Geckle R, Lee WW (1997) Olfactory dysfunction in patients with head trauma. Arch Neurol 54(9):1131–1140PubMedCrossRef
16.
go back to reference Mifka P (1964) Post-traumatische Anosmie. Wien Med Wochenschr 114:793PubMed Mifka P (1964) Post-traumatische Anosmie. Wien Med Wochenschr 114:793PubMed
17.
18.
go back to reference Hummel T, Sekinger B, Wolf SR, Pauli E, Kobal G (1997) “Sniffin’ sticks”: olfactory performance assessed by the combined testing of odor identification, odor discrimination and olfactory threshold. Chem Senses 22(1):39–52PubMedCrossRef Hummel T, Sekinger B, Wolf SR, Pauli E, Kobal G (1997) “Sniffin’ sticks”: olfactory performance assessed by the combined testing of odor identification, odor discrimination and olfactory threshold. Chem Senses 22(1):39–52PubMedCrossRef
19.
go back to reference Kobal G, Klimek L, Wolfensberger M, Gudziol H, Temmel A, Owen CM, Seeber H, Pauli E, Hummel T (2000) Multicenter investigation of 1,036 subjects using a standardized method for the assessment of olfactory function combining tests of odor identification, odor discrimination, and olfactory thresholds. Eur Arch Otorhinolaryngol 257:205–211PubMedCrossRef Kobal G, Klimek L, Wolfensberger M, Gudziol H, Temmel A, Owen CM, Seeber H, Pauli E, Hummel T (2000) Multicenter investigation of 1,036 subjects using a standardized method for the assessment of olfactory function combining tests of odor identification, odor discrimination, and olfactory thresholds. Eur Arch Otorhinolaryngol 257:205–211PubMedCrossRef
20.
go back to reference Ehrenstein WH, Ehrenstein A (1999) Psychophysical methods. In: Windhorst U, Johansson H (eds) Modern techniques in neuroscience research. Springer, Berlin, pp 1211–1241CrossRef Ehrenstein WH, Ehrenstein A (1999) Psychophysical methods. In: Windhorst U, Johansson H (eds) Modern techniques in neuroscience research. Springer, Berlin, pp 1211–1241CrossRef
21.
go back to reference Hummel T, Knecht M, Kobal G (1996) Peripherally obtained electrophysiological responses to olfactory stimulation in man: electro-olfactograms exhibit a smaller degree of desensitization compared with subjective intensity estimates. Brain Res 717(1–2):160–164PubMedCrossRef Hummel T, Knecht M, Kobal G (1996) Peripherally obtained electrophysiological responses to olfactory stimulation in man: electro-olfactograms exhibit a smaller degree of desensitization compared with subjective intensity estimates. Brain Res 717(1–2):160–164PubMedCrossRef
22.
go back to reference Köster EP, de Wijk RA (1991) Olfactory adaptation. In: Laing DG, Doty RL, Breipohl W (eds) The human sense of smell. Springer, Berlin, pp 199–215CrossRef Köster EP, de Wijk RA (1991) Olfactory adaptation. In: Laing DG, Doty RL, Breipohl W (eds) The human sense of smell. Springer, Berlin, pp 199–215CrossRef
23.
go back to reference Haehner A, Mayer AM, Landis BN, Pournaras I, Lill K, Gudziol V, Hummel T (2009) High test-retest reliability of the extended version of the “Sniffin’ Sticks” test. Chem Senses 34(8):705–711. doi:10.1093/chemse/bjp057 PubMedCrossRef Haehner A, Mayer AM, Landis BN, Pournaras I, Lill K, Gudziol V, Hummel T (2009) High test-retest reliability of the extended version of the “Sniffin’ Sticks” test. Chem Senses 34(8):705–711. doi:10.​1093/​chemse/​bjp057 PubMedCrossRef
24.
go back to reference Hummel T, Konnerth CG, Rosenheim K, Kobal G (2001) Screening of olfactory function with a four-minute odor identification test: reliability, normative data, and investigations in patients with olfactory loss. Ann Otol Rhinol Laryngol 110:976–981PubMed Hummel T, Konnerth CG, Rosenheim K, Kobal G (2001) Screening of olfactory function with a four-minute odor identification test: reliability, normative data, and investigations in patients with olfactory loss. Ann Otol Rhinol Laryngol 110:976–981PubMed
25.
go back to reference Gudziol V, Lotsch J, Hahner A, Zahnert T, Hummel T (2006) Clinical significance of results from olfactory testing. Laryngoscope 116(10):1858–1863PubMedCrossRef Gudziol V, Lotsch J, Hahner A, Zahnert T, Hummel T (2006) Clinical significance of results from olfactory testing. Laryngoscope 116(10):1858–1863PubMedCrossRef
27.
go back to reference Callahan CD, Hinkebein J (1999) Neuropsychological significance of anosmia following traumatic brain injury. J Head Trauma Rehabil 14(6):581–587PubMedCrossRef Callahan CD, Hinkebein J (1999) Neuropsychological significance of anosmia following traumatic brain injury. J Head Trauma Rehabil 14(6):581–587PubMedCrossRef
28.
go back to reference Welge-Lussen A, Hilgenfeld A, Meusel T, Hummel T (2012) Long-term follow-up of posttraumatic olfactory disorders. Rhinology 50(1):67–72PubMed Welge-Lussen A, Hilgenfeld A, Meusel T, Hummel T (2012) Long-term follow-up of posttraumatic olfactory disorders. Rhinology 50(1):67–72PubMed
29.
go back to reference Vennemann MM, Hummel T, Berger K (2008) The association between smoking and smell and taste impairment in the general population. J Neurol 255(8):1121–1126PubMedCrossRef Vennemann MM, Hummel T, Berger K (2008) The association between smoking and smell and taste impairment in the general population. J Neurol 255(8):1121–1126PubMedCrossRef
30.
go back to reference Landis BN, Hummel T, Hugentobler M, Giger R, Lacroix JS (2003) Ratings of overall olfactory function. Chem Senses 28(8):691–694PubMedCrossRef Landis BN, Hummel T, Hugentobler M, Giger R, Lacroix JS (2003) Ratings of overall olfactory function. Chem Senses 28(8):691–694PubMedCrossRef
31.
go back to reference Ho WK, Kwong DL, Wei WI, Sham JS (2002) Change in olfaction after radiotherapy for nasopharyngeal cancer—a prospective study. Am J Otolaryngol 23(4):209–214PubMedCrossRef Ho WK, Kwong DL, Wei WI, Sham JS (2002) Change in olfaction after radiotherapy for nasopharyngeal cancer—a prospective study. Am J Otolaryngol 23(4):209–214PubMedCrossRef
32.
go back to reference Eskenazi B, Cain WS, Novelly RA, Mattson R (1986) Odor perception in temporal lobe epilepsy patients with and without temporal lobectomy. Neuropsychologia 24(4):553–562PubMedCrossRef Eskenazi B, Cain WS, Novelly RA, Mattson R (1986) Odor perception in temporal lobe epilepsy patients with and without temporal lobectomy. Neuropsychologia 24(4):553–562PubMedCrossRef
33.
go back to reference Reden J, Mueller A, Mueller C, Konstantinidis I, Frasnelli J, Landis BN, Hummel T (2006) Recovery of olfactory function following closed head injury or infections of the upper respiratory tract. Arch Otolaryngol Head Neck Surg 132(3):265–269PubMedCrossRef Reden J, Mueller A, Mueller C, Konstantinidis I, Frasnelli J, Landis BN, Hummel T (2006) Recovery of olfactory function following closed head injury or infections of the upper respiratory tract. Arch Otolaryngol Head Neck Surg 132(3):265–269PubMedCrossRef
34.
go back to reference Duncan HJ, Seiden AM (1995) Long-term follow-up of olfactory loss secondary to head trauma and upper respiratory tract infection. Arch Otolaryngol Head Neck Surg 121(10):1183–1187PubMedCrossRef Duncan HJ, Seiden AM (1995) Long-term follow-up of olfactory loss secondary to head trauma and upper respiratory tract infection. Arch Otolaryngol Head Neck Surg 121(10):1183–1187PubMedCrossRef
35.
go back to reference Mueller CA, Hummel T (2009) Recovery of olfactory function after nine years of post-traumatic anosmia: a case report. J Med Case Reports 3:9283PubMedCentralCrossRef Mueller CA, Hummel T (2009) Recovery of olfactory function after nine years of post-traumatic anosmia: a case report. J Med Case Reports 3:9283PubMedCentralCrossRef
36.
go back to reference Hummel T, Rissom K, Reden J, Hahner A, Weidenbecher M, Huttenbrink KB (2009) Effects of olfactory training in patients with olfactory loss. Laryngoscope 119(3):496–499PubMedCrossRef Hummel T, Rissom K, Reden J, Hahner A, Weidenbecher M, Huttenbrink KB (2009) Effects of olfactory training in patients with olfactory loss. Laryngoscope 119(3):496–499PubMedCrossRef
Metadata
Title
The impact and prospect of traumatic brain injury on olfactory function: a cross-sectional and prospective study
Authors
Volker Gudziol
Irene Hoenck
Basile Landis
Dino Podlesek
Maria Bayn
Thomas Hummel
Publication date
01-06-2014
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2014
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-013-2687-6

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