[On the significance of hematogenic olfactometry in the diagnosis of olfactory disorders].
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After transethmoidal exposure and closure of the dural defect olfactory assessments were made on 26 patients with frontal dural dehiscence. Different methods for both unilateral and bilateral assessment were applied. The incidence of abnormalities were evaluated and these were compared with a second group of 52 patients who had suffered head injury without cerebrospinal fluid rhinorrhoea. There was no significant difference in the frequency of anosmia. The practical advantage of the transethmoidal approach to the floor of the anterior cranial fossa is emphasized.
After pulsed peripheral olfactory impulses it is possible, under suitable testing conditions, for specific sensory potentials to be read from the surface of the skull and, after repetitions, added up (olfactorially evoked cortical potentials). Typically, there developes a so-called twin-potential containing the equivalents of the electrical activites of the nervus trigeminus and the nervus olfactorius in two peaks of the cortex equivalents. In an objective manner, in other words without intentional or vegetative influence by the test person, it is possible by the weakening or lack of one or the other or both part-potentials to obtain information about the functioning of the olfactory sense. Typical examples will be presented.
Olfactory evoked potential is considered a useful method of electrophysiological olfactometry for the diagnosis of olfactory disturbance. However, electrophysiological olfactometry is not as widely used as electrophysiological audiometry, such as the auditory brain stem response, because odor stimulation is difficult to perform. In contrast, electrical pulse stimulation is easy to perform, and its evoked potential is also easily recorded by the averaging method. We recorded olfactory evoked potentials from the scalp produced by electrical stimulation on the olfactory mucosa and investigated the relationship between this electrical olfactory evoked potential (EOEP) and the results of Toyoda and Takagi's perfumist's strip method (T&T) olfactometry, which is a standard Japanese means of psychophysical olfactometry. In EOEP-detectable cases, the detection and cognitive thresholds of T&T olfactometry were 1.32+/-1.99 (mean +/- SD; n = 10) and 3.02+/-1.64 (n = 10), respectively. But in the undetectable cases, the thresholds were 4.67+/-2.03 (n = 8; 5.8 means off the scale) and 5.80+/-0.00 (n = 8), respectively. The differences between the T&T thresholds of EOEP-detectable and -undetectable cases were significant. We concluded that EOEP is suitable for electrophysiological olfactometry.
Firstly the review deals with the olfactometry after discussing the olfactory and trigeminal sensitivity of the sense of smell. The term olfactometry will be newly fixed concerning the present problems of odor analysis. Under clinical aspects the methods of subjective olfactometry are discussed and valued. Olfactory tests basing on registering several psychosomatic reflexes (e.g. cardial and/or respiratory frequencies) cannot be described as "objective". Rather methods are objective which record poststimulatory electrophysiological events at different steps of olfactory pathways. The electric response olfactometry representing a cortical evoked so-called twin-potential containing equivalents for trigeminal and olfactory sense activity starts to demonstrate its efficiency. At least a complete test of olfactory function today includes the rhinomanometry for recording ability in nasal odor transport capacity. In the second part are discussed the olfactory disorders with clinical importance. Air borne disorders are confronted with sensorineural, which again are divided in prebulbar, bulbar, and postbulbar ones so far as possible. Respiratory smell disorders depend on nasal ventilation and occur in nasal deformations, in abnormalities of respiratory pathways, in cases of foreign bodies, mucosal inflammations, tumors, intoxications and allergy. Sensorineural olfactory disorders can be attached to age, to malformations or idiopathic defects, inflammations of the olfactory-neural apparatus, head injuries, brain tumors, metabolic or endocrinological diseases. Furthermore often they are accompanied with neurological and psychiatric diseases or professional and chemical intoxications and/or iatrogenic influences. The poor therapeutical possibilities are demonstrated as far as possible. Finally the experting problems in olfactory disorders are delineated, at which the evidence of objective olfactometry can be distincted.
The Missouri Air Conservation Commission regulations include regulations that limit the amount of acceptable odor from confined animal feeding operations (CAFOs). The regulations concerning odor designate the use of a scentometer as a screening tool. The rules dictate that if an odor is detectable by an investigator at a dilution ratio of 5.4 using a scentometer then an air sample should be collected and sent to an olfactometry laboratory for an odor panel to determine the detection threshold and the intensity of the odor sample. The detection thresholds are determined following ASTM E679-91 and EN13725. The intensity is determined following ASTM E544-99. If the olfactometry laboratory determined the detection threshold of the sample to be above seven, then the CAFO would be in violation. If the olfactometry laboratory determined the intensity level to be above a level equivalent to 225 ppm of n-butanol, then the source of odor would be in violation. The CAFO odor rules came under scrutiny by representatives of the largest hog producer in the State of Missouri. Specifically, they argued that the detection threshold limit of seven in the CAFO portion of the rule was too low for the rule to realistically identify a violation. This paper presents the results of a study to find the appropriate regulatory level of odor as determined by laboratory olfactometry. The study took place from November 2001 to October 2002. Samples were collected from field locations that exhibited odor produced by confined animal feeding operations and from areas exhibiting no apparent odor. The odors were categorized based upon the scentometer level at which the odors were detectable, and then samples were sent to an odor evaluation laboratory for analysis by olfactometry.
OBJECTIVES: To compare the number of activated eosinophils in the ethmoidal sinus mucosa with the computed tomographic findings and degree of olfactory dysfunction, and study the clinical characteristics of this disease. MATERIAL AND METHODS: Ethmoidal sinus mucosal specimens were obtained from 84 patients with bilateral sinusitis accompanied by endoscopic sinus surgery (ESS). The percentage of activated eosinophils identified by staining with EG2 antibody was compared with the nasal symptoms (nasal obstruction, nasal discharge, headache, problems of smell and overall), the CT images and the olfactory dysfunction assessed using the T&T olfactometry kit and the Alinamin test. In addition, comparison was made of the endoscopic findings obtained after the ESS and the results of the T&T olfactometry assessment. RESULTS: Specimens from 42 patients were classified in the group showing a high percentage of EG2-positive cells, while specimens from 40 patients were classified in the group showing a low percentage of EG2-positive cells. Comparison of the subjective symptoms in these two groups found a statistically significant difference only in relation to "problems of smell", while comparison of the two groups in terms of the CT scan findings found significant differences only in relation to the anterior and posterior ethmoidal sinuses. In addition, it was found that there was a possibility of manifestation of olfactory dysfunction in the group with a high percentage of EG2-positive cells even when the overall CT score was low. Comparison of the postoperative ethmoidal sinus endoscopic findings and the results using the T&T Olfactometry kit revealed that olfactory dysfunction occurs together with aggravation of the lesions. CONCLUSIONS: For the diagnosis of sinusitis accompanied by severe infiltration of activated eosinophils, attention should be paid not only to the eosinophil counts in the blood and the tissues, but also to the clinical findings, such as the status of lesions in the ethmoidal sinus as seen in CT scans and the manifestation of olfactory dysfunction.
We studied the suitability of the Odor Stick Identification Test for the Japanese (OSIT-J) in patients suffering from olfactory disturbance. In 120 patients with olfactory disturbance (age range 12-85 years) there were statistically significant correlations between the odor identification rate on the OSIT-J, the results of the Japanese standardized olfactory test (T&T olfactometry) and subjective symptom scores. In every patient treated for olfactory disturbance, the OSIT-J reflected the grade of recovery from the olfactory disturbance as determined by means of T&T olfactometry. The odor identification rate on the OSIT-J also correlated significantly with the results of the i.v. Alinamin test. Regarding the rate of correct recognition of odors on the OSIT-J, menthol and curry odors were recognized with a high rate and orange and wood odors with a low rate. Although the OSIT-J includes 13 kinds of odorants, the number of odorants used can be reduced to a minimum of 5 as the results obtained with this reduced form of the OSIT-J also correlated with the results of T&T olfactometry and the subjective symptom scores as well as with the results obtained with the 13-odorant OSIT-J. We conclude that the OSIT-J is suitable not only as a screening test for olfactory disturbance but also for practical use in clinical otorhinolaryngology.
The odor stick identification test (OSIT) is a new test of olfactory function recently developed for Japanese people. The purpose of the present study was to evaluate this test in relation to T&T olfactometry and the cross-cultural smell identification test (CC-SIT) by applying to 110 Japanese patients with olfactory disturbance. The averaged recognition thresholds for five odorants in T&T olfactometry, the number of correct answers in the CC-SIT and the rates of identification of 13 odorants in the OSIT were compared. The visual analogue scale (VAS) was also used to evaluate symptoms. The rate of identification of OSIT showed high and significant correlation coefficients with the averaged recognition thresholds of T&T olfactometry (-0.766, P < 0.001), with the number of correct answers in CC-SIT (0.754, P < 0.001) and with the VAS score (0.591, P < 0.001). In addition, on the identification performance measured by OSIT, we found significant differences between all pairs of four degrees of olfactory dysfunction except for one pair. Thus, we conclude that OSIT is useful for evaluating olfactory dysfunction in Japanese people.
Quantifying odor is important for objectively assessing the impact of animal production systems on surrounding areas. A possible method that has received little attention is Fourier transform (mid) infrared spectroscopy (FTIR). Gases that contribute to odor have unique infrared spectra, and the advantage of FTIR over electronic nose technology or gas chromatography is that theoretically all these gases can be analyzed instantaneously. To determine the feasibility of FTIR for predicting odor, 71 air samples analyzed by olfactometry were scanned in a spectrometer using an 84-m path-length gas cell. Scans were obtained over a period of about 1 min and from 4,000 to 740 cm(-1) with a resolution of 0.5 cm(-1). Calibrations for predicting odor were developed using partial least squares regression with full cross-validation. Air samples were obtained from experiments with pigs fed diets formulated to alter odor emission or from stored manure. Odor threshold dilution ratios averaged 676+/-491 units, with a range from 120 to 2,161. Using these samples, a prediction error for odor sensation of 344 units (R2 = 0.51) was obtained. Log transformation of the odor data improved the R2 to 0.61. Based on the olfactometry data, it is estimated that the measurement error of olfactometry is 250 units, which limits the R2 of any method to approximately 0.74. Thus, this calibration is very encouraging. In conclusion, FTIR shows promise as a practical means for objectively assessing swine odor.
In recent years, a new stick-type odor identification test, the odor-stick identification test for Japanese (OSIT-J) has been developed in Japan. Thirteen odors familiar to Japanese people are used in this test. The OSIT-J is an olfactory discrimination test and is significantly correlated with the average recognition threshold of T & T olfactometry, which is the standard olfactory acuity test used in Japan. In this study, we evaluated the accuracy of the OSIT-J in patients with olfactory disturbances. We compared the OSIT-J and T & T olfactometry results and examined the sensitivity and specificity of the OSIT-J. Using the OSIT-J, olfactory disturbances were diagnosed in more than 70% based on the average recognition threshold determined by T & T olfactometry. OSIT-J is a simple test and is recommended for use in clinical practice for evaluating olfactory disturbances.