title: Olfactory function and quality of life after olfaction rehabilitation in total laryngectomees.
abstract: OBJECTIVE
  To evaluate the effects of olfaction rehabilitation in the olfactory function and quality of life of total laryngectomized patients.
  
  
  METHODS
  Pre-post intervention clinical study conducted with total laryngectomees submitted to olfaction rehabilitation by means of the Nasal Airflow-Inducing Maneuver (NAIM) using the University of Pennsylvania Smell Identification Test (UPSIT), Olfactory Acuity Questionnaires, a Monitoring Questionnaire, and the University of Washington Quality of Life Questionnaire (UW-QOL).
  
  
  RESULTS
  Participants were 45 total laryngectomees. Before olfaction rehabilitation, 48.9% of the participants had their olfactic abilities classified as anosmia, 46.8% as microsmia, and 4.4% were considered within the normal range. After olfaction rehabilitation, 4.4% of the participants were classified as anosmia and 31.1% were within the normal range. In the Smell Identification Test, the mean score after rehabilitation showed statistically significant improvement. Reponses to the Olfactory Acuity Questionnaires after rehabilitation showed improvement in the frequency of perception regarding smell, taste, and the ability to smell perfume, food, leaking gas, and smoke, after learning the maneuver. Although the scores in the Quality of Life Questionnaire already indicated good quality of life before the surgery, post-intervention values were statistically significant.
  
  
  CONCLUSIONS
  Olfaction rehabilitation improves olfactory function and has a positive impact on the activities of daily living and quality of life of total laryngectomized patients.
authors.affiliation: Universidade Federal do Estado do Rio de Janeiro - UNIRIO - Rio de Janeiro (RJ), Brasil.|Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA - Rio de Janeiro (RJ), Brasil.
authors.forename: Christiane Gouvêa Dos
authors.initials: CG
authors.lastname: Santos
authors.affiliation: Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA - Rio de Janeiro (RJ), Brasil.
authors.forename: Anke
authors.initials: A
authors.lastname: Bergmann
authors.affiliation: Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA - Rio de Janeiro (RJ), Brasil.
authors.forename: Kaliani Lima
authors.initials: KL
authors.lastname: Coça
authors.affiliation: Universidade Federal do Rio de Janeiro - UFRJ - Rio de Janeiro (RJ), Brasil.
authors.forename: Angela Albuquerque
authors.initials: AA
authors.lastname: Garcia
authors.affiliation: Universidade Federal do Estado do Rio de Janeiro - UNIRIO - Rio de Janeiro (RJ), Brasil.
authors.forename: Tânia Cristina de Oliveira
authors.initials: TC
authors.lastname: Valente
mesh_terms: D001938:Brazil; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D000857:Olfaction Disorders / Q000145:classification / Q000209:etiology / Q000534:rehabilitation*; D011183:Postoperative Complications; D011788:Quality of Life; D012903:Smell / Q000502:physiology; D011795:Surveys and Questionnaires