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The treatment of hyposmia with intranasal steroids.

Authors
  • Golding-Wood, D G
  • Holmstrom, M
  • Darby, Y
  • Scadding, G K
  • Lund, V J
Type
Published Article
Journal
The Journal of laryngology and otology
Publication Date
Feb 01, 1996
Volume
110
Issue
2
Pages
132–135
Identifiers
PMID: 8729495
Source
Medline
License
Unknown

Abstract

Hyposmia is a neglected symptom in patients with rhinitis. We studied 25 patients presenting with perennial rhinitis. Fifteen patients expressed hyposmia as a significant symptom. University of Pennsylvania smell identification test (UPSIT) and visual analogue scales (VAS) were used to score the symptoms of hyposmia, nasal obstruction and nasal discharge before and after six weeks treatment with betamethasone sodium phosphate drops. Those patients with initial symptoms of hyposmia significantly improved their UPSIT scores (p = 0.00009) and their VAS scores for hyposmia (p = 0.00133). Despite a significant decrease in the sensation of nasal obstruction, the non-hyposmics showed no increase in UPSIT scores after betamethasone therapy. There was no clear correlation between UPSIT results and other symptom scores. The judicious use of betamethasone drops in the treatment of rhinogenic hyposmia can be recommended.

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