Chronic rhinosinusitis (CRS) is defined, according to the European Position Paper on Rhinosinusitis and Nasal Polyps , as “presence of two or more symptoms one of which should be either nasal blockage/obstruction/congestion or nasal discharge (anterior/posterior nasal drip) +/- facial pain/pressure +/- reduction or loss of smell for >12 weeks”. Olfactory disorder thus appears to be one of the diagnosis criteria for CRS with or without nasal polyposis, underlining the importance of this specific symptom among patients with CRS. Inversely, CRS appears to be the most common cause of olfactory dysfunction in patients presenting to smell evaluating centers and account for 14-30% of the cases. What underlines the intimate connection between CRS and olfactory dysfunction. Several studies have shown that the quality of life is severely impaired in patients suffering from olfactory disorders. It is thus important to detect this symptom and to provide an optimal treatment to patients. Nowadays, we have medical and surgical treatments that may relieve patients but these results are still hazardous. Good management and good support to patients highly depend on a good knowledge of this entity. We will thus review important issues about CRS and olfactory dysfunction, beginning with generalities about olfactory dysfunction, to continue with pathophysiology of this entity, assessment of olfactory function in patients, the contribution of imaging and finally effects of current treatments on olfactory function.
Huart, C., Franceschi, D., & Rombaux, P. (2011). Chronic Rhinosinusitis and Olfactory Dysfunction. In Marseglia, Gian Luigi ; Caimmi, Davide Paolo (ed.), Peculiar aspects of rhinosinusitis. https://doi.org/10.5772/1307