THE CLINICAL DIAGNOSTIC STUDY ON THE DISTURBANCE OF OLFACTORY SENSE

Abstract

Forty case which complained no sense of smell subjectively and did not respond to diluted solution of smell substance were studied. Venous olfactory test, X-ray with contrast medium (40% Molijodol) in either side of the olfactory clefts, and general observation were made.
Anosmia was divided into 3 types;
(A) morphorgenic, (B) neurogenic and (C) combined type.
The results obtained were as follows;
Group (A) was positive for venous olfoctory test. In 75%, molijodol was shown poorly on X-ray both olfactory clefts were obstructed due to severe swelling of inferior turbinates. The course was relatively short and intermittent.
Group (B) was negative for venous olfactory test. Molijodol was shown well and olfactory clefts were open. Middle turbinates were slightly swollen and the course of the disease was indefinite and continuous.
Group (C) was negative for venous olfactory test. Molijodol was shown poorly. In 70% of the cases, complete obstruction of both olfactory clefts was present due to severe swelling of middle turbinates and moderate atrophy of inferior turbinates was also seen. The course was relatively long and mainly continuous.
The order of diognostic tests for anosmia in clinical practice was discussed. It was tated that diagnosis of hyposmia can be performed in the same method and manner as for anosmia.