Narrative Review olfactory evaluation and training for total laryngectomized patients
Revisión narrativa de la literatura: rehabilitación olfatoria en pacientes sometidos a laringectomía total
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Total laryngectomy is a surgical procedure that involves the removal of the larynx, resulting in the separation of the upper and lower airways, with a decrease in the perception of smell and taste in total laryngectomized patients. However, current research on olfactory rehabilitation is scarce, especially in Latin America. This narrative literature review aims to present the current methods used for the rehabilitation and recovery of olfactory perception in total laryngectomized patients by searching the PubMed database as well as gray literature. This review is based on the analysis of 35 articles. The results identified different protocols for olfactory assessment, as well as olfactory rehabilitation, with various methods such as laryngeal bypass, sinus rinse, Expiratory Nasal Airflow Maneuver (ENAMM), and Nasal Airflow Induction Maneuver (NAIM) being identified, with NAIM having the strongest scientific evidence. Therefore, the need to analyze the impact of oncological treatments on olfactory perception and the need to create speech therapy programs for olfactory rehabilitation, leading to positive effects on patients' quality of life, is highlighted.
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