Still not smelling
Reviewed by Badr Eldin Mostafa

Post-Covid anosmia/hyposmia is a troublesome persistent symptom for lots of patients. Management is still elusive. This was a nationwide survey of ENT practitioners. Of the 715 surveyed members, only 7.4% responded. Most performed a nasal endoscopy, 60% ordered an MRI and nearly no olfactory tests were ordered. At the therapeutic level, the most commonly used drugs were intranasal steroids and oral steroids, with home based olfactory training in 64% of cases. The main conclusion is that post-Covid olfactory dysfunction is poorly evaluated, rarely properly tested, and treatment is still suboptimal.

Dysosmies post-COVID 19 persistantes: enquete de pratiques auprès des membres du syndciat national des médecins specialises en ORL et chirurgis cervicaofaciale. Analyse CROSS.
Vandersteen C, Dubrulle C, Manera V, et al.
EUR ANN OTORHINOLARYNGOL HEAD NECK DIS
2023;140(4):161–6.