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Wong E, Smith M, Buchanan MA, Kudpaje A, Williamson A, Hedge PS, Hazan D, Idiare J, Smith MC, Sritharan N, Palme C, Riffat F. Correction: Smell-related quality of life changes after total laryngectomy: a multi-centre study. Eur Arch Otorhinolaryngol 2023; 280:4721. [PMID: 37584754 PMCID: PMC10477126 DOI: 10.1007/s00405-023-08161-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/17/2023]
Affiliation(s)
- Eugene Wong
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia.
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia.
| | - Murray Smith
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia
| | | | - Akshay Kudpaje
- Department of Head and Neck Surgical Oncology, Cytecare Cancer Hospitals, Bangalore, India
| | - Andrew Williamson
- Department of ENT Surgery, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Prasanna Suresh Hedge
- Department of Head and Neck Surgical Oncology, Cytecare Cancer Hospitals, Bangalore, India
| | - Daniel Hazan
- School of Medicine, Western Sydney University, Sydney, Australia
| | - Jordan Idiare
- School of Medicine, Western Sydney University, Sydney, Australia
| | - Mark C Smith
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia
- Chris O'Brien Lifehouse, Camperdown, NSW, 2006, Australia
- Department of Otolaryngology, Head and Neck Surgery, Macquarie University Hospital, Macquarie Park, Australia
| | - Niranjan Sritharan
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia
- School of Medicine, Western Sydney University, Sydney, Australia
| | - Carsten Palme
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia
- Chris O'Brien Lifehouse, Camperdown, NSW, 2006, Australia
| | - Faruque Riffat
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia
- Chris O'Brien Lifehouse, Camperdown, NSW, 2006, Australia
- Department of Otolaryngology, Head and Neck Surgery, Macquarie University Hospital, Macquarie Park, Australia
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Wong E, Smith M, Buchanan MA, Kudpaje A, Williamson A, Hedge PS, Hazan D, Idaire J, Smith MC, Sritharan N, Palme C, Riffat F. Smell-related quality of life changes after total laryngectomy: a multi-centre study. Eur Arch Otorhinolaryngol 2023; 280:3861-3866. [PMID: 37115324 PMCID: PMC10313529 DOI: 10.1007/s00405-023-07976-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 04/10/2023] [Indexed: 04/29/2023]
Abstract
PURPOSE A total laryngectomy creates an alternate airway for gas exchange that bypasses the upper aerodigestive tract. The subsequent reduction in nasal airflow, and therefore, reduction in deposition of particles to the olfactory neuroepithelium leads to hyposmia or anosmia. The aim of this study was to assess the quality of life impairment conferred by anosmia following laryngectomy and identify any specific patient-related risk factors that are associated with poorer outcomes. METHODS Consecutive patients with a total laryngectomy presenting for review at three tertiary head and neck services (in Australia, the United Kingdom and India) over a 12-month period were recruited. Patient demographic and clinical data were collected, and each subject completed the validated assessment of self-reported olfactory functioning and olfaction-related quality of life questionnaire (ASOF). Dichotomous comparisons were performed using the student's unpaired t-test for continuous variables (SRP), a chi-squared test for categorical variables, and a Kendall's tau-b for ordinal variables (SOC) to assess for a correlation with poorer questionnaire scores. RESULTS A total of 66 laryngectomees (13.4% female; age 65.7 ± 8.6 years) were included in the study. The mean SRP score of the cohort was found to be 15.6 ± 7.4, while the mean ORQ score was noted to be 16.4 ± 8.1. No other specific risk factors associated with poorer quality of life were identified. CONCLUSION A significant quality of life detriment from hyposmia is conferred following laryngectomy. Further research to assess treatment options and the patient population that would best benefit from these interventions is required.
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Affiliation(s)
- Eugene Wong
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia.
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia.
| | - Murray Smith
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia
| | | | - Akshay Kudpaje
- Department of Head and Neck Surgical Oncology, Cytecare Cancer Hospitals, Bangalore, India
| | - Andrew Williamson
- Department of ENT Surgery, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Prasanna Suresh Hedge
- Department of Head and Neck Surgical Oncology, Cytecare Cancer Hospitals, Bangalore, India
| | - Daniel Hazan
- School of Medicine, Western Sydney University, Sydney, Australia
| | - Jordan Idaire
- School of Medicine, Western Sydney University, Sydney, Australia
| | - Mark C Smith
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia
- Chris O'Brien Lifehouse, Camperdown, NSW, 2006, Australia
- Department of Otolaryngology, Head and Neck Surgery, Macquarie University Hospital, Macquarie Park, Australia
| | - Niranjan Sritharan
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia
- School of Medicine, Western Sydney University, Sydney, Australia
| | - Carsten Palme
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia
- Chris O'Brien Lifehouse, Camperdown, NSW, 2006, Australia
| | - Faruque Riffat
- Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Camperdown, NSW, 2006, Australia
- Department of Surgery, School of Medicine and Health Sciences, University of Sydney, Camperdown, Australia
- Chris O'Brien Lifehouse, Camperdown, NSW, 2006, Australia
- Department of Otolaryngology, Head and Neck Surgery, Macquarie University Hospital, Macquarie Park, Australia
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