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Effect of the nasal airflow inducing manoeuvre on olfaction and quality of life after laryngectomy

Published online by Cambridge University Press:  08 April 2022

R Subbaraj ,
S S Mathews Open the ORCID record for S S Mathews [Opens in a new window] ,
S Bedford ,
R C Michael ,
R R A Albert  and
V Rupa
R Subbaraj
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
S S Mathews*
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
S Bedford
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India Audiology, Royal Surrey County Hospital, Guilford, UK
R C Michael
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
R R A Albert
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
V Rupa
Affiliation:
Department of Otorhinolaryngology, Christian Medical College, Vellore, India
*
Author for correspondence: Dr Suma Susan Mathews, Department of Otorhinolaryngology, Christian Medical College, Vellore, India E-mail: sumasusanm@yahoo.co.in
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Abstract

Objective

To assess the effectiveness of the nasal airflow inducing manoeuvre or ‘polite yawn’ technique in improving olfaction and quality of life in laryngectomised patients.

Methods

Using a prospective study design, 42 patients scheduled to undergo laryngectomy at a tertiary care centre were subjected to olfaction testing before surgery and two weeks following the surgery. The nasal airflow inducing manoeuvre was taught, and the olfaction test was repeated with the patient performing the nasal airflow inducing manoeuvre. Quality of life was assessed using the Appetite, Hunger and Sensory Perception questionnaire with calculation of scores after the patient had learnt the nasal airflow inducing manoeuvre.

Results

There was a significant reduction in the composite olfaction score, from a mean (standard deviation) baseline value of 4.01 (1.39) to 0.44 (0.51), two weeks after surgery (p < 0.001). After practising the nasal airflow inducing manoeuvre, the olfaction scores increased to 3.05 (1.32) (p < 0.001). Appetite, Hunger and Sensory Perception questionnaire scores ranged from 52 to 110 (normal range, 29–145), suggesting an improvement in the quality of life of patients.

Conclusion

The nasal airflow inducing manoeuvre, an inexpensive, simple, patient-friendly manoeuvre, can be used in the olfaction rehabilitation of patients undergoing laryngectomy.

Keywords

OlfactionLaryngectomyRehabilitation
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 3 , March 2023 , pp. 273 - 278
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Prof S Mathews takes responsibility for the integrity of the content of the paper

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