Olfactory recovery following omicron variant infection: a psychophysical prospective case-control study with six-month follow up

J Laryngol Otol. 2023 Dec;137(12):1395-1400. doi: 10.1017/S0022215123000877. Epub 2023 May 17.

Abstract

Objective: This study aimed to evaluate the recovery of olfactory function at six months in individuals infected with the coronavirus disease 2019 omicron variant, using psychophysical tests.

Methods: A prospective case-control study that included severe acute respiratory syndrome coronavirus-2 patients infected in February and March 2022 was conducted. Patients underwent the Sniffin' Sticks test within 10 days of infection and again after at least 6 months. The olfactory scores were compared with those of a control group.

Results: In all, 102 patients and 120 controls were enrolled in the study. At baseline, 26 patients (25.5 per cent) self-reported smell loss. The median threshold, discrimination and identification score was 33.6 (interquartile range, 12.5) for the cases and 36.5 (interquartile range, 4.38) for the controls (p < 0.001). Based on the threshold, discrimination and identification scores, 12 controls and 34 patients reported olfactory dysfunction (p < 0.001). Eighty cases underwent re-evaluation at six months; the median threshold, discrimination and identification score was 37.1 (interquartile range, 4.75) with no significant differences compared with the controls.

Conclusion: Six months after infection, the prevalence of olfactory dysfunction in patients did not differ significantly from the control population.

Keywords: Anosmia; Covid-19; SARS-CoV-2; ageusia; coronavirus; otolaryngology; smell; taste.

MeSH terms

  • Anosmia / etiology
  • Case-Control Studies
  • Follow-Up Studies
  • Humans
  • Olfaction Disorders* / epidemiology
  • Olfaction Disorders* / etiology
  • Smell