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Effect of Beconase nasal spray on olfactory function in post-nasal polypectomy patients: a prospective controlled trial

Published online by Cambridge University Press:  29 June 2007

Mohammed El Naggar
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, Cleveland, UK.
Savita Kale
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, Cleveland, UK.
Chris Aldren*
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, Cleveland, UK.
Frank Martin
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, Cleveland, UK.
*
Mr Frank Martin, F.R.C.S., Consultant ENT Surgeon, North Riding Infirmary, Newport Road, Middlesbrough, Cleveland TS1 5JE. Fax: 01642 231154

Abstract

Numerous studies have postulated the possible benefit of corticosteroids on olfaction in patients with nasal/sinus disease. Twenty-nine patients with bilateral nasal polyps were included in our study using strict selection criteria to reduce other aetiologies of olfactory dysfunction. The University of Pennsylvania Smell Identification Test (UPSIT) was performed pre-operatively on the right and left nostrils separately. Following intranasal polypectomy the patients received a six-week course of beclomethasone nasal spray (Beconase) to one nostril only, with the other acting as a control. The UPSIT scores were again obtained for each nostril separately. Wilcoxon Signed Rank test revealed no statistically significant difference in UPSIT scores between treated and untreated nostrils (p = 0.31; power 70 per cent; ES = 0.47). We conclude that topical beclomethasone does not improve olfaction following nasal polypectomy.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1995

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References

Armitage, P., Berry, G. (1987) Statistical Methods in Medical Research, 2nd Edition, Blackwell Scientific Publications, Oxford, pp 180182.Google Scholar
Brown, H. M., Storey, G., Jackson, F. A. (1977) Beclomethasone dipropionate aerosol in treatment of perennial and seasonal rhinitis: a review of five years' experience. British Journal of Clinical Pharmacology 4: 4283.Google ScholarPubMed
Cain, W. (1989) Testing olfaction in a clinical setting. Ear, Nose and Throat Journal 68: 68316.Google ScholarPubMed
Doty, R. L., Shaman, P., Kimmelman, C. P., Dann, M. S. (1984 a) University of Pennsylvania Smell Identification Test: a rapid quantitative olfactory function test for the clinic. Laryngoscope 94: 94176.CrossRefGoogle Scholar
Doty, R. L., Shaman, P., Dann, M. (1984 b) Development of the University of Pennsylvania Smell Identification Test: A standardized microencapsulated test of olfactory function. Physiology and Behaviour 32: 32489.CrossRefGoogle Scholar
Doty, R. L., Frye, R. (1989) Influence of nasal obstruction on smell function. Otolaryngologic Clinics of North America 22: 22397.CrossRefGoogle ScholarPubMed
Doty, R. L., Stern, M. B., Pfeiffer, C., Gollomp, S. M., Hurtig, H. I. (1992) Bilateral olfactory dysfunction in early stage treated and untreated idiopathic Parkinson's disease. Journal of Neurology, Neurosurgery and Psychiatry 55: 55138.CrossRefGoogle ScholarPubMed
Fein, B., Kamin, P., Fein, N. S. (1966) The loss of smell in nasal allergy. Annals of Allergy 24: 24278.Google ScholarPubMed
Goodspeed, R. B., Gent, J. F., Catalanotto, F. A. (1986) Corticosteroids in olfactory dysfunction. In Clinical Measurement of Taste and Smell. (Meiselman, H. L., Rivlin, R. S., eds). MacMillan, New York, pp 514518.Google Scholar
Harris, D. M., Martin, L. E., Harrison, C., Jack, D. (1974) The effect of intranasal beclomethasone dipropionate on adrenal function. Clinical Allergy 4: 4291.CrossRefGoogle ScholarPubMed
Holopainen, E., Malmberg, H., Binder, E. (1982) Long-term follow-up of intranasal beclomethasone treatment: a clinical and histologic study. 386 (suppl): 270273.Google Scholar
Hotchkiss, W. I. (1956) Influence of prednisolone on nasal polyposis with anosmia. Annals of Allergy 24: 24278.Google Scholar
Jafek, B. W., Moran, D. T., Eller, P. M., Rowley, C., Jafek, T. B. (1987) Steroid dependent anosmia. Archives of Otolaryngology, Head and Neck Surgery 113: 113574.CrossRefGoogle ScholarPubMed
Neuman, I., Toshner, D. (1978) Beclomethasone dipropionate in paediatric perennial extrinsic rhinitis. Annals of Allergy 40: 40346.Google ScholarPubMed
Pederson, C. B., Mygind, N., Sorensen, H., Prytz, S. (1976) Long-term treatment of nasal polyps with Beclomethasone dipropionate aerosol. Ada Otolaryngologica 82: 82256.Google Scholar
Scott, A., Cain, W. S., Calvet, G. (1988) Topical corticosteroids can alleviate olfactory dysfunction (abstract). Chemical Senses 13: 735.Google Scholar
Scott, A. (1989) Medical management of taste and smell disorders. Ear, Nose and Throat Journal 68: 68386.Google ScholarPubMed
Tarlo, S. M., Cockcroft, D. W., Dolovich, J., Hargreave, F. E. (1977) Beclomethasone dipropionate aerosol in perennial rhinitis. Journal of Allergy and Clinical Immunology 59: 59232.CrossRefGoogle ScholarPubMed
Taylor, L. R. S. (1973) ACTH and nasal polypi. Journal of Laryngology and Otology 87: 87103.CrossRefGoogle ScholarPubMed
Toyota, B., Kitamura, T., Takagi, S. (1978) Olfactory disorders: Olfactometry and therapy. Igaku-Shoin, Tokyo.Google Scholar