Rhinology | Smell and Taste | BRSJ | Prof Carl Philpott

Smell and Taste
Professor Carl Philpott, Consultant Rhinologist & ENT Surgeon
, James Paget University Hospital
British Rhinological Society Juniors (BRSJ)
Online training day,
3rd July 2020

Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
1. Rhinology - Disorders of Olfaction

00:08 - Olfactory physiology
03:11 - Olfactory bulb and connections
05:10 - Taste physiology
06:40 - Taste innervation
08:12 - Epidemiology of smell and taste disorders
12:14 - Impact on patients
15:01 - Question: low educational level and loss of sense of smell
16:00 - Question: Depression and low mood and loss of sense of smell
17:13 - Assessing the patient with loss of smell - history
22:04 - Assessing the patient with loss of smell - examination and imaging
23:35 - Smell and taste testing - Sniffin' sticks/retronasal testing
27:52 - International guidelines on management
29:53 - Strategies for optimal management
30:56 - Olfactory cleft disease and prior turbinate resection
32:26 - Importance of reviewing imaging for possible aetiology
33:16 - Sensorineural causes
34:09 - Posttraumatic cases
35:01 - Smell training and other strategies
35:38 - Managing phantosmia/qualitative disturbances
36:04 - Managing gustatory dysfunction
36:32 - Covid and hyposmia
37:34 - Summary
38:28 - Q&A - What percentage of patients with smell training improve?

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