Hey, new girl to the group. I just wanted to know if anyone knows of
any resources on reestablishing olfactory function post-ess. I had my
surgery over 2 years ago, regained my sense of smell, but it has
declined over this period of time and I have now lost about 90% of my
smell. I went back to the performing ENT about a year post-op to
discuss the problem and he looked up my nose, said no obstructions, and
sent me home with a prescription for a vitamin suppliment. Needless to
say, they didn't work and I haven't been back. Has anyone had a
similair situation that has been successfully treated? What type of
treatment? And is my next step to consult a new ENT or move on up to a
neurologist? I just need to be pointed in the right direction for my
next step. FYI, the procedure was successful in opening up the affected
frontal & ethmoid sinuses, which in turn, decreased the chronic
infections I was experiencing. I still experience constant "allergy
symptoms" such as head congestion and drainage, which is treated with
antihistamines and decongestants. Thanks, Cristal
judy.n - 21 Jul 2006 14:21 GMT
I also have a reduced sense of smell. The cribiform plate is up there
in the sinus region, and the sense of smell is tied into it, so sinus
congestion and/or sinus surgery can cause permanent or limited loss of
smell.
Your on-going congestion along with the surgery are the likely
culprits.
People who irrigate and reduce the swelling often report that their
sense of smell improves. The FAQ post explains irrigation which can be
done in variable ways: the Grossan hydropulse (around $90), a neti pot
(around 18$), the neilmed rinse bottle (around 12$), a water pik with a
grossan head (around 35$). a bulb syringe (a few $) and various other
bottles sold by allergy suppliers.
What people put in their irrigation solutions vary: kosher salt at
various concentrations, some also add calcium chloride, either baking
soda or vinegar (if you want it more alkaline or acidic) and xylitol
are all various additives. The basic rinse is salt water at either a
lower or higher concentration: from 1 tsp to a quart to 1 tsp to a cup.
Some people like sea salt more than kosher salt.
You can search the group.
Also, nasal steroids, nasal antihistamines (astelin) may help. So may
oral antihistamines and/or decongestants.
Good luck, it is weird not to have the acute sense of smell I used to
have. It comes in handy sometimes, but not often.
Judy
> Hey, new girl to the group. I just wanted to know if anyone knows of
> any resources on reestablishing olfactory function post-ess. I had my
[quoted text clipped - 12 lines]
> symptoms" such as head congestion and drainage, which is treated with
> antihistamines and decongestants. Thanks, Cristal
Steven L. - 21 Jul 2006 19:20 GMT
> Hey, new girl to the group. I just wanted to know if anyone knows of
> any resources on reestablishing olfactory function post-ess. I had my
[quoted text clipped - 8 lines]
> neurologist? I just need to be pointed in the right direction for my
> next step.
I've had two surgeries thus far. With me, gradually diminishing sense
of smell is a sign that my chronic sinusitis is relapsing, and so it's
time to consider yet another surgery.
You should consult another ENT who may detect sinus trouble that your
current ENT missed.
In the meantime, do what I do: Use irrigation and topical steroid
sprays to keep your nasopharynx as clear as possible. And go heavy on
the seasoning when you cook. :-)

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jockduece - 24 Jul 2006 01:43 GMT
Hey guys, I really appreciate the feedback. Both responses suggested I
start irrigation. I was instructed to do this after my surgery, but the
ENT did not tell me it could continue to help me...but, I am really
starting to second guess his professional judgement altogether. I have
already been on Flonase for several years and Allegra-D. I would love
for this to be a correctable problem...even if it does mean another
surgery. To regain my sense of smell, it would be worth it...I think
:-) There is a group of ENT's in this area who have gotten wonderful
reviews from several people I have spoke with, so I'll cross my
fingers, irrigate, and make an appointment! Cristal
Don Brady - 24 Jul 2006 03:02 GMT
A short course of oral steroids may bring it back but it may go aggain when you
stop (and oral steroids have too many side effects to take long term just for
sense of smell).
>Hey guys, I really appreciate the feedback. Both responses suggested I
>start irrigation. I was instructed to do this after my surgery, but the
[quoted text clipped - 6 lines]
>reviews from several people I have spoke with, so I'll cross my
>fingers, irrigate, and make an appointment! Cristal