Evidence map›Paper›PMID 36507615›Full record

Trial reportInternational forum of allergy & rhinology2023

Use of platelet-rich plasma for COVID-19-related olfactory loss: a randomized controlled trial.

Carol H Yan, Sophie S Jang, Hung-Fu C Lin, Yifei Ma, Ashoke R Khanwalkar, Anthony Thai, Zara M Patel

3 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International forum of allergy & rhinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04406584 nacompletednot on this map

Intranasal Injection of Platelet-rich Plasma Versus Saline for Treatment of Olfactory Dysfunction

TypeinterventionalSponsorStanford UniversityRan2021 to 2022Enrolled30ConditionsOlfactory Disorder, Olfaction Disorders, Olfactory Nerve Injuries, Olfactory Nerve DisorderArmsInjection into olfactory cleft
NCT06283745 narecruitingnot on this mapstarted 2024, after this paper: background citation

Randomized Clinical Trial of Intranasal Injection of Platelet-Rich Plasma for Treatment of Parosmia

TypeinterventionalSponsorStanford UniversityRan2024 to 2027Enrolled40ConditionsParaosmiaArmsPlatelet-rich Plasma (PRP), Saline
NCT06290219 phase3unknown statusnot on this mapstarted 2024, after this paper: background citation

The Effect of Platelet-rich Plasma and Hyaluronic Acid Nasal Injection in the Treatment of Traumatic Olfactory Dysfunction

TypeinterventionalSponsorTaichung Veterans General HospitalRan2024 to 2024Enrolled80ConditionsTraumatic Olfactory Nerve Injury With Anosmia (Diagnosis), Effect of DrugArmsplatelet-rich plasma combined with hyaluronic acid, Zinc Gluconate 10 MG Oral Tablet, 4 bottles of phenyl ethyl alcohol, lemon, eucalyptus, and clove oil
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Navigating the efficacy, safety and outcome of intranasal platelet-rich plasma for persistent olfactory loss: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Pooled it
  2. Short-term efficacy of platelet-rich plasma in the treatment of persistent olfactory dysfunction: systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  3. Pooled it
  4. Utilization and efficacy of platelet-rich plasma and platelet-rich fibrin in otolaryngology: a systematic evidence-based review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Pooled it
  5. Trial
  6. Trial
  7. Regenerating smell in neurodegenerative disease -translating theory into therapy.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Review
  8. Vitamin A-Containing Intranasal Drops Improve Odour Detection Threshold.ORL; journal for oto-rhino-laryngology and its related specialties · 2026
    Article
  9. Article
  10. Review
  11. Topical Anesthesia and Olfactory Capability: A Pilot Study.Laryngoscope investigative otolaryngology · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Effectiveness of platelet-rich plasma in long-lasting post-viral olfactory dysfunction: a case-series.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  18. Review
  19. Review
  20. Long-term olfactory loss post-COVID-19: Pathobiology and potential therapeutic strategies.World journal of otorhinolaryngology - head and neck surgery · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Carol H YanDepartment of Otolaryngology, Head and Neck Surgery, University of California, San Diego School of Medicine, La Jolla, California, USA.ORCID 0000-0003-1934-4922
Sophie S JangDepartment of Otolaryngology, Head and Neck Surgery, University of California, San Diego School of Medicine, La Jolla, California, USA.
Hung-Fu C LinDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.
Yifei MaDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.
Ashoke R KhanwalkarDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0001-9960-7758
Anthony ThaiDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-9459-5476
Zara M PatelDepartment of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0003-2072-982X
Stanford University · USUniversity of California San Diego · US

Funding

Elucidating Olfactory Epithelial Anti-Viral Responses in Persistent Post-Viral Olfactory DysfunctionK08DC019956 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Carol H Yan · 2022 to 2026
$959k
NIDCD NIH HHS K08 DC019956NIDCD NIH HHS K08DC019956
6 · The paper itself

Abstract

introductionThe current study evaluated the use of platelet-rich plasma (PRP), an autologous blood product with supraphysiologic concentrations of growth factors, in the treatment of prolonged coronavirus disease 2019 (COVID-19)-related smell loss.

methodsThis multi-institutional, randomized controlled trial recruited patients with COVID-19 who had objectively measured smell loss (University of Pennsylvania Smell Identification Test [UPSIT] ≤ 33) between 6 and 12 months. Patients were randomized to three intranasal injections of either PRP or sterile saline into their olfactory clefts. The primary outcome measure was change in Sniffin' Sticks score (threshold, discrimination, and identification [TDI]) from baseline. The secondary end point measures included responder rate (achievement of a clinically significant improvement, ≥5.5 points TDI), change in individual TDI olfaction scores, and change in subjective olfaction via a visual analog scale.

resultsA total of 35 patients were recruited and 26 completed the study. PRP treatment resulted in a 3.67-point (95% CI: 0.05-7.29, p = 0.047) greater improvement in olfaction compared with the placebo group at 3 months and a higher response rate (57.1% vs 8.3%, odds ratio 12.5 [95% exact bootstrap confidence interval, 2.2-116.7]). There was a greater improvement in smell discrimination following PRP treatment compared with placebo but no difference in smell identification or threshold. There was no difference in subjective scores between PRP and placebo. No adverse effects were reported.

conclusionOlfactory function following COVID-19 can improve spontaneously after 6 months and can improve to a greater extent with PRP injection. These data build on the promise of PRP to be a safe potential treatment option for patients with COVID-19-related smell loss, and larger-powered studies will help further assess its efficacy.

Indexed as

COVID-19Olfaction DisordersPlatelet-Rich PlasmaAnosmiaHumansSmellanosmiaCOVID-19long COVIDolfactionpersistent olfactory dysfunctionplatelet-rich plasmapost COVID syndromePRPsmell losstherapeutics

Identifiers

PMID36507615
PMCPMC9877663
OpenAlexW4312094880

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.