Evidence map›Paper›PMID 37786364›Full record

Trial reportAmerican journal of rhinology & allergy2023

Intra Nasal Use of Ethylene Diamine Tetra Acetic Acid for Improving Olfactory Dysfunction Post COVID-19.

Mohamed H Abdelazim, Zeyad Mandour, Ahmed H Abdelazim, Wael F Ismaiel, Mohammed Gamal, Mohammed A S Abourehab, Saleh Alghamdi, Mohamed A Alghamdi, Rehab R Alrugi, Rawan R Alharthi

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of rhinology & allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Comparison Between Intranasal Insulin Films Alone and Combined Intranasal Insulin Plus Steroid Films for Post Viral Olfactory Dysfunction.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
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

10 authors at 6 institutions in 2 countries.

Mohamed H AbdelazimDepartment of Otolaryngology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Zeyad MandourDepartment of Otolaryngology, Alexandria University, Alexandria, Egypt.
Ahmed H AbdelazimPharmaceutical Analytical Chemistry Department, Faculty of Pharmacy, Al-Azhar University, Cairo, Egypt.ORCID 0000-0002-8907-3497
Wael F IsmaielDepartment of Otolaryngology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Mohammed GamalPharmaceutical Analytical Chemistry Department, Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt.
Mohammed A S AbourehabDepartment of Pharmaceutics, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Saleh AlghamdiDepartment of Clinical Pharmacy, Faculty of Clinical Pharmacy, Al Baha University, Al Baha, Saudi Arabia.
Mohamed A AlghamdiDepartment of Surgery, Division of Otolaryngology, Faculty of Medicine, Al Baha University, Al Baha City, Saudi Arabia.
Rehab R AlrugiPharm D student, College of Pharmacy, Shaqra University, Shaqra, Saudi Arabia.
Rawan R AlharthiDepartment of Pharmacy, Dawadmi General Hospital, Dawadmi, Saudi Arabia.
Al-Azhar University · EGAl Baha University · SAAlexandria University · EGBeni-Suef University · EGShaqra University · SAUmm al-Qura University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has been associated with olfactory dysfunction in many infected patients. The rise of calcium levels in the nasal secretions plays an essential role in the olfaction process with a desensitization effect on the olfactory receptor neurons and a negative impact on the olfaction transmission. Ethylene diamine tetra acetic acid (EDTA) is a chelating agent that can bind free calcium in the nasal secretions, thereby reducing the adverse effects of calcium on olfactory function.

objectivesThe objective of this work is to demonstrate the effect of intranasal EDTA on improving olfactory dysfunction following COVID-19.

methodsFifty patients with a history of COVID-19 and olfactory dysfunction that persisted for more than 6 months were enrolled in the current prospective randomized clinical trial. Participants were randomized into 2 equal groups. Twenty-five patients were treated with olfactory training only, while the remaining 25 patients received treatment with olfactory training and a topical nasal spray of ethylene diamine tetra acetic acid. The olfactory function was assessed before treatment and 3 months later using the Sniffin' Sticks test. Additionally, the determination of calcium level in the nasal secretions was performed using an ion-selective electrode before treatment and 3 months later.

resultsEighty-eight percent of the patients treated with olfactory training in addition to EDTA exhibited clinical improvement, while 60% showed improvement in patients treated with olfactory training only. Furthermore, a significant decrease in the measured calcium level in the nasal secretions was demonstrated after the use of ethylene diamine tetra compared to patients treated with olfactory training only.

conclusionEthylene diamine tetra acetic acid may be associated with an improvement of the olfactory function post-COVID-19.

Indexed as

COVID-19Olfaction DisordersAcetic AcidCalciumEdetic AcidEthylenesHumansSmellAcetic AcidCalciumEdetic AcidEthylenesanosmiacalciumchelating agentCOVID-19EDTAhyposmiaolfactory dysfunctionrandomizedSniffin’ stickssodium chloride

Identifiers

PMID37786364
PMCPMC10293862
OpenAlexW4381982787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.