ArticleEuropean 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 Surgery2026
Smell and taste dysfunction after total laryngectomy: A cross-sectional study comparing patient and physician perspectives.
Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTotal laryngectomy disrupts nasal airflow, often resulting in significant olfactory and gustatory dysfunction. While these sensory losses may adversely affect patients' quality of life and psychological well-being, they typically receive less clinical attention compared to voice and pulmonary complications. This study aims to evaluate the extent of smell and taste dysfunction after total laryngectomy and to compare the perceptions of these impairments between patients and otolaryngologists.
methodsA structured survey was conducted with 32 patients who had undergone total laryngectomy and 47 otolaryngologists. Both groups responded to items on sensory dysfunction, its effects on daily and psychological well-being, clinical attention to these symptoms, and openness to rehabilitation.
resultsPatients reported notable taste and smell impairments affecting daily life and emotions, yet physicians frequently underestimated these sensory issues. No statistically significant correlation was found between patient and physician responses regarding the perceived severity or psychological impact of sensory loss (p > 0.05). In contrast, a significant correlation (p < 0.05) between patients' willingness to use an assistive device and the physicians' readiness to recommend it.
conclusionTaste and smell loss post-laryngectomy remains underrecognized in clinical practice. Greater clinical awareness and early rehabilitative support are needed.
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