Chemosensory decrease in different forms of olfactory dysfunction.

The aim of this study is to investigate the effect of olfactory dysfunction (OD) on the two other chemical senses, namely gustation and the intranasal trigeminal system. Taste and trigeminal function were analyzed in a retrospective cross-sectional study of 178 participants with OD (n = 78 posttraumatic, n = 42 idiopathic, n = 27 post-infectious and n = 31 chronic rhinosinusitis (CRS) OD). All patients had been investigated for OD at our smell and taste outpatient clinic. Evaluation of olfaction was performed by means of the Sniffin' Sticks test (odor threshold, odor discrimination and odor identification), whereas gustatory function was assessed with the Taste Strips test and the intranasal trigeminal sensitivity by means of the lateralization task. The degree of olfactory impairment was found to depend on the cause of OD, but not on patients' age. Patients with posttraumatic OD showed lower olfactory function than patients with idiopathic, post-infectious and CRS OD (p = 0.01). Gustatory and trigeminal sensitivity in turn depended on age rather than the cause of olfactory dysfunction. Partial correlations between olfactory, gustatory, and trigeminal scores, with age as covariate, were significant, showing a decrease of taste and trigeminal function proportional to the OD (p < 0.05). The present data suggest that the three chemical senses are closely connected for humans underlining that in case of OD the remaining chemical senses (taste, trigeminal function) tend to decrease rather than compensate as this is seen for sensory loss in other modalities. This finding has direct clinical implications and importance when dealing with smell and taste disorders.

Can the Identification of Odorants Within a Mixture Be Trained?

Identifying odors within mixtures is a difficult task: humans are able to recognize only up to 4 odors within a mixture. We wanted to test the effects of olfactory training on this ability. We used 7 odorants to create 35 olfactory stimuli of 1, 2, 3, 4, or 5 odorants. The task consisted of identifying the odorants present within the mixture. We trained novices on this task for 5 days: they came to the laboratory to perform the task once a day before coming back for the final testing. Then, we compared them to sommeliers, thus olfaction experts, and untrained novices. Results showed that sommeliers outperformed the other groups with mixtures of up to 4 odorants but not with mixtures of 5 odorants. The short olfactory training allowed trained participants to perform as well as sommeliers when it came to identifying single odorants but was not enough to improve their performance when stimuli were mixtures of 2 or more odorants. This study supports the idea that the number of odors we can recognize within a mixture is limited but suggests training can improve the performance: a short olfactory training is enough to enhance the ability to identify single odorants, whereas expertise refines identification ability of mixtures of up to 4 odorants.