Neurosensory Rehabilitation and Olfactory Network Recovery in Covid-19-related Olfactory Dysfunction

Non-conductive olfactory dysfunction (OD) is an important extra-pulmonary manifestation of coronavirus disease 2019 (COVID-19). Olfactory bulb (OB) volume loss and olfactory network functional connectivity (FC) defects were identified in two patients suffering from prolonged COVID-19-related OD. One...

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Main Authors: Tom Wai-Hin Chung, Hui Zhang, Fergus Kai-Chuen Wong, Siddharth Sridhar, Kwok-Hung Chan, Vincent Chi-Chung Cheng, Kwok-Yung Yuen, Ivan Fan-Ngai Hung, Henry Ka-Fung Mak
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/6/686
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author Tom Wai-Hin Chung
Hui Zhang
Fergus Kai-Chuen Wong
Siddharth Sridhar
Kwok-Hung Chan
Vincent Chi-Chung Cheng
Kwok-Yung Yuen
Ivan Fan-Ngai Hung
Henry Ka-Fung Mak
author_facet Tom Wai-Hin Chung
Hui Zhang
Fergus Kai-Chuen Wong
Siddharth Sridhar
Kwok-Hung Chan
Vincent Chi-Chung Cheng
Kwok-Yung Yuen
Ivan Fan-Ngai Hung
Henry Ka-Fung Mak
author_sort Tom Wai-Hin Chung
collection DOAJ
description Non-conductive olfactory dysfunction (OD) is an important extra-pulmonary manifestation of coronavirus disease 2019 (COVID-19). Olfactory bulb (OB) volume loss and olfactory network functional connectivity (FC) defects were identified in two patients suffering from prolonged COVID-19-related OD. One patient received olfactory treatment (OT) by the combination of oral vitamin A and smell training via the novel electronic portable aromatic rehabilitation (EPAR) diffusers. After four-weeks of OT, clinical recuperation of smell was correlated with interval increase of bilateral OB volumes [right: 22.5 mm<sup>3</sup> to 49.5 mm<sup>3</sup> (120%), left: 37.5 mm<sup>3</sup> to 42 mm<sup>3</sup> (12%)] and improvement of mean olfactory FC [0.09 to 0.15 (66.6%)].
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spelling doaj.art-17c07fea04ba4afb81d8c57b957c21382023-11-21T20:59:37ZengMDPI AGBrain Sciences2076-34252021-05-0111668610.3390/brainsci11060686Neurosensory Rehabilitation and Olfactory Network Recovery in Covid-19-related Olfactory DysfunctionTom Wai-Hin Chung0Hui Zhang1Fergus Kai-Chuen Wong2Siddharth Sridhar3Kwok-Hung Chan4Vincent Chi-Chung Cheng5Kwok-Yung Yuen6Ivan Fan-Ngai Hung7Henry Ka-Fung Mak8Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, ChinaDepartment of Diagnostic Radiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, ChinaDepartment of Ear, Nose and Throat Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong, ChinaDepartment of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, ChinaDepartment of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, ChinaDepartment of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, ChinaDepartment of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, ChinaState Key Laboratory of Emerging Infectious Diseases, The University of Hong Kong, Hong Kong, ChinaDepartment of Diagnostic Radiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, ChinaNon-conductive olfactory dysfunction (OD) is an important extra-pulmonary manifestation of coronavirus disease 2019 (COVID-19). Olfactory bulb (OB) volume loss and olfactory network functional connectivity (FC) defects were identified in two patients suffering from prolonged COVID-19-related OD. One patient received olfactory treatment (OT) by the combination of oral vitamin A and smell training via the novel electronic portable aromatic rehabilitation (EPAR) diffusers. After four-weeks of OT, clinical recuperation of smell was correlated with interval increase of bilateral OB volumes [right: 22.5 mm<sup>3</sup> to 49.5 mm<sup>3</sup> (120%), left: 37.5 mm<sup>3</sup> to 42 mm<sup>3</sup> (12%)] and improvement of mean olfactory FC [0.09 to 0.15 (66.6%)].https://www.mdpi.com/2076-3425/11/6/686COVID-19olfactory dysfunctionvitamin Asmell trainingresting-state fMRI
spellingShingle Tom Wai-Hin Chung
Hui Zhang
Fergus Kai-Chuen Wong
Siddharth Sridhar
Kwok-Hung Chan
Vincent Chi-Chung Cheng
Kwok-Yung Yuen
Ivan Fan-Ngai Hung
Henry Ka-Fung Mak
Neurosensory Rehabilitation and Olfactory Network Recovery in Covid-19-related Olfactory Dysfunction
Brain Sciences
COVID-19
olfactory dysfunction
vitamin A
smell training
resting-state fMRI
title Neurosensory Rehabilitation and Olfactory Network Recovery in Covid-19-related Olfactory Dysfunction
title_full Neurosensory Rehabilitation and Olfactory Network Recovery in Covid-19-related Olfactory Dysfunction
title_fullStr Neurosensory Rehabilitation and Olfactory Network Recovery in Covid-19-related Olfactory Dysfunction
title_full_unstemmed Neurosensory Rehabilitation and Olfactory Network Recovery in Covid-19-related Olfactory Dysfunction
title_short Neurosensory Rehabilitation and Olfactory Network Recovery in Covid-19-related Olfactory Dysfunction
title_sort neurosensory rehabilitation and olfactory network recovery in covid 19 related olfactory dysfunction
topic COVID-19
olfactory dysfunction
vitamin A
smell training
resting-state fMRI
url https://www.mdpi.com/2076-3425/11/6/686
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