Smell disorders evaluation

Changes or loss of smell (hyposmia/anosmia) can significantly affect quality of life, appetite and safety. Smell disorders may result from infections, nasal obstruction, allergies, head injury, neurological conditions or ageing. Our clinic provides comprehensive assessment to identify causes and offer targeted treatment or supportive strategies.

Assessment & Services Offered

We provide a structured evaluation and management plan for smell disorders, including:

  • Detailed History & Clinical Examination: Thorough review of onset, progression, associated nasal symptoms, medications and systemic factors.

  • Nasal Endoscopy: Endoscopic examination to assess for obstruction, polyps, inflammation or sinonasal disease.

  • Olfactory Testing: Standardised smell identification or threshold tests to quantify smell function and monitor progress.

  • Imaging & Specialist Referral: CT or MRI when indicated to evaluate sinus anatomy or central causes; referral to neurology or ENT as needed.

  • Medical Management: Treatment of underlying causes such as nasal/sinus disease, allergy control, or modification of offending medications.

  • Olfactory Training & Supportive Therapies: Evidence-based smell training exercises and counselling to maximise recovery and coping strategies.

When to Seek Evaluation

Consider assessment if you experience:

  • Sudden or progressive loss of smell

  • Distorted smell perception (parosmia) or phantom smells (phantosmia)

  • Persistent nasal obstruction, discharge or facial sinus symptoms

  • Associated head injury, recent upper respiratory infection, or neurological symptoms

Common causes include post-viral olfactory loss, chronic rhinosinusitis with or without polyps, allergic rhinitis, head trauma, neurodegenerative conditions and medication effects. A precise diagnosis guides the best management approach.

Management & Long-term Care

Treatment and rehabilitation strategies may include:

  • Treating nasal or sinus disease with medical therapy or surgery when indicated

  • Structured olfactory training using recognised scent protocols to improve recovery

  • Addressing contributing factors such as smoking cessation, medication review and nasal hygiene

  • Ongoing follow-up to monitor improvement and provide supportive counselling for safety and nutrition

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