HomeAnswersOtolaryngology (E.N.T)loss of smellWhen will I get my sense of smell back after chronic sinusitis?

What should I do to regain my sense of smell after sinusitis?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Alok Rathi

Medically reviewed by

iCliniq medical review team

Published At October 20, 2021
Reviewed AtNovember 28, 2023

Patient's Query

Hello doctor,

I have had symptoms of chronic sinusitis. My symptoms were congestion, weak sense of smell, post nasal drip, and severe pain. I have been using Budesonide rinses twice daily and all my symptoms are gone except weak sense of smell. Will my sense of smell come back? Thank you.

Answered by Dr. Alok Rathi

Hi,

Welcome to icliniq.com.

The sense of smell is felt only when the olfactory nerve endings sitting at the top of the nose are accessible and receive aromatic vapors from the air we breathe. In Chronic rhinosinusitis, the anatomical changes in the nose can affect the air reaching the top, which is the reason for the loss of smell. The longer the duration of loss of smell, the longer it takes to get back the sense of smell. Eventually, the sense of smell comes back, but it takes a longer time. I hope I have been able to answer all your queries. Regards.

Patient's Query

Hello doctor,

Thank you for the reply. Is this because the olfactory neurons have been damaged and need to regenerate? I could feel some pressure behind the top of the nose. It is so weak and hard to sense sometimes. Thanks.

Answered by Dr. Alok Rathi

Hi,

Welcome back to icliniq.com.

It is good to see you have reasonable disease control. However, olfactory nerves (responsible for smell) are situated above the ethmoid. If your ethmoidal issues are controlled, then the olfactory nerve endings are open and exposed to air. Once the air reaches there, you get the sense of smell. The longer the nerves have been devoid of their work (sensing smell), the longer the time it takes to get back to normal. Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Alok Rathi
Dr. Alok Rathi

Otolaryngology (E.N.T)

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