Olfactory acuity and quality of life after total laryngectomy/Acuidade olfatoria e qualidade de vida apos a laringectomia total

Purpose: to identify the prevalence and factors associated to olfaction disorders and describe the quality of life after total laryngectomy. Methods: cross-sectional study to evaluate the olfactory acuity and quality of life of total laryngectomized patients in the Instituto Nacional de Cancer through the application of The University of Pennsylvania Smell Identification Test, The University of Washington Quality of Life Questionnaire and the Olfactory Acuity Pre-Rehabilitation of Smell Questionnaire. Results: 48 total laryngectomized were evaluated, 39 males and 9 females, mean age of 62 years and mean time of 5,6 years after total laryngectomy. In the smell identification test the mean score was 17,9. According to the classification of smell in the test, most participants had some degree of olfaction disorders, only 2 subjects had their smell considered normal. In the The University of Washington Quality of Life Questionnaire, the composite score was 80.47. The domains that had the lowest scores were taste, saliva and speech. In the Olfactory Acuity Pre-Rehabilitation of Smell Questionnaire, most participants considered their smell bad to reasonable. 21 individuals reported having some degree of difficulty in daily life activities related to olfaction disorders. Conclusion: the total laringectomized patients showed high prevalence of olfaction disorders, with impairments in their daily life activities. KEYWORDS: Laryngectomy; Quality of Life; Smell; Olfaction Disorders Objetivo: identificar a prevalencia e os fatores associados as alteracoes do olfato e descrever a qualidade de vida apos a laringectomia total. Metodos: estudo transversal para avaliar a acuidade olfatoria e a qualidade de vida de laringectomizados totais no Instituto Nacional de Cancer por meio da aplicacao do Teste de Identificacao do Olfato da Universidade da Pensilvania, do Questionario de Qualidade de Vida da Universidade de Washington e do Questionario sobre a Acuidade Olfatoria PreReabilitacao do Olfato. Resultados: foram avaliados 48 laringectomizados totais, sendo 39 do sexo masculino e 9 do sexo feminino, com idade media de 62 anos e tempo medio de 5,6 anos desde a laringectomia total. No Teste de Identificacao do Olfato a pontuacao media foi de 17,9. De acordo com a classificacao do olfato no teste, a maioria dos participantes apresentou algum grau de alteracao, sendo que apenas 2 individuos tiveram o olfato considerado dentro da normalidade. No Questionario de Qualidade de vida