Olfactory Dysfunction is not a Determinant Of Patient‐Reported Chronic Rhinosinusitis Disease Control

Objectives/Hypothesis As a cardinal symptom of chronic rhinosinusitis (CRS), hyposmia has been recommended to be assessed as a component of CRS disease control. Herein we determine the significance of hyposmia in CRS in the context of nasal obstruction and drainage symptoms. Study Design Prospective, cross‐sectional Methods Cross‐sectional study of 308 CRS patients (102 CRSwNP, 206 CRSsNP) without prior endoscopic sinus surgery. The burden of nasal obstruction and hyposmia were assessed using the corresponding item scores on the 22‐item Sinonasal Outcome Test (SNOT‐22). Burden of nasal discharge was assessed using the mean of “thick nasal discharge” and “thick post‐nasal discharge” SNOT‐22 item scores. Patients were all asked to rate their CRS symptom control as “not at all,” “a little,” “somewhat,” “very,” or “completely.” Results In CRSwNP, only 4.9% had a hyposmia score > 1 with nasal obstruction and drainage scores less than or equal to 1. In CRSsNP, only 1.9% had a hyposmia score > 1 with nasal obstruction and drainage scores less than or equal to 1. On univariate association, CRS symptom control was significantly associated with nasal obstruction, hyposmia, and drainage in both CRSwNP and CRSsNP (P