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Diagnostik bei Riechstörungen

Diagnosis of olfactory disorders

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Zusammenfassung

Die Messung der olfaktorischen Funktion bzw. die Ursachendiagnostik von Riechstörungen ist neben der strukturierten Anamnese von klinischer Bedeutung. Hierfür stehen mehrere etablierte Testmethoden zur Verfügung. Einfach und ohne großen technischen Auffand ist die Anwendung der Sniffin’-Sticks-Testbatterie zur Erfassung der Riechfunktion. Die Ableitung olfaktorisch ereigniskorrelierter Potenziale stellt eine objektivierende Methode dar, die besonders bei medikolegaler Fragestellung eine wichtige Rolle spielt. Mittels bildgebender Technik, MRT und CT, wird eine weiterführende Diagnostik der Riechstörungen durchgeführt. Hierbei können die anatomischen Strukturen des Schädels und des Gehirns mit den relevanten olfaktorischen Arealen beurteilt werden.

Abstract

Alongside a structured case history, the measurement of olfactory function and diagnosis of olfactory dysfunction is of great clinical importance. Validated and established methods have been developed to this aim. The “Sniffin’ Sticks” test battery is an easy-to-use tool for assessing olfactory function. Recording of olfactory event-related potentials is a more objective approach, which is particularly important in medicolegal cases. Imaging techniques such as MRI and CT provide additional information in the diagnosis of olfactory disorders. The latter techniques enable the anatomical structures of the skull and brain with the areas relevant to olfactory function to be evaluated.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. V.A. Schriever, N. Abolmaali und A. Welge-Lüssen geben an, dass kein Interessenkonflikt besteht.

Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben. Im Falle von nicht mündigen Patienten liegt die Einwilligung eines Erziehungsberechtigen oder des gesetzlich bestellten Betreuers vor.

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Authors and Affiliations

  1. Klinik und Poliklinik für Kinder und Jugendmedizin, Abteilung Neuropädiatrie, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland

    V.A. Schriever

  2. Klinik für Radiologie, Krankenhaus Dresden-Friedrichstadt, Dresden, Deutschland

    N. Abolmaali

  3. Hals-Nasen-Ohren-Klinik, Universitätsspital Basel, Basel, Schweiz

    A. Welge-Lüssen

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  1. V.A. Schriever
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  2. N. Abolmaali
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  3. A. Welge-Lüssen
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Correspondence to V.A. Schriever.

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Schriever, V., Abolmaali, N. & Welge-Lüssen, A. Diagnostik bei Riechstörungen. HNO 62, 853–859 (2014). https://doi.org/10.1007/s00106-014-2932-3

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  • DOI: https://doi.org/10.1007/s00106-014-2932-3

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