Characteristics of the Anosmic Post-COVID-19 Olfactory Mucosa
Study Details
Study Description
Brief Summary
The present study aims to describe the structural tissue and cell characteristics of the olfactory mucosa in patients with persistent anosmia (≥2 years) due to COVID-19 or head-trauma, in comparison to healthy individuals with intact olfactory function. In order to avoid possible age-related degenerative changes in the neuro-epithelium, both patients and controls are between 25 and 35 years of age.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Control
|
|
COVID-19 related anosmia
|
|
Head-trauma related anosmia
|
Outcome Measures
Primary Outcome Measures
- Histological evaluation [2023]
- Immunohistochemical evaluation [2023]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Legally competent to vouch for their own study participation.
-
Informed and written consent for participation in this study.
-
Study group 1 (Post-COVID anosmia)
-
Diagnosed with persistent anosmia for approximately two years concurring with positive SARS-CoV-2 PCR-test between 2019 and 2020.
-
Sniffin'sticks test with a threshold-discrimination-identification-score(TDI)≤16
-
Between 25 and 35 years of age.
Study group 2 (Post-trauma anosmia)
-
Diagnosed with persistent anosmia for approximately two years concurring with head trauma.
-
Sniffin'sticks test with a threshold-discrimination-identification-score(TDI)≤16
-
Between 25 and 35 years of age.
Study group 3 (Controls):
-
Between 25 and 35 years of age.
-
Undergoing reposition of a nasal fracture in general anaesthesia
Exclusion Criteria:
-
<25 years of age.
-
35 years of age.
-
Chronic rhinosinusitis with/without polyps.
-
Nasal cancer.
-
Presence of viral or bacterial rhinosinusitis.
-
Uncontrolled allergic rhinosinusitis.
-
Coagulation deficiencies, e.g. haemophilia.
-
Use of anticoagulants.
-
Not able to undergo general anaesthesia.
-
Pregnancy.
-
Any use of nasal detumescence drugs ≤2 weeks before biopsy.
-
Any use of nasal steroids ≤3 months before biopsy.
-
Use of nasal inhaled recreational drugs ≤3 month before biopsy.
-
Participants not able to communicate in Danish or English.
-
Major Depression Inventory (MDI) score ≥27 [49, 50]
-
Mini Mental State Examination (MMSE) score ≤ 26 [51]
-
Study group 1 (Post-COVID anosmia)
-
Anosmia for less than two years or more than two and a half years.
-
No positive SARS-CoV-2 PCR-test concurring with olfactory dysfunction.
-
History of olfactory dysfunction before COVID-19 infection.
- Study group 2 (Post-trauma anosmia)
-
Anosmia for less than two years or more than approximately two-three years.
-
Anosmia without concurring with head trauma
-
History of prior olfactory dysfunction before head trauma.
- Study group 3 (Controls) 1. Known olfactory dysfunction.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Nicolai Nielsen
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1-10-72-106-22