Dallas Sinus Center can diagnose the causes of sensory disorders such as smell and taste problems and provide treatment options.
Insight into important senses
How do smell and taste work?
Olfactory (smell nerve) cells are stimulated by the odors around us the fragrance from a rose, the smell of bread baking. These nerve cells are found in a tiny patch of tissue high up in the nose, and they connect directly to the brain.
Gustatory (taste nerve) cells are clustered in the taste buds of the mouth and throat. They react to food or drink mixed with saliva. Many of the small bumps that can be seen on the tongue contain taste buds. These surface cells send taste information to nearby nerve fibers, which send messages to the brain.
Our body’s ability to sense chemicals is another chemosensory mechanism that contributes to our senses of smell and taste. In this system, thousands of free nerve endings especially on the moist surfaces of the eyes, nose, mouth, and throat identify sensations like the sting of ammonia, the coolness of menthol, and the heat of chili peppers.
What causes loss of smell and taste?
Some people are born with a poor sense of smell or taste. Upper respiratory infections are blamed for some losses, and injury to the head can also cause smell or taste problems.
Loss of smell and taste may result from polyps in the nasal or sinus cavities, hormonal disturbances, or dental problems. They can also be caused by prolonged exposure to certain chemicals such as insecticides, and by some medicines.
Tobacco smoking is the most concentrated form of pollution that most people are exposed to. It impairs the ability to identify odors and diminishes the sense of taste. Quitting smoking improves the smell function.
Radiation therapy patients with cancers of the head and neck often complain of lost smell and taste. These senses can also be lost in the course of some diseases of the nervous system.
Patients who have lost their larynx (voice box) commonly complain of poor ability to smell and taste. Laryngectomy patients can use a special bypass tube to breathe through the nose again. The enhanced air flow through the nose helps smell and taste sensations to be re-established.
How are smell and taste loss diagnosed?
Smell Scientists have developed an easily administered scratch-and-sniff test to evaluate the sense of smell.
Taste Patients react to different chemical concentrations in taste testing; this may involve a simple sip, spit, and rinse test, or chemicals may be applied directly to specific areas of the tongue.
Can these disorders be treated?
How do you cope with smell or taste problems?
If you experience problems in smelling or tasting, try to identify and record the circumstances surrounding it. When did you first become aware of it? Did you have a cold or flu then? A head injury? Were you exposed to air pollutants, pollens, danders, or dust to which you might be allergic? Is this a recurring problem? Does it come in any special season, like hayfever time?
Bring all this information with you when you visit a physician who deals with diseases of the nose and throat (an otolaryngologist head and neck surgeon). Proper diagnosis by a trained professional can provide reassurance that your illness is not imaginary. You may even be surprised by the results. For example, what you may think is a taste problem could actually be a smell problem, because much of what you taste is really caused by smell.
Diagnosis may also lead to treatment of an underlying cause for the disturbance. Remember, many types of smell and taste disorders are reversible.
Many flavors are recognized through the sense of smell. If you hold your nose while eating chocolate, for example, you will have trouble identifying the chocolate flavor, even though you can distinguish the food’s sweetness or bitterness. This is because the familiar flavor of chocolate is sensed largely by odor. So is the well known flavor of coffee. This is why a person who wishes to fully savor a delicious flavor (e.g., an expert chef testing his own creation) will exhale through his nose after each swallow.
Taste and smell cells are the only cells in the nervous system that are replaced when they become old
or damaged. Scientists are examining this phenomenon while studying ways to replace other damaged