Evidence map›Paper›PMID 36209486›Full record

ReviewEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2023

Pathogenesis and progression of anosmia and dysgeusia during the COVID-19 pandemic.

Hari N Krishnakumar, David A Momtaz, Anusha Sherwani, Aum Mhapankar, Rishi K Gonuguntla, Ariana Maleki, Adam Abbas, Abdullah N Ghali, Ayham Al Afif

Abstract readReview
In one paragraph

Review in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Symptoms and Otorhinolaryngological Sequalae in Long Covid.International archives of otorhinolaryngology · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Characteristics of Oral Adverse Effects following COVID-19 Vaccination and Similarities with Oral Symptoms in COVID-19 Patients: Taste and Saliva Secretory Disorders.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
    Review
  11. Article
  12. Review
  13. Japanese nationwide survey to track the impact of long COVID over 3 years.Environmental health and preventive medicine · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hari N KrishnakumarLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78249, USA. Krishnakumah@livemail.uthscsa.edu.ORCID http://orcid.org/0000-0002-0872-0366
David A MomtazLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78249, USA.
Anusha SherwaniLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78249, USA.
Aum MhapankarLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78249, USA.
Rishi K GonuguntlaLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78249, USA.
Ariana MalekiLong School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78249, USA.
Adam AbbasDepartment of Otolaryngology - Head and Neck Surgery, Jacobs School of Medicine, Buffalo, NY, 14226, USA.
Abdullah N GhaliDepartment of Orthopedics, Baylor College of Medicine, Houston, TX, USA.
Ayham Al AfifRoswell Park Comprehensive Cancer Center, Department of Head and Neck, Plastic and Reconstructive Surgery, Buffalo, NY, 14203, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is the causative agent of COVID-19 which was detected in late 2019 in Wuhan, China. As of September 2022, there have been over 612 million confirmed cases of COVID-19 with over 6.5 million associated deaths. In many cases, anosmia and dysgeusia have been identified as primary symptoms of COVID-19 infection in patients. While the loss of smell (anosmia) and loss of taste (dysgeusia) due to COVID-19 infection is transient in most patients, many report that these symptoms persist following recovery. Understanding the pathogenesis of these symptoms is paramount to early treatment of the infection. We conducted a literature review of Google Scholar and PubMed to find and analyze studies discussing anosmia and dysgeusia in the context of COVID-19 to understand the progression and management of these symptoms. The mechanism for dysgeusia is largely unknown; however, pathogenesis of anosmia includes inflammation and cytokine release resulting from the infection that alters neuronal signaling, thus inducing the loss of smell that patients experience. Anosmia may be managed and potentially resolved sooner with a combination therapy of olfactory training and budesonide irrigation of the nasal cavity. It is important to note that the variants of SARS-CoV-2 are genetically distinguished from the original virion due to a mutation in their spike proteins, giving them a different symptom profile regarding anosmia and dysgeusia. This variability in symptomatology is an area of study that needs to be further explored.

Indexed as

COVID-19Olfaction DisordersAnosmiaDysgeusiaHumansPandemicsSARS-CoV-2AnosmiaCOVID19Dysgeusia

Identifiers

PMID36209486
PMCPMC9548302

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.