Skip to main content
Log in

Methods to assess olfaction in pediatric patients: a systematic review from the international YO-IFOS study group

  • Review Article
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

Olfaction is an important sense in children, but its measurement is usually disregarded or neglected. There has been increasing interest in olfaction in recent years, and many olfaction assessment tests have been developed to assess pediatric patients. In this systematic review, we identify and compare different olfaction assessment tests used in the pediatric population

Data sources

Pubmed (Medline), the Cochrane Library, EMBASE and Trip Database.

Review methods

The main outcome was review of the tests used to assess olfaction. The secondary outcomes were review of differences between tests regarding sex, age, exercises and odorants.

Results

A total of 18 articles fulfilled the established inclusion criteria.

Conclusions

Olfaction assessment in children should combine different methods of evaluation, and not rely only on identification tasks. There are still many questions to answer. There is a great need for a specific test for children under 5 years old. Also, there is not a real cutoff value to define hyposmia yet; real cutoff values and values adapted to children’s development are keenly needed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Santos DV, Reiter ER, DiNardo LJ, Costanzo RM (2004) Hazardous events associated with impaired olfactory function. Arch Otolaryngol Head Neck Surg 130(3):317–319

    PubMed  Google Scholar 

  2. Croy I, Nordin S, Hummel T (2014) Olfactory disorders and quality of life—an updated review. Chem Senses 39(3):185–194

    PubMed  Google Scholar 

  3. Ruijschop RMAJ, Boelrijk AEM, de Graaf C, Westerterp-Plantenga MS (2009) Retronasal aroma release and satiation: a review. J Agric Food Chem 57(21):9888–9894

    CAS  PubMed  Google Scholar 

  4. Mattes RD, Cowart BJ, Schiavo MA, Arnold C, Garrison B, Kare MR et al (1990) Dietary evaluation of patients with smell and/or taste disorders. Am J Clin Nutr 51(2):233–240

    CAS  PubMed  Google Scholar 

  5. Brämerson A, Johansson L, Ek L, Nordin S, Bende M (2004) Prevalence of olfactory dysfunction: the Skövde population-based study. Laryngoscope 114(4):733–737

    PubMed  Google Scholar 

  6. Deems DA, Doty RL, Settle RG, Moore-Gillon V, Shaman P, Mester AF et al (1991) Smell and taste disorders, a study of 750 patients from the University of Pennsylvania Smell and Taste Center. Arch Otolaryngol Head Neck Surg 117(5):519–528

    CAS  PubMed  Google Scholar 

  7. Schriever VA, Agosin E, Altundag A, Avni H, Van Cao H, Cornejo C et al (2018) Development of an international odor identification test for children: the universal sniff test. J Pediatr 198:265–272

    PubMed  Google Scholar 

  8. Richman RA, Wallace K, Sheehe PR (1995) Assessment of an abbreviated odorant identification task for children: a rapid screening device for schools and clinics. Acta Paediatr Oslo Nor 1992 84(4):434–437

    CAS  Google Scholar 

  9. Ottaviano G, Scadding GK, Scarpa B, Accordi D, Staffieri A, Lund VJ (2012) Unilateral peak nasal inspiratory flow, normal values in adult population. Rhinology 50(4):386–392

    PubMed  Google Scholar 

  10. Doty RL, Mishra A (2001) Olfaction and its alteration by nasal obstruction, rhinitis, and rhinosinusitis. Laryngoscope 111(3):409–423

    CAS  PubMed  Google Scholar 

  11. Schriever VA, Studt F, Smitka M, Grosser K, Hummel T (2014) Olfactory function after mild head injury in children. Chem Senses 39(4):343–347

    PubMed  Google Scholar 

  12. Altundag A, Salihoglu M, Cayonu M, Tekeli H (2014) Clinical assessment of olfactory functions in children who underwent adenotonsillectomy during pre- and post-operative period. Int J Pediatr Otorhinolaryngol 78(7):1138–1142

    PubMed  Google Scholar 

  13. Mueller CA, Quint C, Gulesserian T, Temmel AFP, Hummel T (2007) Olfactory function in children with cystic fibrosis. Acta Paediatr Oslo Nor 1992 96(1):148–149

    Google Scholar 

  14. Bennetto L, Kuschner ES, Hyman SL (2007) Olfaction and taste processing in autism. Biol Psychiatry 62(9):1015–1021

    PubMed  PubMed Central  Google Scholar 

  15. Karsz FR, Vance A, Anderson VA, Brann PG, Wood SJ, Pantelis C et al (2008) Olfactory impairments in child attention-deficit/hyperactivity disorder. J Clin Psychiatry 69(9):1462–1468

    PubMed  Google Scholar 

  16. Roberts MA, Simcox AF (1996) Assessing olfaction following pediatric traumatic brain injury. Appl Neuropsychol 3(2):86–88

    CAS  PubMed  Google Scholar 

  17. Richman RA, Sheehe PR, McCanty T, Vespasiano M, Post EM, Guzi S et al (1988) Olfactory deficits in boys with cleft palate. Pediatrics 82(6):840–844

    CAS  PubMed  Google Scholar 

  18. Hugh SC, Siu J, Hummel T, Forte V, Campisi P, Papsin BC et al (2015) Olfactory testing in children using objective tools: comparison of Sniffin’ sticks and University of Pennsylvania Smell Identification Test (UPSIT). J Otolaryngol Head Neck Surg 1(44):10

    Google Scholar 

  19. Chen G, Pan H, Li L, Wang J, Zhang D, Wu Z (2018) Olfactory assessment in the Chinese pediatric population. Medicine (Baltimore) 97(16):e0464

    Google Scholar 

  20. Doty RL, McKeown DA, Lee WW, Shaman P (1995) A study of the test-retest reliability of ten olfactory tests. Chem Senses 20(6):645–656

    CAS  PubMed  Google Scholar 

  21. Richman RA, Post EM, Sheehe PR, Wright HN (1992) Olfactory performance during childhood. I. Development of an odorant identification test for children. J Pediatr 121(6):908–911

    CAS  PubMed  Google Scholar 

  22. Lehrner JP, Glück J, Laska M (1999) Odor identification, consistency of label use, olfactory threshold and their relationships to odor memory over the human lifespan. Chem Senses 24(3):337–436

    CAS  PubMed  Google Scholar 

  23. Laing DG, Segovia C, Fark T, Laing ON, Jinks AL, Nikolaus J et al (2008) Tests for screening olfactory and gustatory function in school-age children. Otolaryngol Head Neck Surg 139(1):74–82

    PubMed  Google Scholar 

  24. Cavazzana A, Wesarg C, Schriever VA, Hummel T, Lundström JN, Parma V (2017) A cross-cultural adaptation of the Sniffin’ sticks olfactory identification test for US children. Chem Senses 42(2):133–140

    PubMed  Google Scholar 

  25. Schriever VA, Mori E, Petters W, Boerner C, Smitka M, Hummel T (2014) The, “Sniffin’’ Kids test—a 14-item odor identification test for children. PLoS ONE 9(6):e101086

    PubMed  PubMed Central  Google Scholar 

  26. Richman RA, Sheehe PR, Wallace K, Hyde JM, Coplan J (1995) Olfactory performance during childhood. II. Developing a discrimination task for children. J Pediatr 127(3):421–426

    CAS  PubMed  Google Scholar 

  27. Dalton P, Doty RL, Murphy C, Frank R, Hoffman HJ, Maute C et al (2013) Olfactory assessment using the NIH Toolbox. Neurology 80(11 Suppl 3):S32–36

    PubMed  PubMed Central  Google Scholar 

  28. Gellrich J, Stetzler C, Oleszkiewicz A, Hummel T, Schriever VA (2017) Olfactory threshold and odor discrimination ability in children—evaluation of a modified “Sniffin’’ sticks test. Sci Rep 7(1):1928

    PubMed  PubMed Central  Google Scholar 

  29. van Spronsen E, Ebbens FA, Fokkens WJ (2013) Olfactory function in healthy children: normative data for odor identification. Am J Rhinol Allergy 27(3):197–201

    PubMed  Google Scholar 

  30. Hummel T, Bensafi M, Nikolaus J, Knecht M, Laing DG, Schaal B (2007) Olfactory function in children assessed with psychophysical and electrophysiological techniques. Behav Brain Res 180(2):133–138

    PubMed  Google Scholar 

  31. Cameron EL, Doty RL (2013) Odor identification testing in children and young adults using the smell wheel. Int J Pediatr Otorhinolaryngol 77(3):346–350

    PubMed  Google Scholar 

  32. Dżaman K, Zielnik-Jurkiewicz B, Jurkiewicz D, Molińska-Glura M (2013) Test for screening olfactory function in children. Int J Pediatr Otorhinolaryngol 77(3):418–423

    PubMed  Google Scholar 

  33. Davidson TM, Freed C, Healy MP, Murphy C (1998) Rapid clinical evaluation of anosmia in children: the alcohol sniff test. Ann N Y Acad Sci 30(855):787–792

    Google Scholar 

  34. Monnery-Patris S, Rouby C, Nicklaus S, Issanchou S (2009) Development of olfactory ability in children: sensitivity and identification. Dev Psychobiol 51(3):268–276

    CAS  PubMed  Google Scholar 

  35. Aksoy C, Elsürer Ç, Artaç H, Bozkurt MK (2018) Evaluation of olfactory function in children with seasonal allergic rhinitis and its correlation with acoustic rhinometry. Int J Pediatr Otorhinolaryngol 113:188–191

    PubMed  Google Scholar 

  36. Thomas-Danguin T, Rouby C, Sicard G, Vigouroux M, Farget V, Johanson A et al (2003) Development of the ETOC: a European test of olfactory capabilities. Rhinology 41(3):142–151

    PubMed  Google Scholar 

  37. Engen T (1970) Remembering odors and their names. Am Sci 1(75):497–503

    Google Scholar 

  38. Frank RA, Dulay MF, Niergarth KA, Gesteland RC (2004) A comparison of the sniff magnitude test and the University of Pennsylvania Smell Identification Test in children and nonnative English speakers. Physiol Behav 81(3):475–480

    CAS  PubMed  Google Scholar 

  39. Walliczek-Dworschak U, Pellegrino R, Lee S, Hummel C, Hähner A, Hummel T (2016) Olfactory performance can be influenced by the presentation order, background noise, and positive concurrent feedback. Chem Senses 41(8):697–701

    PubMed  Google Scholar 

  40. Hummel T, Kobal G, Gudziol H, Mackay-Sim A (2007) Normative data for the “Sniffin’’ Sticks including tests of odor identification, odor discrimination, and olfactory thresholds: an upgrade based on a group of more than 3,000 subjects. Eur Arch Oto-Rhino-Laryngol 264(3):237–243

    CAS  Google Scholar 

  41. Negoias S, Troeger C, Rombaux P, Halewyck S, Hummel T (2010) Number of descriptors in cued odor identification tests. Arch Otolaryngol Head Neck Surg 136(3):296–300

    PubMed  Google Scholar 

  42. Gellrich J, Sparing-Paschke L-M, Thieme T, Schwabe K, Dworschak A, Hummel T et al (2019) Normative data for olfactory threshold and odor identification in children and adolescents. Int J Pediatr Otorhinolaryngol 123:5–9

    PubMed  Google Scholar 

  43. Larsson M, Lövdén M, Nilsson L-G (2003) Sex differences in recollective experience for olfactory and verbal information. Acta Psychol (Amst) 112(1):89–103

    Google Scholar 

  44. Schaal B, Hummel T, Soussignan R (2004) Olfaction in the fetal and premature infant: functional status and clinical implications. Clin Perinatol 31(2):261–285

    PubMed  Google Scholar 

  45. Dalton P, Mennella JA, Maute C, Castor SM, Silva-Garcia A, Slotkin J et al (2011) Development of a test to evaluate olfactory function in a pediatric population. Laryngoscope 121(9):1843–1850

    PubMed  PubMed Central  Google Scholar 

Download references

Funding

There is no financial support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christian Calvo-Henríquez.

Ethics declarations

Conflict of interest

This work is part of the research completed by Christian Calvo-Henriquez, MD, to obtain a PhD degree.

Human right statement

It is a review. There were no human participants or animals involved in the research. There was no need for informed consent.

Informed consent

There was no need for informed consent.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Calvo-Henríquez, C., Chiesa-Estomba, C., Martinez-Capoccioni, G. et al. Methods to assess olfaction in pediatric patients: a systematic review from the international YO-IFOS study group. Eur Arch Otorhinolaryngol 277, 313–321 (2020). https://doi.org/10.1007/s00405-019-05705-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-019-05705-0

Keywords

Navigation