Can Treating Sinusitis Restore My Taste and Smell? - Otolaryngology

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Hello, doctor.
I have a question.
I have been suffering from sinusitis for a long time.
I received treatment when I was first diagnosed, but later I heard that sinusitis doesn't really go away, so I sought treatment less frequently, only when the pain became severe.
When I did see a doctor, they didn't recommend follow-up visits.
Recently, I've started to notice a dullness in my sense of taste; I can still smell, but the scents are very faint.
I also feel like there's a lot of phlegm in my throat, but I can't seem to cough it up, and I don't have much of a cough reflex.
My question is, if I continue treatment for sinusitis, will my sense of taste return? Or do I need some other treatment to recover?

jiàn tèlán, 20~29 year old female. Ask Date: 2003/05/17

Dr. Cai Zhenggu reply Otolaryngology


Hello, Gentleman: First, I would like to correct your misconception.
Sinusitis can be treated, and with continued treatment, your sense of taste may recover.
I recommend that you come to my clinic for an examination to confirm your condition and develop a treatment plan.

Reply Date: 2003/05/17

More Info


Treating sinusitis can indeed have a positive impact on your sense of taste and smell. Chronic sinusitis, which is an inflammation of the sinuses that persists for an extended period, can lead to a variety of symptoms, including nasal congestion, facial pain, and alterations in taste and smell. The connection between sinusitis and taste/smell disturbances is primarily due to the close anatomical and physiological relationship between the nasal passages and the olfactory system, which is responsible for our sense of smell.

When the sinuses are inflamed, they can obstruct the nasal passages, leading to a buildup of mucus and pressure. This congestion can hinder the airflow necessary for odor molecules to reach the olfactory receptors located in the upper part of the nasal cavity. Consequently, this can result in a diminished ability to smell (hyposmia) or even a complete loss of smell (anosmia). Since our sense of taste is closely linked to our sense of smell, any impairment in olfactory function can also affect taste perception, making flavors seem muted or altered.

In your case, it sounds like you have been experiencing a prolonged period of sinusitis, which may have contributed to your recent changes in taste. The good news is that with appropriate treatment for sinusitis, there is a strong possibility that your sense of taste and smell can improve. Treatment options for sinusitis may include:
1. Nasal Corticosteroids: These are anti-inflammatory medications that can help reduce swelling in the nasal passages, improving airflow and mucus drainage.

2. Saline Nasal Irrigation: This involves rinsing the nasal passages with a saline solution to help clear out mucus and allergens, which can alleviate congestion.

3. Antibiotics: If a bacterial infection is suspected, antibiotics may be prescribed to help clear the infection.

4. Decongestants: These can help reduce nasal swelling and congestion, making it easier to breathe and allowing odors to reach the olfactory receptors.

5. Surgery: In cases where chronic sinusitis does not respond to medical treatment, surgical options may be considered to improve sinus drainage.

It's important to follow up with an ENT specialist who can evaluate your condition more thoroughly and recommend a tailored treatment plan. They may also perform imaging studies, such as a CT scan, to assess the extent of sinus involvement and rule out any anatomical issues that could be contributing to your symptoms.

In addition to treating sinusitis, it may also be beneficial to consider other factors that could be affecting your taste and smell. Conditions such as allergies, nasal polyps, or even neurological issues can also play a role. If your symptoms persist despite treatment for sinusitis, further evaluation may be necessary.

In summary, continuing treatment for your sinusitis is likely to improve your taste and smell. It is essential to remain proactive about your health and seek regular follow-up care to monitor your progress. With the right approach, many individuals experience significant recovery of their olfactory and gustatory functions after addressing their sinus issues.

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