The study will be conducted to evaluate :The efficacy of Platelet Rich plasma in treatment of smell disorders post severe acuterespiratory syndrome coronavirus 2 (SARS-CoV-2) via the growth factors involved inaccelerating and enhancing healing.
Smell is essential sensory function for good quality of life as its preservation helps in
identifying several harmful odors .
Viral URTIs can lead to olfactory disorders of varying degree and duration 70% of URTI
caused by rhinovirus, adenovirus ,influenza and parainfluanza virus Smell disorders are
divided into two types Quantitative (anosmia and hyposmia) Qualitative (parosmia and
phantosmia) Anosmia is a total loss of smell . hyposmia is a decrease in the sense of
smell. parosmia is a distortion of the smell in presence of an existing stimulus .
Phantosmia (Cacosmia) is distortion of the smell in absence of an existing stimulus
severe acute respiratory syndrome coronavirus2 (SARS-coV-2)which is a global pandemic
started in china 2019 one of respiratory tract infection that affect olfaction and cause
varying types of smell impairment.
Smell disorders seem to be more common in SARS-coV2 than other respiratory infections as
in some patient persist for long time after resolution of respiratory symptoms Current
evidence suggest that olfactory impairment results from propensity of SARS-coV2 for
neuroinvasion and neurotrophic activities .
Majority of patients experience some level of smell impairment most often temporary as
olfactory neuroepithelium has regenerative power .
European study published on 16 July 2020 reported that some patient affected by SARS
-coV2 come solely with olfactory symptoms and most of patient recovered within 2 weeks
,smell not recovered in one quarter of patient 15 Once olfactory dysfunction persists
more than 2 weeks a therapy should be considered to avoid persistent impairment of smell
One of therapies can be used in ttt of smell disorders ( Platelet _rich plasma) PRP is a
process in which a small amount of blood from test subject is separated by special
centrifugation process.
PRP contains many growth factor which have a neuroregenerative feature as well as
therapeutic effect
Biological: platelets rich plasma
local ingection of platelets rich plasma
Inclusion Criteria:
1. patient age above 18 who suffer from anosmia post severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2 more than two weeks
2. Normal airway passage
3. CT Nose and Para nasal sinuses does not show any nasal lesion
Exclusion Criteria:
1. Lesions obstruct airway as nasal polyps, tumors, chronic sinusitis and severe nasal
septum deviation
2. Previous Sino nasal surgery
3. Atrophic rhinitis
4. Diabetic patients and those with medical history of bleeding disorders
5. Recieving any medication affect platelets or bone marrow function for 2 weeks prior
to testing
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aya na hassani, bacalreos
01015582316
yotaaya10@gmail.com
ezzat mo saleh, profesor
01006722404
ezzatsaleh@aun.edu.eg
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