Hello,
Loss of smell (anosmia) after even a minor
brain injury is quite common and distressing. However, there are chances of recovery depends on the extent of
olfactory nerve damage, presence of inflammation or obstruction in nasal passages/sinuses, time since the injury. You are advised saline
nasal irrigation, doing this improves nerve exposer. Warm compresses over the sinuses is helpful.
Nasal corticosteroid sprays reduce inflammation around the olfactory cleft and reduces discomfort. You are advised to take vitamin B, as it supports nerve function, and omega 3 fatty acid rich food or supplements to promote nerve regeneration.
Stay hydrated, take antioxidant-rich diet like berries, leafy greens, etc. Steam inhalation helps open the Eustachian tubes and manages bilateral mastoid effusions.
Valsalva maneuver gently blowing air with nose pinched can help equalize ear pressure and helps mastoid effusions. Get clinically get examined by an ENT (especially one with smell and taste clinic experience). Meet a
neurologist if the MRI shows persistent structural injury. You may need imaging, smell tests, or emerging treatments.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician