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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can I Treat And Potentially Regenerate My Olfactory Nerve After A Minor Brain Injury?

I had a minor brain injury which damaged my olfactory nerve. I now have a loss of smell & taste...my MRI results had this listed as one of the findings: minimal paranasal sinus disease and trace bilateral mastoid effusions. My question is...how would you treat this & what can I do at home to try & regenerate those nerves??
posted on Tue, 6 Feb 2024
Twitter Thu, 16 Oct 2025 Answered on
Twitter Fri, 31 Oct 2025 Last reviewed on
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General & Family Physician 's  Response
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
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How Can I Treat And Potentially Regenerate My Olfactory Nerve After A Minor Brain Injury?

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