POSTER PRESENTATIONS#P1 Poster session I: Chemosensory disorders,models and aging/Central chemosensory circuitsTaste disturbances after tonsillectomy – results of aprospective studyClemens Heiser, Sabine Frey, Karl Hörmann, Boris StuckDepartment of Otorhinolaryngology, Head and Neck Surgery,University Hospital Mannheim Mannheim, GermanyIntroduction: Persistent taste disturbance is a rare complicationafter tonsillectomy. Postoperative dysgeusia has been described incase reports; the number of prospective trials however is limited.The aim of the study was to investigate the frequency, the timecourse, the extent of subjective postoperative taste disorders aftertonsillectomy in adults in a prospective clinical trial. M&M: Since2007, adult patients undergoing tonsillectomy were asked to takepart in the trial. At present, 102 patients (32±12 years, 54% w,46% m) were included. At the day prior to surgery as well as 2weeks, 6 months after tonsillectomy a standardized questionnairewas completed by the patients. The questionnaire addressed a selfassessment of the ability to taste (visual analogue scale) andpotential taste disorders in terms of their quantity, quality, onset,and persistence. Results: To date the results of 2 weeksquestionnaire are available from 71 patients, the 6 monthsquestionnaire from 31. 23 patients (32%) reported taste disordersafter tonsillectomy 2 weeks (postop.). 13 (18%) described a tastedisorder lasting longer than 2 weeks. 5 (16%) experienced tastedisorders that were still present at the 6 month follow up (bittertaste). The subjective assessment of the ability to taste wassignificantly reduced 2 weeks (postop.) (VAS:7,8±1,6to5,7±2,2).Discussion: Subjective taste disorders after tonsillectomy seem tobe more frequent than expected, consisting of subjective hypoandparageusia. A considerable number of patients experiencesubjective taste disorders lasting <strong>for</strong> more than 6 months. A bittertaste was most frequently reported and the overall sense of tasteseems to be reduced. The trial will continue to gain a longerfollow up and a higher number of patients to verify these results#P2 Poster session I: Chemosensory disorders,models and aging/Central chemosensory circuitsLong-term olfactory outcome in patients with mildtraumatic brain injuries (mTBI)Faye Pesenti, Alain Ptito, Jelena DjordjevicMontreal Neurology Institute, McGill University Montreal, QC,CanadaThe incidence of olfactory deficits in patients with TBI has beenrelated to injury severity suggesting that they are uncommon inmild traumatic brain injury (mTBI). Consequently, there are nostudies that have examined the long-term effect of mTBI onolfactory function. We examined olfactory function in a group ofpatients who sustained a concussion at least one year prior totesting and who complained of persistent post-concussionsymptoms (headaches, dizziness, nausea, fatigue, irritability).Their per<strong>for</strong>mance was compared to that of an age- and gendermatchedhealthy control group. None of the subjects withmTBI exhibited olfactory deficits when tested with conventionalolfactory tests (Sniffin’ Sticks Threshold, Discrimination, andIdentification test), but their perception of odor intensity wasimpaired. In general, odors were perceived as less intensecompared to the healthy controls. In contrast, their perception ofodor pleasantness was unremarkable. These preliminary findingssuggest that perceived intensity of suprathreshold odors may beimpaired following mTBI. To our knowledge, we are the first todemonstrate long-standing, albeit subtle, olfactory deficitsfollowing mTBI. Grant Acknowledgement: Supported byRGPIN 335938-08 awarded to JD by NSERC.#P3 Poster session I: Chemosensory disorders,models and aging/Central chemosensory circuitsVolatile biomarkers <strong>for</strong> human melanoma cellsJae Kwak 1 , Hakan Ozdener 1 , Michelle Gallagher 1 , Charles JWysocki 1 , Adam Faranda 1 , Amaka Isamah 1 , Steve SFakharzadeh 2 , Christopher J Miller 2 , George Preti 1,21Monell Chemical Senses Center Philadelphia, PA, USA,2Department of Dermatology, School of Medicine, University ofPennsylvania Philadelphia, PA, USADogs can be trained to localize not only melanoma samples buriedon the skin of healthy subjects, but also the areas with melanomafrom cancer patients. The skin lesions of melanoma and nevi canbe differentiated instrumentally (e.g. by a gas sensor array). Thesestudies suggest that skin tumors produce a different profile ofvolatile organic compounds (VOCs) than normal skin. However,the identity of the compounds distinguishing normal skin frommelanoma is not currently known. We analyzed the VOCsreleased from human melanoma and normal pigmented skincells (melanocytes), cultured in vitro, by employing solid phasemicroextraction (SPME) and gas chromatography/massspectrometry (GC/MS). There are significant, quantitativedifferences in the relative amounts of several compounds thatdistinguish normal melanocytes from melanoma cells as well aseach type of melanoma cells from one other. Thus, monitoringthese VOCs has the potential to be a useful screening tool <strong>for</strong>melanoma. This is currently being tested in melanoma patients.#P4 Poster session I: Chemosensory disorders,models and aging/Central chemosensory circuitsOlfactory function in childhood maltreatment andpost-traumatic stress disorderIlona Croy 1,2 , Julia Schellong 2 , Peter Joraschky 21Universitätsklinikum Carl Gustav Carus Department ofOtorhinolaryngology Dresden, Germany, 2 UniversitätsklinikumCarl Gustav Carus Department of Psychotherapie andPsychosomatic Medicine Dresden, GermanyBackground: Childhood maltreatment (cm) has often beenhypothesized to result in functional changes of amygdalae andorbitofrontal cortex. If such changes exist, we would expect aneffect of these changes on olfactory function in adults with ahistory of cm, because amygdalae and orbitofrontal cortex haveoutstanding importance <strong>for</strong> olfactory processing. Methods: Wecompared 31 depressive women with a history of cm, 28depressive women without cm, and 27 healthy women. ForP O S T E R S<strong>Abstracts</strong> | 27
comprehensive assessment of olfactory function we used the“Sniffin´ Sticks” odor threshold and odor identification test.Furthermore we analyzed chemosensory event related potentialsin response to pleasant and unpleasant olfactory stimuli andtrigeminal activation. Additionally participants answered aquestionnaire <strong>for</strong> current symptoms of posttraumatic stressdisorder (PTSD). Results: Contrary to our hypothesis we foundno significant difference between the cm-group compared to thetwo control groups. However, there was a significant correlationbetween current symptoms of PTSD and olfactory function.Following statistical adjustment <strong>for</strong> depressive symptoms asignificant correlation remained between PTSD symptoms andodor identification, N1 latencies in response to the unpleasanttrigeminal (CO 2 ) and olfactory (H 2 S) stimuli, and N1 amplitudesin response to the same unpleasant stimuli. Conclusions: Theresults indicate a preferred processing of unpleasant stimuli inpatients with PTSD - irrespective of the childhood history - andfit the in<strong>for</strong>mation dissociation theory in PTSD. Because we didnot find changes in olfactory function depending on cm, theinfluence of current psychopathology appears to be of highersignificance to the amygdalae and orbitofrontal function than thechildhood history.#P5 Poster session I: Chemosensory disorders,models and aging/Central chemosensory circuits“Anosmic smell”: Residual olfactory function followinghemispherectomyJelena Djordjevic, Faye Pesenti, Alain PtitoMontreal Neurological Institute, McGill University Montreal,QC, CanadaHemispherectomy is a relatively rare neurosurgical procedure,done to treat intractable epileptic seizures, involving completeremoval or deafferentation of a whole cerebral hemisphere.We examined olfactory function in one subject who underwenthemispherectomy, and compared her per<strong>for</strong>mance to that of ahealthy control volunteer, matched <strong>for</strong> age and gender. DR is a31-year-old right-handed woman whose level of intellectualfunction is in the average range. At age 5, at onset of epilepticseizures, she was diagnosed with Rasmussen’s chronicencephalitis. At age 17, she underwent a right functionalhemispherectomy. We tested olfactory function separately ineach nostril, examining her detection thresholds, qualitydiscrimination, and identification, with Sniffin’ Sticks. In addition,we requested a confidence rating after each response, in order tocompare confidence levels associated with correct versus incorrectresponses. As expected, her olfactory per<strong>for</strong>mance was preservedwith the nostril contralateral to the removed hemisphere. Incontrast, she was considerably impaired when tested ipsilaterally.Notably, while her threshold and discrimination results were atchance, she was still able to identify stimuli, albeit with difficulty.Furthermore, she showed a normal divergence of confidencewithin each task : higher confidence was associated with correctresponses and lower confidence with incorrect ones, and this wasthe case both when tested ipsi- and contralaterally to the lesion.These results demonstrate residual rudimentary olfactory functionipsilaterally to the removed hemisphere, which we call “anosmicsmell” and they parallel the “blindsight” abilities previouslydocumented in this subject. Results are discussed in light of herpostoperative MRI findings.#P6 Poster session I: Chemosensory disorders,models and aging/Central chemosensory circuitsThe perception of malodors: An fMRI study of age and genderrelated differences between pre and post puberty subjectsThomas Hummel 1 , Arianne Baur 1 , Cornelia Hummel 1 ,Anita Chopra 21Smell & Taste Clinic, University of Dresden Medical SchoolDresden, Germany, 2 Unilever Research and Development PortSunlight Wirral, United KingdomAlthough learning, experience and socialisation strongly influencethe individual perception of odors, central nervous processing ofodorous stimuli in different stages of adolescence has to date onlyrarely been studied. In spite of frequent reports about age andgender modulating odor perception, fMRI has scarcely beenapplied to substantiate these differences. In this study, 20 righthanded subjects were grouped according to gender and age (prepuberty: 9 - 12 yrs. and post puberty: 17 20 yrs.) to build fourequally sized samples. By means of fMRI, patterns of cerebralactivation in pre and post puberty girls and boys after nasalstimulation with three malodors were compared(Androstadienone, 2-Methyl-3-Mercaptobutanol and H 2 S).Data analysis did not reveal significant gender differences, butactivation patterns were found to differ between age groups.While pre puberty subjects mainly showed activation of earlierprojection stages of odor processing, namely piri<strong>for</strong>m cortex andamygdala, in post puberty participants, enhanced activation wasrevealed in neocortical areas (insula and medial and inferiorfrontal gyri). This finding may be interpreted in terms ofintegrative aspects of odor processing playing an important role inthe post puberty group. The pattern of enhanced neocorticalactivation could reflect a more advanced stage of social andcognitive development.#P7 Poster session I: Chemosensory disorders,models and aging/Central chemosensory circuitsOdor judgments in first episode and chronicschizophrenia patientsClaudia I. Rupp 1 , Georg Kemmler 1 , Thomas Walch 1 ,Arne W. Scholz 2 , Martina Klimbacher 1 , Theresia Lechner 1 ,Hartmann Hinterhuber 1 , Wolfgang W. Fleischhacker 11Innsbruck Medical University, Department of Psychiatry andPsychotherapy Innsbruck, Austria, 2 Innsbruck Medical University,Department of Otorhinolaryngology Innsbruck, AustriaThere is consistent evidence that schizophrenia patients haveolfactory dysfunction. Impairments in olfactory identification,quality discrimination as well as sensitivity are well described.There has been little investigation of olfactory judgments inschizophrenia, and the few findings are controversial. The aim ofthis study was to determine whether patients experiencing a firstepisodeschizophrenia and patients with chronic schizophreniadiffer in odor judgments. Olfactory judgment measures includedintensity, edibility, familiarity and hedonic ratings. Subjects wereasked to rate edibility, familiarity and hedonic about 16 everydayodors (real-world items) on visual 7-point rating scales. Half ofodors were edible, half not. Olfactory intensity judgments wereper<strong>for</strong>med using the odors from an identification task (Sniffin’Sticks). Unirhinal per<strong>for</strong>mance in olfactory judgments werecompared between young first-episode patients, young patientswith chronic schizophrenia and healthy controls similar in age28 | AChemS <strong>Abstracts</strong> <strong>2009</strong>
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IndexAbaffy, T - 48Abakah, R - P299
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Illig, K - 19, P109Imoto, T - P136I
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Rucker, J - P305Rudenga, K - P315Ru
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AChemS Abstracts 2009 | 135
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Registration7:30 am to 1:00 pm, 6:3
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Notes______________________________
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