Chez la souris, la puberté de la femelle est accélérée par des phéromones urinaires émises par le mâle (effet Vandenbergh). Les mécanismes neuroendocriniens sous-Jacents et les conséquences comportementales restent peu connus. Par une approche multidisciplinaire alliant immunohistochimie, chromatographie gazeuse couplée à la spectrométrie de masse et chirurgie expérimentale, mon travail de thèse montre que les neurones synthétisant la kisspeptine, un neuropeptide hypothalamique jouant un rôle essentiel dans le contrôle de la puberté, sont régulés positivement par les phéromones accélératrices de la puberté. Les neurones à kisspeptine reçoivent le signal phéromonal via le système olfactif accessoire et le transmettent aux neurones à GnRH. De plus, des analyses comportementales montrent qu’outre leur effet physiologique connu, les phéromones accélératrices de la puberté modifient à long terme le comportement sexuel de la souris femelle. En effet, la préférence de la femelle pour l’odeur du mâle s’exprime plus tôt à l’âge adulte après l’exposition péripubère aux phéromones émises par la souris mâle. / In the mouse, female puberty onset is accelerated by male urinary pheromones (Vandenbergh effect). The neuroendocrine mechanisms underlining this effect and the behavioral consequences are poorly understood. Through a multidisciplinary approach using immunohistochemistry, gas chromatography coupled to mass spectrometry and experimental surgery, my thesis research show that neurons that synthesize kisspeptin, a hypothalamic neuropeptide which plays a master role in the control of puberty onset, are positively regulated by puberty-Accelerating pheromones. Kisspeptin neurons receive pheromone signal via the accessory olfactory system and transmit it to GnRH neurons. Moreover, behavioral analyses show that besides their known physiological effect, puberty-Accelerating pheromones also have long-Term effects on sexual behavior of the female mouse. Indeed, puberty-Accelerating pheromones induce a precocious expression of male-Directed odor preference in adult female mice.

Objective: Decrease of olfactory function in Parkinson's disease (PD) is a well-investigated fact. Studies indicate that pharmacological treatment of PD fails to restore olfactory function in PD patients. The aim of this investigation was whether patients with PD would benefit from “training” with odors in terms of an improvement of their general olfactory function. It has been hypothesized that olfactory training should produce both an improved sensitivity towards the odors used in the training process and an overall increase of olfactory function. Methods: We recruited 70 subjects with PD and olfactory loss into this single-center, prospective, controlled non-blinded study. Thirty-five patients were assigned to the olfactory training group and 35 subjects to the control group (no training). Olfactory training was performed over a period of 12 weeks while patients exposed themselves twice daily to four odors (phenyl ethyl alcohol: rose, eucalyptol: eucalyptus, citronellal: lemon, and eugenol: cloves). Olfactory testing was performed before and after training using the “Sniffin' Sticks” (thresholds for phenyl ethyl alcohol, tests for odor discrimination, and odor identification) in addition to threshold tests for the odors used in the training process. Results: Compared to baseline, trained PD patients experienced a significant increase in their olfactory function, which was observed for the Sniffin' Sticks test score and for thresholds for the odors used in the training process. Olfactory function was unchanged in PD patients who did not perform olfactory training. Conclusion: The present results indicate that olfactory training may increase olfactory sensitivity in PD patients.

Research suggests that olfactory perception of patients with schizophrenia differs from healthy people. In the context of previously conducted research, the present thesis addresses the differences in the abilities of identification and discrimination of odours and assessment of perceived odour qualities (pleasantness, familiarity, intensity, edibility) between patients with schizophrenia or acute and transient psychotic disorders and healthy volunteers, taking into account gender differences; in addition, the differences in the relationship between identification of odours and evaluation of the perceived qualities of odours between patients and healthy persons were explored as well as relationship between the severity of negative symptoms and olfactory perception. In line with other studies, deficits were found in patients in identification and discrimination of odours and in the assessment of odour familiarity compared to healthy subjects, with no gender differences. There were no differences in the relationship between the identification of odours and assessment of the perceived qualities of odours between patients and volunteers, and association of olfactory abilities and the assessment of perceived qualities of odours with the severity of negative symptoms was found only for identification of...

Le trouble de l’odorat est un symptôme fréquent bien connu de la Maladie de Parkinson (MP). Il apparaît plusieurs années avant la possibilité d’un diagnostic de la maladie et son étude est ainsi d’intérêt particulier pour aider au développement d’outils de dépistage précoces et la sélection de candidats pouvant participer à des essais cliniques visant le développement de traitements potentiellement curateurs. Pour ce faire, il est important de différencier un trouble de l’odorat associé à la MP d’autres troubles de l’odorat non reliés à une maladie neurodégénérative (trouble de l’odorat non-parkinsonien : TONP), tels que des troubles de l’odorat liés à une infection virale, à un traumatisme craniocérébral ou des troubles sinu-nasaux. Le système olfactif est plus complexe qu’il ne le semble et est intimement lié au système trigéminal, un système moins bien connu, qui permet, entre autres, la perception de sensations de fraicheur, chaleur et picotement des odeurs. L’interaction entre les systèmes olfactif et trigéminal est complexe et peu connue. La sensibilité trigéminale est typiquement réduite dans le cas d’un système olfactif altéré dans les TONP, mais il n’est pas bien compris comment les deux systèmes interagissent ensemble dans le cas d’un trouble de l’odorat associé à la MP. L’objectif principal de cette thèse visait donc la caractérisation du trouble de l’odorat associé à la MP lorsque spécifiquement comparé à des patients atteints de TONP. Par conséquent, cette thèse avait aussi pour objectif d’apporter une meilleure compréhension de l’interaction entre les systèmes olfactif et trigéminal dans le cas d’un système olfactif fonctionnel et d’un système olfactif altéré dans la MP et d’autres TONP. Nous avons donc d’abord évalué la sensibilité olfactive et trigéminale, sur le plan comportemental (étude 1). Cette première étude a permis d’identifier un patron de réponse spécifique dans la MP avec un système olfactif altéré et un système trigéminal intact,en comparaison à des contrôles, en contraste à une sensibilité trigéminale réduite dans les TONP. Dans le même ordre d’idée, nous avons ensuite évalué la perception des dimensions trigéminales et olfactives de différentes odeurs (étude 2). Nos résultats suggèrent que la perception de sensations trigéminales est intacte chez les patients avec la MP en contraste à la perception de dimensions olfactives qui est réduite, comparativement à des contrôles. Pour mieux comprendre l’interaction entre le système olfactif et trigéminal dans le cas d’un système olfactif fonctionnel, nous avons ensuite évalué l’impact d’un stimulus olfactif sur la capacité à latéraliser un stimulus trigéminal chez des participants contrôles (étude 3). Cette étude a démontré un effet d’amplification de la réponse trigéminale lors d’une co-stimulation olfactive ipsilatérale suggérant ainsi une interaction au niveau de l’épithélium nasal. Afin de mieux comprendre la réponse trigéminale dans la MP, nous avons évalué la sensibilité trigéminale périphérique et centrale en réponse à un stimulus trigéminal pur via des mesures électrophysiologiques (étude 4). Nous avons ainsi démontré une altération spécifique de la réponse trigéminale dans la MP comparativement à d’autres TONP et à des contrôles. Puisque le bulbe olfactif est l’une des premières régions affectées dans la MP, nous avons ensuite mesuré le volume du bulbe olfactif sur des images IRM (étude 5). Nos résultats ont démontré un volume réduit dans la MP et les TONP comparativement à des contrôles, mais aucune différence entre les patients atteints de la MP et de TONP. Néanmoins, l’utilisation de techniques d’apprentissage profond sur les images IRM du bulbe olfactif a permis de différencier les patients avec la MP des TONP avec une exactitude considérable. Enfin, nous avons étudié la connectivité fonctionnelle au sein du réseau chimiosensoriel (étude 6). Nous avons ainsi identifié des altérations spécifiques de la connectivité et la modularité des réseaux entre des régions de traitement olfactif et trigéminal au repos et lors de la réalisation d’une tâche olfactive et d’une tâche trigéminale chez des patients atteints de la MP en comparaison avec des TONP et des contrôles. En conclusion, la série d’études présentée dans cette thèse contribue à une meilleure compréhension du trouble de l’odorat associé à la MP et propose de potentielles pistes pour le différencier d’autres TONP, notamment par la mesure du système trigéminal. Cette thèse apporte une meilleure compréhension de l’interaction entre le système olfactif et trigéminal dans un système olfactif fonctionnel et de son altération dans les troubles olfactifs associés à la MP ou à d’autres TONP. La caractérisation de ce symptôme non-moteur pourra éventuellement aider au développement d’outils de dépistage précoce de la MP. / Olfactory dysfunction is a highly reliable non-motor symptom of Parkinson’s disease (PD) that appears several years before the possibility of a diagnosis of the disease. Hence, its study is of particular interest to help the development of early diagnosis tools and the selection of ideal candidates to participate in clinical trials that aims to test potential neuroprotective treatments. To do so, it is important to differentiate PD-related olfactory dysfunction from other non-neurodegenerative forms of olfactory dysfunctions that can be related to infections, head trauma or sinonasal disease (non-parkinsonian olfactory dysfunction: NPOD). The olfactory system is more complex than it seems and is intimately connected to the trigeminal system, a less well-known system, that allows, amongst others, the perception of sensation of freshness, warmth, and piquancy of odors. The interaction between the olfactory and trigeminal system is complex and not well understood. Trigeminal sensitivity is typically reduced in cases of an impaired olfactory system related to NPOD; however, this is not clear how both systems interact together in PD-related olfactory dysfunction. The main objective of this thesis was to principally characterize PD-related olfactory dysfunction when specifically compared to patients with NPOD. Consequently, this thesis also aimed to bring a better understanding of the interaction between the olfactory and trigeminal system in a fully functional olfactory system as well as in alterations of the olfactory system associated with PD and other NPOD. We have thus first assessed the olfactory and trigeminal sensitivity using behavioral measures (study 1). This study allowed the identification of a specific response pattern in PD patients with an altered olfactory system and an intact trigeminal system, when compared to controls, in contrast to the reduced trigeminal sensitivity observed in NPOD. We then evaluated the perception of trigeminal and olfactory dimensions of different odors (study 2). Our results suggest that the perception of trigeminal sensations is intact in patients with PD in contrast to the perception of olfactory dimensions which is reduced when compared to control participants. To better understand the interaction between the olfactory and trigeminal systems in a functioning olfactory system, we evaluated the impact of an olfactory stimulus on the capacity to lateralize a trigeminal stimulus in healthy participants (study 3). This study has demonstrated an amplification effect of the olfactory system on the trigeminal system particularly during ipsilateral co-stimulation, suggesting an interaction at the level of the olfactory mucosa. To better understand the trigeminal response in PD patients, we further investigated the peripheral and central trigeminal sensitivity in response to a pure trigeminal stimulus by means of electrophysiological measurements (study 4). We thus demonstrated a specific alteration of the trigeminal response in PD patients when specifically compared to patients with NPOD and healthy control participants. As the olfactory bulb is one of the first regions to be affected in PD, we then measured the olfactory bulb volume on MRI scans (study 5). Our results showed reduced olfactory bulb volume in PD patients as well as in NPOD, when compared to controls, but no difference between PD and NPOD patients. Interestingly, the use of deep learning techniques on MRI scans of the olfactory bulb allowed the discrimination between PD patients and NPOD patients with considerable accuracy. Finally, we investigated the functional connectivity within the chemosensory network (study 6). We identified a specific pattern of functional connectivity and chemosensory network modularity in PD patients at resting-state and while performing an olfactory or a trigeminal task, when specifically compared to patients with NPOD and controls. In conclusion, all taken together, the studies presented in this thesis contributes to a better understanding of the PD-related olfactory dysfunction and suggest potential avenues to differentiate it from NPOD, notably through the measurement of the trigeminal system. This thesis brings further knowledge regarding the interaction between the olfactory and trigeminal systems in a functional olfactory system and its alteration in cases of an impaired olfactory system related to PD or NPOD. The characterization of this non-motor symptom of the disease will eventually help the development of early diagnostic tools for PD.

Accurate Detection of Parkinson`s Disease in Tremor Syndromes Using Olfactory Testing

Thesis (MPhil (Animal Sciences. Aquaculture))--University of Stellenbosch, 2006. / Chemo-attraction and –stimulation facilitate the initial location (olfactory response) and final consumption (gustatory response) of food in the feeding process of fish. Chemo-attractants or chemo-stimulants is therefore generally included in feeds for especially slow-feeding species to help reduce water fouling and to promote feed efficiency and growth rate through improved feed intake. Considering this, a study was performed to evaluate the attraction and stimulation potential of selected cereals and free amino acids in diets for Japanese koi carp (Cyprinus carpio). Results are presented on the comparative evaluation of five cereals (maize, sorghum, wheat, rye and triticale), raw and cooked forms of maize and concentrations of betaine and selected free amino acids (alanine, arginine, lysine and methionine), as well as their additive effect.

A área de transição amígdalo-piriforme (APir) está situada na confluência dos córtices piriforme, periamigdalóide e entorrinal lateral (ENTl). Com técnicas de rastreamento retrógrado foi observado que as principais aferências da APir se originam do bulbo olfativo, dos córtices piriforme, insular disgranular e agranular posterior, perirrinal, da formação hipocampal e da amígdala. Outras estruturas como o núcleo da banda diagonal de Broca, o pálido ventral, a substância inominada sublenticular, o tálamo da linha média, o núcleo dorsal da rafe, o locus coeruleus e a área parabraquial são fontes de aferências mais modestas a esta área de transição. A APir e o ENTl diferem no que diz respeito à origem de suas aferências mesocorticais, amigdalianas e talâmicas. Assim, a APir está em condições de integrar informações olfativas, gustativas, interoceptivas gerais e polissensoriais complexas e, através de suas projeções para a amígdala expandida, striatum ventral e formação hipocampal, influenciar a expressão de comportamentos motivados. / The amygdalo-piriform transition area (APir) lies at the junction of the piriform, periamygdaloid and entorhinal cortices. The afferent connections of this olfactory district were studied with retrograde tracing methods using the cholera toxin B subunit and Fluoro-Gold as tracers. Our retrograde experiments showed that the main input sources to APir derive from the olfactory bulb, mesocortical and allocortical areas including the dysgranular insular, posterior part of the agranular insular, piriform, lateral entorhinal and perirhinal cortices, temporal field CA1 of Ammon horn, ventral subiculum, as well as the endopiriform nucleus and the amygdaloid complex (anterior basomedial, posterior basolateral and anterior, posterolateral, posteromedial cortical nuclei). Several other structures among which the diagonal band, ventral pallidum, sublenticular substantia inominatta, midline thalamic nuclei, dorsal raphe nucleus, locus coeruleus and parabrachial area provide more modest inputs to APir. Our results suggest in addition that projections from mesocortical areas, hippocampal formation and the posterior basolateral amygdaloid nucleus to APir are topographically organized. Fluoro-Gold injections in the ventrolateral entorhinal cortex indicate that the afferent connections of this district differ in many regards from the afferent connections of APir. Cortical and amygdaloid inputs suggest tha APir is chiefly involved in the processing of olfactory, gustatory, visceral and somesthesic information, whereas the ventrolateral entorhinal cortex seems to be more crucially related with visual and auditory processes. APir is also less densely projected upon by midline thalamic nuclei than the lateral entorhinal cortex. Taken as a whole our results suggest that APir is in position to relay highly integrated olfactory, gustatory, interoceptive and somesthesic information to the extended amygdala, ventral striatum and ventral subiculum, and as such modulate the expression of motivated and emotional behavior.

O sistema olfatório é notável por sua capacidade de discriminar odores muito similares, mesmo que estejam misturados. Essa capacidade de discriminação é, em parte, devida a padrões de atividade espaço-temporais gerados nas células mitrais, as células principais do bulbo olfatório, durante a apresentação de um odor. Tais padrões dinâmicos decorrem de interações sinápticas recíprocas entre as células mitrais e interneurônios inibitórios do bulbo olfatório, por exemplo, as células granulares. Nesta tese, apresenta-se um modelo do bulbo olfatório baseado em modelos pulsados das células mitrais e granulares e avalia-se o seu desempenho como sistema reconhecedor de padrões usando-se bases de dados de padrões artificiais e reais. Os resultados dos testes mostram que o modelo possui a capacidade de separar padrões em diferentes classes. Essa capacidade pode ser explorada na construção de sistemas reconhecedores de padrões. Apresenta-se também a ferramenta denominada Nemos, desenvolvida para a implementação do modelo, que é uma plataforma para simulação de neurônios e redes de neurônios pulsados com interface gráfica amigável com o usuário. / The olfactory system is a remarkable system capable of discriminating very similar odorant mixtures. This is in part achieved via spatio-temporal activity patterns generated in mitral cells, the principal cells of the olfactory bulb, during odor presentation. Here, we present a spiking neural network model of the olfactory bulb and evaluate its performance as a pattern recognition system with datasets taken from both artificial and real pattern databases. Our results show that the dynamic activity patterns produced in the mitral cells of the olfactory bulb model by pattern attributes presented to it have a pattern separation capability. This capability can be explored in the construction of high-performance pattern recognition systems. Besides, we proposed Nemos a framework for simulation spiking neural networks through graphical user interface and has extensible models for neurons, synapses and networks.

A área tegmental ventral (VTA) contém neurônios dopaminérgicos do grupamento A10 e envia projeções muito densas para o estriado ventral. Esta circuitaria está crucialmente envolvida em mecanismos de recompensa. Recentemente, a organização destas projeções foi reexaminada por Ikemoto S. (Brain Res. Rev., 56:27-78, 2007), em um estudo de rastreamento retrógrado minucioso, sendo proposto a subdivisão destas projeções em um sistema dopaminérgico mesoestriatal ventromedial que inerva a concha medial do accumbens e o tubérculo olfatório medial, e um sistema dopaminérgico mesoestriatal ventrolateral que inerva o cerne e a concha lateral do accumbens e o tubéculo olfatório lateral. Afim de complementar o conhecimento destas projeções, no presente estudo elas foram examinadas com a técnica anterógrada da leucoaglutinina do Phaseolus vulgaris. Nossos resultados indicam que há um extenso embricamento dos campos terminais estriatais inervados por diferentes setores/núcleos da VTA e reforçam a noção de que as eferências da VTA podem ser subdivididas em um sistema mesoestriatal ventromedial e um sistema mesoestriatal ventrolateral. Eles revelam ainda que as projeções da VTA para o estriado ventral têm uma organização topográfica médio-lateral mais complexa do que previamente reconhecido, a faixa médio-lateral do estriado ventral inervada depende de uma combinação da região médio-lateral e dorsoventral da VTA. Assim, as regiões mais ventrais e mediais da VTA (correspondendo ao núcleo interfascicular) inervam os distritos mais mediais do estriado ventral (a concha dorsomedial do accumbens e a extremidade medial do tubérculo olfatório), e as regiões mais dorsais e laterais da VTA (correspondendo à região dorsolateral do núcleo parabraquial pigmentoso) se projetam para os distritos mais laterais do estriado ventral (o cerne lateral e a concha lateral do accumbens, o caudado-putâmen ventral e o tubérculo olfatório lateral). Por outro lado, as projeções da VTA para o estriado ventral não possuem uma organização topográfica rostrocaudal. Outro fato a ser destacado é que a organização das projeções mesoestriatais da VTA lembra o padrão das projeções córticoestriatais, sendo observado no estriado, além de um campo terminal principal, pequenos focos isolados de marcação. / The ventral tegmental area (VTA) contains dopaminergic neurons of the A10 group and sends dense projections to the ventral striatum. This circuitry is critically involved in reward mechanisms. Recently, the organization of these projections was reexamined by Ikemoto S. (Brain Res. Rev., 56:27-78, 2007) in a detailed retrograde tracing study, being proposed that these projections can be subdivided into two main systems, a ventromedial mesostriatal dopaminergic system that innervates the medial shell of the accumbens and medial olfactory tubercle, and a ventrolateral mesostriatal dopaminergic system that targets the core and lateral shell of the accumbens and lateral olfactory tubercle. In order to complement these data, in the present study the VTA mesostriatal projections were examined with a sensitive anterograde tracing technique using the Phaseolus vulgaris leucoaglutinin. Our results indicate that there is an extensive overlap of terminal fields innervated by different sectors / nuclei of the VTA and reinforce the notion that VTA efferents can be subdivided into a ventromedial and a ventrolateral mesostriatal system. They also show that the VTA projections to the ventral striatum have a mediolateral topographical organization more complex than previously acknowledged. In fact, projections along the mediolateral dimension of the ventral striatum depends on a combination of the mediolateral and dorsoventral axis of the VTA. In other words, the most ventral and medial parts of the VTA (corresponding to the interfascicular nucleus) innervates the most medial districts of the ventral striatum (corresponding to the dorsomedial shell of the accumbens and medial tip of the olfactory tubercle), and the most dorsal and lateral parts of the VTA (corresponding to the dorsolateral region of the parabrachial pigmented nucleus) project to the most lateral districts of the ventral striatum (lateral core and lateral shell of the accumbens, ventral caudate-putamen and lateral olfactory tubercle). Moreover, VTA projections to the ventral striatum do not seem to have a rostrocaudal topographical organization. It is also of note that the organization of the VTA mesostriatal projections shares features with cortico-striatal projections, in the sense that both fiber systems have a main terminal field and also give rise to small, scattered isolated foci of terminal labeling.

Contexte : Le pronostic de la fonction olfactive après chirurgie de la fente olfactive (FO) dans la polypose nasosinusienne (PNS) n'est pas connu. Objectifs : 1) Préciser la localisation des polypes dans les différents sous-compartiments de l'ethmoïde ; 2) Déterminer la corrélation entre l'auto-évaluation de l'odorat et les résultats de Sniffin'Sticks test ainsi qu'entre l'auto-évaluation de l'odorat et de l'obstruction nasale chez les patients porteurs d'une PNS avec ou sans hamartome épithélial respiratoire adénomatoïde des fentes olfactives (HERA - FO); 3) Évaluer la fonction olfactive avant et 6 semaines après chirurgie de la PNS comportant une chirurgie de la FO et rechercher les facteurs pronostiques de la récupération de l'olfaction après chirurgie. Échantillons : Ce travail repose sur des études observationnelles rétrospectives et prospectives chez les patients atteints de PNS opérés par voie endoscopique selon la procédure de nasalisation de Septembre 2009 à Novembre 2010 dans le service ORL du CHU de Nancy. Résultats : 1) Dans la PNS, les polypes se développaient dans tous les compartiments ethmoïdaux (au niveau du méat moyen dans 98%, de la fente olfactive postérieure dans 75%, du méat supérieur dans 61%, du cornet moyen dans 50% et de la FO antérieure dans 40% des cas); 2) Il existait une forte corrélation entre l'auto-évaluation et la mesure de l'olfaction avant la chirurgie (r =-0,66 ; p<0,0001) et après la chirurgie (r =-0,67 a 6 semaines r = -0.66 a 7 mois, p<0,0001). La corrélation était plus faible avant chirurgie (r =-0,35; p=0,01) qu'après chirurgie chez les patients hypo-anosmiques (r =-0,74 ; p<0,0001 a 6 semaines et r =-0,73 ; p=0,0002 a 7 mois). Les auto-évaluations de l'obstruction nasale et des troubles de l'odorat n'étaient pas corrélées lorsque les deux symptômes étaient dissocies ; 3) Il existait une relation étroite entre la présence de l'HERA dans les FO et l'ancienneté de la PNS (p= 0,0009), l'asthme (p = 0,004) et les antécédents de la chirurgie de PNS (p = 0,0006). Les facteurs prédictifs de non-récupération de la fonction olfactive après la chirurgie étaient un bas score TI préopératoire (p = 0,028), l'antécédent de résection des cornets moyens au cours des procédures chirurgicales précédentes (p = 0,0018), et la résection récente des cornets moyens (p = 0,04). L'histologie des polypes (HERA vs Polype éosinophile) et le type de geste sur les FO (biopsies vs exérèse des polypes) n'étaient pas des facteurs prédictifs pour la non-récupération de l'odorat. Conclusion : l'évaluation de l'odorat dans la PNS est complexe et nécessite une combinaison de tests psychophysiques et d'auto-évaluation. La chirurgie de la fente olfactive dans la PNS n'est pas un facteur péjoratif du pronostic olfactif en post-opératoire / Background: The olfactory outcome after surgery of the olfactory clefts (OC) in patients with nasal polyposis (NP) is unknown. Objectifs: 1) to refine the description of the polyps' origin within the different subcompartments of the ethmoidal bone; 2) to investigate correlations, before and after surgery, between the sense of smell self-ratings and measures of olfactory function, and self-ratings of sense of smell and nasal obstruction; 3) to assess the olfactory outcome after surgery of ethmoidal labyrinths and OC for either Eosinophilic Polyps (EP) or Respiratory Epithelial Adenomatoid Hamartoma (REAH) in patients with nasal polyposis (NP). Samples: All patients with NP operated according to the nasalization procedure from September 2009 to November 2010 in our tertiary hospital (CHU de Nancy) were enrolled in these retrospective and prospective studies. Results: 1) Polyps were found in the middle meatus (98%), in the posterior olfactory fossa (75%), in the superior meatus (61%), on the middle turbinate proper (50%) and in the anterior olfactory fossa (40%); 2) Overall, self-ratings and measures of olfactory function correlated strongly preoperatively (r = - 0.66, p < 0.0001) and postoperatively (r = -0.67 at 6 weeks and -0.66 at 7 months, p < 0.0001). This relationship was better in patients with previous surgery. The correlation was weaker before (r = -0.35, p=0.01) than after surgery in hyposmic/anosmic patients (r = -0.74, p < 0.0001 at 6 weeks and r = -0.73, p = 0.0002 at 7 months) and wasn't found in normosmic patients. Self-ratings of nasal patency and smell were not correlated when the two complaints were dissociated; 3) There was a close relationship between the presence of REAH-OC and the duration of NP disease (p=.0009), asthma (p=.004) and previous surgery (p=.0006). Predictors of poor olfactory outcomes after surgery were low TI score before surgery (p = 0.028), history of previous middle turbinate resection (p = 0.0018), and recent middle turbinate resection (p = 0.04). Polyp histology and surgery of the OC were not predictors of poor olfactory outcomes. Conclusion: The evaluation of the sense of smell in patients with NP should be performed in combination of psychophysic tests and self-ratings of the olfactory function. The resection of REAH or EP of the OC in patients with NP does not worsen but instead can improve the postoperative olfaction