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Dr. Volkert Boudewijn Wreesmann is a head and neck surgeon at ANDSURGEONS Clinic in Barcelona. He performed 1,200 major oncologic resections during his fellowship at Memorial Sloan-Kettering Cancer Center. Dr. Wreesmann specializes in complex thyroid surgery and facial plastic reconstruction for adults and children. He currently sits on the Editorial Board of the European Journal of Surgical Oncology.
Olfactory training is the primary scientifically proven treatment for post-COVID smell loss in Spain. This gold-standard therapy utilizes neuroplasticity to regenerate olfactory receptor neurons. It involves twice-daily exposure to specific scents for a minimum of 12 to 24 weeks to restore neural connectivity.
Bookimed Expert Insight: Spain is a leader in advanced olfactory recovery. ANDSURGEONS Clinic is one of fewer than 10 centers in Europe providing Platelet-Rich Plasma therapy specifically for post-COVID loss. Their UK-trained surgeons use digital treatment planning to personalize neuro-regeneration protocols for complex cases.
Patient Consensus: Patients note that recovery is gradual and non-linear. Many emphasize the importance of starting olfactory training early rather than waiting for natural improvement.
Spain hosts several specialized Smell Units (Unidades de Olfato) for treating post-COVID olfactory loss. Key centers including Hospital Clinic Barcelona and ANDSURGEONS provide olfactory retraining and platelet-rich plasma (PRP) therapy. These clinics utilize standardized testing like BAST-24 to restore scent identification and neural pathways.
Bookimed Expert Insight: While most Spanish public hospitals focus on traditional scent training, private clinics like ANDSURGEONS in Barcelona introduce PRP therapy to bridge the gap for non-responders. This clinic treats 1,000 patients yearly and uniquely holds UK General Medical Council certification. Patients should prioritize centers with dedicated rhinology units over general ENT practices to access these advanced biological treatments.
Patient Consensus: Patients emphasize that recovery is usually slow and partial rather than immediate. They recommend using specific terms like parosmia or hyposmia when describing symptoms to ensure the clinic provides formal threshold testing.
If olfactory training fails after six months, Spain offers Platelet-Rich Plasma (PRP) therapy and endoscopic sinus surgery. These advanced procedures target damaged olfactory neurons and chronic inflammation. Specialist clinics in Barcelona utilize regenerative medical techniques and AI-assisted diagnostics to restore sensory function when standard neuroplasticity exercises prove ineffective.
Bookimed Expert Insight: Spain is home to rare infrastructure for post-viral recovery. ANDSURGEONS Clinic in Barcelona is among fewer than 10 European centers offering specialized PRP. Data shows they treat 1,000 patients annually using a unique visiting-specialist model. This allows patients to access UK-trained surgical expertise within modern Spanish hospital facilities.
Patient Consensus: Patients emphasize that a detailed ENT re-evaluation must precede any procedure. They note that results for regenerative injections vary, so establishing clear recovery benchmarks with a specialist is essential.
Recovery from post-COVID olfactory loss in Spain typically requires 4 to 6 months of structured rehabilitation. Specialized protocols using modified olfactory training show significant results within 16 to 23 weeks. Nerve regeneration can continue progressing for up to 24 months after the initial infection.
Bookimed Expert Insight: Spanish centers are shifting toward technology-driven recovery rather than just scent kits. Facilities like ANDSURGEONS use AI-assisted diagnostics to track precise neural changes. This data helps adjust protocols mid-treatment. It ensures patients don't plateau during the standard 6-month window.
Patient Consensus: Patients note that progress is often nonlinear with frustrating plateaus followed by sudden improvements. They emphasize that consistency over several months is more important than daily changes.
Spanish ENT specialists use prescription sprays and oral medications as secondary options for post-COVID olfactory loss. Clinical practice aligns with European Position Paper on Rhinosinusitis (EPOS) guidelines. Specialists prioritize olfactory training over pharmaceutical intervention. Sprays like mometasone are trials rather than standard cures.
Bookimed Expert Insight: While many local ENTs focus on traditional sprays, Spain hosts unique specialized centers. ANDSURGEONS in Barcelona is one of fewer than 10 European clinics providing PRP therapy. This treatment targets nerve regeneration when standard medications fail to show results.
Patient Consensus: Patients note that doctors often vary their approach based on individual symptoms. Many mention a sense of surprise when specialists emphasize smell training over a quick prescription fix.