Background: loss of smell is a common symptom of coronavirus infections. Studies have shown that patients following recovery
from COVID-19 develop olfactory dysfunction which can persist for an extended period. The purpose of this study is to assess the
long-term olfactory dysfunction and its associated factors in individuals with a history of infection COVID-19 infection, as well as
the impact of olfactory dysfunction on quality of life in Saudi Arabia. Methods: A questionnaire based cross-sectional study was
conducted targeting individuals with a history of COVID-19 infection. Results: A total of 174 participants were included in this
study. The percentage of anosmia, hyposmia, parosmia, and phantosmia among the participants was 11.5%, 37.4%, 40.8%, and
33.3% respectively. Parosmia was significantly associated with olfactory training (P-value= 0.019). Olfactory training and age group
from 46 to 55 years were showed significant association with phantosmia (ghost odors) (P-value= 0.008, 0.012) respectively. 28.7% of
participants reported that their smell sense problems caused them to eat less than previously, and 21.8% reported that they ate out
less. 13.8% stated that their smell sense issues have a negative impact on their daily social activities, and according to 5.2%, changes
in the smell sense isolated them socially. Conclusion: Long-term olfactory dysfunction was shown to be common among individuals
who had a history of COVID-19 infection. The quality of life of those who are affected by olfactory dysfunction is negatively
impacted. Further research is recommended to understand the pathophysiology of anosmia, hyposmia, and phantosmia in COVID19 patients.
Keywords: Covid-19, Olfactory dysfunction, Saudi Arabia, Anosmia, smell
loss