The short answer is yes, but often differently from before.
After a total laryngectomy, you breathe through your neck stoma rather than your nose. Much less air passes through your nose, which affects how you detect smells.
Why does your sense of smell change?
Smell depends on scent particles reaching the receptors inside your nose. With less nasal airflow, fewer of these particles reach them. Many people therefore notice a weaker sense of smell.
Is your sense of smell always lost completely?
No. Experiences vary. Some people can still detect smells and may notice changes over time.
Can it affect taste?
Yes. Smell contributes to the flavour of food, so food may taste different after laryngectomy.
Can you get help?
Your speech and language therapist can teach techniques to encourage airflow through your nose. Ask your team what may be suitable for you.
Remember
A change in your sense of smell does not necessarily mean it has disappeared completely. It is worth raising the subject during rehabilitation.
Further information
Macmillan Cancer Support: living with a laryngectomy stoma.
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About the author
Thomas Mølgaard
I live without a larynx following cancer. I am a laryngectomy peer-support consultant, speaker and founder of STOMAS. My aim is to give patients, their partners and loved ones, and healthcare professionals an honest insight into life after a total laryngectomy.