International Rhinologic Society Rhinology 0300-0729 2026 01 23 Response to the letter "Critical appraisal of methodological rigor in a systematic review on post-COVID-19 vaccination-associated olfactory dysfunction" EN M. Kawabata Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan E. Mori Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan N. Yanagi Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan M. Tei Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan N. Otori Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan Letter 3422 10.4193/Rhin25.684 We appreciate the thoughtful comments by Dr. Gupta et al. regarding our systematic review. Their commitment to this rare but emerging clinical topic is welcome, and we would like to address the methodological points raised.