Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-28T14:30:24.847Z Has data issue: false hasContentIssue false
  • English
  • Français

Gustatory changes in patients with chronic otitis media, before and after middle-ear surgery

Published online by Cambridge University Press:  04 May 2012

C-C Huang ,
C-D Lin ,
C-Y Wang ,
J-H Chen ,
Y-T Shiao  and
M-H Tsai
C-C Huang
Affiliation:
Department of Otolaryngology, China Medical University Hospital, China Medical University, Taiwan
C-D Lin*
Affiliation:
Department of Otolaryngology, China Medical University Hospital, China Medical University, Taiwan
C-Y Wang
Affiliation:
Department of Otolaryngology, China Medical University Hospital, China Medical University, Taiwan
J-H Chen
Affiliation:
Biostatistics Center, China Medical University, Taiwan
Y-T Shiao
Affiliation:
Biostatistics Center, China Medical University, Taiwan
M-H Tsai
Affiliation:
Department of Otolaryngology, China Medical University Hospital, China Medical University, Taiwan
*
Address for correspondence: Dr Chia-Der Lin, Department of Otolaryngology, China Medical University Hospital, 2 Yuh-Der Road, Taichung City, Taiwan 40447 Fax: +886 4 2205 2121 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We investigated gustatory changes in patients with chronic otitis media, before and after middle-ear surgery.

Methods:

This prospective study included 38 patients with unilateral chronic otitis media. We used taste testing solutions to evaluate each patient's taste function. Intra-operative assessments of the chorda tympani nerve were also compared and analysed.

Results:

Patients with chronic otitis media had significantly worse ipsilateral perception of sour, bitter and salty tastes. In patients with good intra-operative preservation of the chorda tympani nerve, there was significant improvement in gustatory function one month post-operatively, compared with the pre-operative baseline. In patients who sustained intra-operative chorda tympani nerve injury, one month post-operative gustatory function was the same as the pre-operative baseline.

Conclusion:

Middle-ear surgery for chronic otitis media not only treats the ear but also improves gustatory function in the majority of patients. In patients with intra-operative injury to the chorda tympani nerve, post-operative taste decline is only temporary.

Keywords

TasteOtitis MediaHypogeusiaEarMiddleChorda Tympani NerveTympanoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 5 , May 2012 , pp. 470 - 474
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Sakagami, M. Taste disturbance and its recovery after middle ear surgery. Chem Senses 2005;30(suppl 1):i220–1CrossRefGoogle ScholarPubMed
2Kveton, JF, Bartoshuk, LM. The effect of unilateral chorda tympani damage on taste. Laryngoscope 1994;104:25–9CrossRefGoogle ScholarPubMed
3Goyal, A, Singh, PP, Dash, G. Chorda tympani in chronic inflammatory middle ear disease. Otolaryngol Head Neck Surg 2009;140:682–6CrossRefGoogle ScholarPubMed
4Sano, M, Ito, K, Suzukawa, K, Kaga, K, Yamasoba, T. Influence of chronic middle ear diseases on gustatory function: an electrogustometric study. Otol Neurotol 2006;28:44–7CrossRefGoogle Scholar
5Gedikli, O, Doðru, H, Aydin, G, Tüz, M, Uygur, K, Sari, A. Histopathological changes of chorda tympani in chronic otitis media. Laryngoscope 2001;111:724–7CrossRefGoogle ScholarPubMed
6Clark, MP, O'Malley, S. Chorda tympani nerve function after middle ear surgery. Otol Neurotol 2007;28:335–40CrossRefGoogle ScholarPubMed
7Sakagami, M, Sone, M, Tsuji, K, Fukazawa, K, Mishiro, Y. Rate of recovery of taste function after preservation of chorda tympani nerve in middle ear surgery with special reference to type of disease. Ann Otol Rhinol Laryngol 2003;112:52–7CrossRefGoogle ScholarPubMed
8Landis, BN, Beutner, D, Frasnelli, J, Hüttenbrink, KB, Hummel, T. Gustatory function in chronic inflammatory middle ear diseases. Laryngoscope 2005;115:1124–7CrossRefGoogle ScholarPubMed
9Saito, T, Manabe, Y, Shibamori, Y, Yamagishi, T, Igawa, H, Tokuriki, M et al. Long-term follow-up results of electrogustometry and subjective taste disorder after middle ear surgery. Laryngoscope 2001;111:2064–70CrossRefGoogle ScholarPubMed
10Lauerma, H, Paalassalo, P. The need for excessive dietary sodium chloride following tympanoplasty. J Laryngol Otol 1995;109:324–5CrossRefGoogle ScholarPubMed
11Michael, P, Raut, V. Chorda tympani injury: operative findings and postoperative symptoms. Otolaryngol Head Neck Surg 2007;136:978–81CrossRefGoogle ScholarPubMed
12Lehman, CD, Bartoshuk, LM, Catalanotto, FC, Kveton, JF, Lowlicht, RA. Effect of anesthesia of the chorda tympani nerve on taste perception in humans. Physiol Behav 1995;57:943–51CrossRefGoogle ScholarPubMed
13Tomita, H, Ikeda, M, Okuda, Y. Basis and practice of clinical taste examinations. Auris Nasus Larynx 1986;13(suppl 1):S1–15CrossRefGoogle ScholarPubMed
14Gopalan, P, Kumar, M, Gupta, D, Phillipps, JJ. A study of chorda tympani nerve injury and related symptoms following middle-ear surgery. J Laryngol Otol 2005;119:189–92CrossRefGoogle ScholarPubMed
15Cain, P, Frank, ME, Barry, MA. Recovery of chorda tympani nerve function following injury. Exp Neurol 1996;141:337–46CrossRefGoogle ScholarPubMed
16Nin, T, Sakagami, M, Sone-Okunaka, M, Muto, T, Mishiro, Y, Fukazawa, K. Taste function after section of chorda tympani nerve in middle ear surgery. Auris Nasus Larynx 2006;33:13–17CrossRefGoogle ScholarPubMed