Taste Disorders After Middle Ear Surgery: Chorda Tympani Nerve Injury and Quality of Life.

IF 2.6 3区 医学 Q1 OTORHINOLARYNGOLOGY Otolaryngology- Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-01 DOI:10.1002/ohn.920
Blandine Lafargue, Grégoire D'Andréa, Roxane Fabre, Abdallah Alshukry, Clair Vandersteen, Nicolas Guevara
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Abstract

Objective: To evaluate taste disorders after middle ear surgery, their modifying factors especially chorda tympani nerve injury or underlying otologic disease. We investigated consequences of taste disorders on quality of life.

Study design: Prospective cohort study.

Setting: Monocentric study in tertiary care center.

Methods: A total of 214 patients who underwent middle ear surgery were included. Data regarding taste disorders were collected by questionnaires over a 1-year follow-up period.

Results: Taste disorders were reported in 42.7% at 10 days, in 23.3% at 4 months, and in 9.2% 1 year postoperatively. When the chorda tympani nerve was initially healthy, taste disorders were more frequent after its transection throughout the follow-up period. When it was involved in a cholesteatoma or inflammatory process, postoperative taste disorders were more frequent after nerve stretching. Postoperative discomfort in daily life was rated on the Likert scale at 3.5 out of 10. Dietary modifications were reported by 25.8% of patients, and mood alterations by 15% of patients.

Conclusion: Taste disorders are frequent after middle ear surgery although they mostly improve in the first months. When the CTN is healthy, cutting it leads to more taste disorders than stretching it, thus advocating its preservation to prevent these symptoms. However, in cases of pathological CTN, cutting this nerve, which is sometimes necessary to control the disease, is less likely to cause taste disorders than stretching it. These taste disorders are a source of discomfort and may present risks of dietary modifications and emotional impact.

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中耳手术后的味觉障碍:鼓室神经损伤与生活质量
目的评估中耳手术后的味觉障碍及其影响因素,尤其是鼓室神经损伤或耳科基础疾病。我们还调查了味觉障碍对生活质量的影响:前瞻性队列研究:在三级医疗中心进行的单中心研究:方法:共纳入 214 名接受中耳手术的患者。方法:共纳入 214 名接受中耳手术的患者,在为期 1 年的随访期间通过问卷调查收集有关味觉障碍的数据:结果:42.7%的患者在术后10天出现味觉障碍,23.3%的患者在术后4个月出现味觉障碍,9.2%的患者在术后1年出现味觉障碍。如果鼓室脊神经最初是健康的,那么在整个随访期间,横断后出现味觉障碍的频率更高。如果该神经受胆脂瘤或炎症过程的影响,则在神经拉伸后更容易出现术后味觉障碍。术后日常生活不适的李克特量表评分为 3.5 分(满分 10 分)。25.8%的患者报告了饮食改变,15%的患者报告了情绪改变:结论:中耳手术后经常会出现味觉障碍,尽管这些障碍大多会在术后数月内得到改善。在 CTN 健康的情况下,切割 CTN 比拉伸 CTN 更容易导致味觉障碍,因此主张保留 CTN 以预防这些症状。然而,在 CTN 病变的情况下,有时为了控制疾病而必须切断该神经,但与拉伸 CTN 相比,切断 CTN 引起味觉障碍的可能性更小。这些味觉障碍会造成不适,并可能带来改变饮食习惯和影响情绪的风险。
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来源期刊
Otolaryngology- Head and Neck Surgery
Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学
CiteScore
6.70
自引率
2.90%
发文量
250
审稿时长
2-4 weeks
期刊介绍: Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.
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