Taste disturbance following tonsillectomy-a prospective study
Objectives/Hypothesis: Persistent taste disturbance is a rare complication after tonsillectomy and mainly documented by case reports or a few retrospective and prospective trials with a limited number of patients. None could clarify frequency, time course, or prognosis of long-lasting dysgeusia afte...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
[October 2010]
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| In: |
The laryngoscope
Year: 2010, Volume: 120, Issue: 10, Pages: 2119-2124 |
| ISSN: | 1531-4995 |
| DOI: | 10.1002/lary.20971 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1002/lary.20971 Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.20971 
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| Author Notes: | Clemens Heiser, MD, Basile N. Landis, MD, Roland Giger, MD, Helene Cao Van, MD, Nils Guinand, MD, Karl Hörmann, Boris A. Stuck, MD |
| Summary: | Objectives/Hypothesis: Persistent taste disturbance is a rare complication after tonsillectomy and mainly documented by case reports or a few retrospective and prospective trials with a limited number of patients. None could clarify frequency, time course, or prognosis of long-lasting dysgeusia after tonsillectomy. The aim of the study was to provide a symptom-based follow-up after tonsillectomy to assess postoperative taste disorders. Study Design: Prospective clinical trial. Methods: From December 2007 to June 2009 adult patients undergoing tonsillectomy were asked to take part in the trial. Two hundred twenty-three patients (119 female, 104 male; mean age, 33 ± 13 years) were included. The day prior to surgery, and 2 weeks and 6 months after tonsillectomy a standardized questionnaire was completed by patients. The questionnaire focused on taste function, taste disorders, pain, foreign body sensation, and bleeding episodes after tonsillectomy. Results: One hundred eighty-eight (2 weeks) and 181 (6 months) patients returned the questionnaires. Thirty-two percent (n = 60) of patients reported taste disorders after tonsillectomy 2 weeks postoperatively and 15 patients (8%) at 6-month follow-up. Metallic and bitter parageusia were most frequently reported. The mean ratings of gustatory function were significantly lower 2 weeks after surgery (P < .001) and reached preoperative values 6 months after surgery. Almost 30% of patients reported postoperative bleeding, 10% long-lasting postoperative pain, and 20% foreign body sensation. Conclusions: Long-lasting taste disturbance (metallic and bitter parageusia) after tonsillectomy is more frequent than previously reported. Long-lasting pain and foreign body sensation seem to be common symptoms. With regard to these results, a thorough preoperative explanation is mandatory. Laryngoscope, 2010 |
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| Item Description: | First published: 05 May 2010 Gesehen am 11.04.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1531-4995 |
| DOI: | 10.1002/lary.20971 |