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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Hauptverfasser: Heiser, Clemens (VerfasserIn) , Landis, Basile N. (VerfasserIn) , Giger, Roland (VerfasserIn) , Cao Van, Helene (VerfasserIn) , Guinand, Nils (VerfasserIn) , Hörmann, Karl (VerfasserIn) , Stuck, Boris (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: [October 2010]
In: The laryngoscope
Year: 2010, Jahrgang: 120, Heft: 10, Pages: 2119-2124
ISSN:1531-4995
DOI:10.1002/lary.20971
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1002/lary.20971
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.20971
Volltext
Verfasserangaben:Clemens Heiser, MD, Basile N. Landis, MD, Roland Giger, MD, Helene Cao Van, MD, Nils Guinand, MD, Karl Hörmann, Boris A. Stuck, MD

MARC

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520 |a 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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