Taste Disturbance After Stapes Surgery: An Evaluation of Frequency Severity, Duration and Quality of Life
摘要
Chorda tympani nerve more frequently becomes manipulated in stapedotomy than those of tympanoplasty surgery. It is uncertain that up to what extent a post-operative taste disturbance affects the quality of life. This study aims to shed light on the incidence of post-operative taste disturbances, on possible prognostic factors, and to what extent post-operative taste disturbance impairs the quality-of-life. Fifty-four adults undergoing primary stapedotomy were included in which four patients were lost in Follow up. Questionnaires on taste disturbance and quality-of-life (SF-36) were answered before and after surgery, until 6 months post-operatively. Total 30 patients reported post-operative taste disturbance. Two patients (4%) reported persistent disturbance at 6 months. Surgically more traumatized chorda tympani nerves correlated with more severe taste disturbance post-operatively than less traumatized ones. Taste disturbance at 6 months post-operatively correlate with a decrease of the physical function domain in the SF-36. The incidence of taste disturbance after stapes surgery is high (50%), the majority (96%) recovered within 6 months. More severe surgical nerve trauma causes more disturbance, implying that the nerve should be handled carefully during surgery.