<p>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&#xa0;months post-operatively. Total 30 patients reported post-operative taste disturbance. Two patients (4%) reported persistent disturbance at 6&#xa0;months. Surgically more traumatized chorda tympani nerves correlated with more severe taste disturbance post-operatively than less traumatized ones. Taste disturbance at 6&#xa0;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&#xa0;months. More severe surgical nerve trauma causes more disturbance, implying that the nerve should be handled carefully during surgery.</p>

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Taste Disturbance After Stapes Surgery: An Evaluation of Frequency Severity, Duration and Quality of Life

  • Deepak Kumar Gupta,
  • Ramraj Yadav,
  • Ashvanee Kumar Chaudhary,
  • Vishwambhar Singh,
  • Rajesh Kumar

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.