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The effect of different tonsillectomy techniques on taste sensation in the early and late postoperative periods

Year 2021, Volume: 7 Issue: 3, 284 - 290, 04.05.2021
https://doi.org/10.18621/eurj.721469

Abstract

Objectives: Impairment in taste sensation is a rare complication of tonsillectomy. We aimed to reveal the effects of different tonsillectomy techniques on taste sensation by assessing the impairment in taste sensation in the early and late postoperative periods.

Methods: In this prospective clinical study, fifty-seven (22 females, 35 males, mean age, 25 ± 9.8 years) patients who underwent tonsillectomy were included. All patients were operated on under general anesthesia, and a chemical stimulation taste test was performed one week prior to the surgery, at first week and first month postoperatively. Four basic taste sensations were assessed in the test (sweet, sour, salty, and bitter), and impairments in taste sensation in the early and late postoperative periods for each tonsillectomy technique were evaluated.


Results:
In the early postoperative period, there was a statistically significant increase bitter taste sensations in patients who underwent tonsillectomy (p = 0.020). In the late postoperative period, sour and bitter taste sensations were significantly increased in the patients (p = 0.001, p = 0.002; respectively). In contrast to the early postoperative period, total taste sensation was significantly increased in the late postoperative period (p = 0.034).


Conclusions:
The bitter sensation in the early postoperative period and the bitter and sour sensations in late postoperative period were found to be significantly increased in this present study.With regard to these results, a thorough preoperative explanation should be done.

Thanks

Thanks to Dr. Alper Karakus for technical support

References

  • 1. Tomita H, Ohtuka K. Taste disturbance after tonsillectomy. Acta Otolaryngol Suppl 2002;(546):164-72.
  • 2. Heiser C, Landis BN, Giger R, Cao Van H, Guinand N, Hörmann K, et al. Taste disorders after tonsillectomy: a long-term follow-up. Laryngoscope 2012;122:1265-6.
  • 3. Mueller C, Kallert S, Renner B, Stiassny K, Temmel AFD, Hummel T, et al. Quantitative assessment of gustatory function in a clinical context using impregnated ‘taste strips’. Rhinology 2003;41:2-6.
  • 4. Philpott CM, Wild DC, Mehta D, Daniel M, Banerjee AR. A double-blinded randomized controlled trial of coblation versus conventional dissection tonsillectomy on post-operative symptoms. Clin Otolaryngol 2005;30:143-8.
  • 5. Wang H, Zhou M, Brand J, Huang L. Inflammation and taste disorders: mechanisms in taste buds. Ann N Y Acad Sci 2009;1170:596-603.
  • 6. Ohtsuka K, Tomita H, Murakami G. Anatomy of the tonsillar bed: topographical relationship between the palatine tonsil and the lingual branch of the glossopharyngeal nerve. Acta Otolaryngol Suppl 2002;(546):99-109.
  • 7. Stathas T, Mallis A, Naxakis S, Mastronikolis NS, Gkiogkis G, Xenoudakis D, et al. Taste function evaluation after tonsillectomy: a prospective study of 60 patients. Eur Arch Otorhinolaryngol 2010;267:1403-7.
  • 8. Windfuhr JP, Schlondorff G, Sesterhenn AM, Kremer B. From the expert’s office: localized neural lesions following tonsillectomy. Eur Arch Otorhinolaryngol 2009;266:1621-40.
  • 9. Sakaguchi A, Nin T, Oka H, Maeda E, Negoro A, Umemoto M, et al. [Clinical analysis of 1059 patients with taste disorders]. Nihon Jibiinkoka Gakkai Kaiho 2013;116:77-82. [Article in Japanese]
  • 10. Gent JF, Frank ME, Hettinger TP. Taste confusions following chlorhexidine treatment. Cem Senses 2002;27:73-80.
  • 11. Soldatova L, Doty Richard L. Post-tonsillectomy taste dysfunction: myth or reality? World J Otorhinolaryngol Head Neck Surg 2018;4:77-83.
Year 2021, Volume: 7 Issue: 3, 284 - 290, 04.05.2021
https://doi.org/10.18621/eurj.721469

Abstract

References

  • 1. Tomita H, Ohtuka K. Taste disturbance after tonsillectomy. Acta Otolaryngol Suppl 2002;(546):164-72.
  • 2. Heiser C, Landis BN, Giger R, Cao Van H, Guinand N, Hörmann K, et al. Taste disorders after tonsillectomy: a long-term follow-up. Laryngoscope 2012;122:1265-6.
  • 3. Mueller C, Kallert S, Renner B, Stiassny K, Temmel AFD, Hummel T, et al. Quantitative assessment of gustatory function in a clinical context using impregnated ‘taste strips’. Rhinology 2003;41:2-6.
  • 4. Philpott CM, Wild DC, Mehta D, Daniel M, Banerjee AR. A double-blinded randomized controlled trial of coblation versus conventional dissection tonsillectomy on post-operative symptoms. Clin Otolaryngol 2005;30:143-8.
  • 5. Wang H, Zhou M, Brand J, Huang L. Inflammation and taste disorders: mechanisms in taste buds. Ann N Y Acad Sci 2009;1170:596-603.
  • 6. Ohtsuka K, Tomita H, Murakami G. Anatomy of the tonsillar bed: topographical relationship between the palatine tonsil and the lingual branch of the glossopharyngeal nerve. Acta Otolaryngol Suppl 2002;(546):99-109.
  • 7. Stathas T, Mallis A, Naxakis S, Mastronikolis NS, Gkiogkis G, Xenoudakis D, et al. Taste function evaluation after tonsillectomy: a prospective study of 60 patients. Eur Arch Otorhinolaryngol 2010;267:1403-7.
  • 8. Windfuhr JP, Schlondorff G, Sesterhenn AM, Kremer B. From the expert’s office: localized neural lesions following tonsillectomy. Eur Arch Otorhinolaryngol 2009;266:1621-40.
  • 9. Sakaguchi A, Nin T, Oka H, Maeda E, Negoro A, Umemoto M, et al. [Clinical analysis of 1059 patients with taste disorders]. Nihon Jibiinkoka Gakkai Kaiho 2013;116:77-82. [Article in Japanese]
  • 10. Gent JF, Frank ME, Hettinger TP. Taste confusions following chlorhexidine treatment. Cem Senses 2002;27:73-80.
  • 11. Soldatova L, Doty Richard L. Post-tonsillectomy taste dysfunction: myth or reality? World J Otorhinolaryngol Head Neck Surg 2018;4:77-83.
There are 11 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Original Articles
Authors

Zeynep Nur Erol 0000-0002-3680-4911

Bilge Türk This is me 0000-0001-7756-3256

Nurullah Seyhun This is me 0000-0002-6236-7479

Mahmut Cankaya This is me 0000-0001-6886-0419

Aytuğ Altundağ This is me 0000-0003-0794-5050

Berna Uslu This is me 0000-0001-7738-7328

Publication Date May 4, 2021
Submission Date April 16, 2020
Acceptance Date December 8, 2020
Published in Issue Year 2021 Volume: 7 Issue: 3

Cite

AMA Erol ZN, Türk B, Seyhun N, Cankaya M, Altundağ A, Uslu B. The effect of different tonsillectomy techniques on taste sensation in the early and late postoperative periods. Eur Res J. May 2021;7(3):284-290. doi:10.18621/eurj.721469

e-ISSN: 2149-3189 


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