폐쇄성 수면 무호흡 증후군 환자의 구개인두 수술 후 미각의 변화
Changes of Taste Function after Palatopharyngeal Surgery in Obstructive Sleep Apnea Syndrome
1
조회
0
다운로드
0
인용
0
참고문헌
초록
Background and Objectives Postoperative taste changes after uvulopalatopharyngoplasty (UPPP) is regarded as an unusual and minor complication. This study aims to evaluate the objective changes of taste threshold according to time course and subjective symptoms change. Materials and Method With 45 patients who underwent UPPP and 35 patients who underwent nasal surgery as control group, we have prospectively studied postoperative taste changes using a questionnaire, and an electrogustometer (EGM) with regard to symptoms at 7th, 28th days after the surgery. EGM was measured at 5 areas. Also, we have checked pre-operatively about the serum level of zinc. Results With EGM, the threshold of taste was increased at 7th days after the surgery (p<0.05), but recovered 28th days after the surgery at the posterior part of the tongue in the UPPP group. There were no significant changes in subjective taste dysfunction, smell dysfunction, tongue sensory abnormality, and dysgeusia. Conclusion Taste changes after UPPP was transient and they disappeared within the 1st postoperative month. There were no patients who complained of subjective taste dysfunction, dysgeusia, tongue sensory abnormality after UPPP.
Abstract
Background and Objectives Postoperative taste changes after uvulopalatopharyngoplasty (UPPP) is regarded as an unusual and minor complication. This study aims to evaluate the objective changes of taste threshold according to time course and subjective symptoms change. Materials and Method With 45 patients who underwent UPPP and 35 patients who underwent nasal surgery as control group, we have prospectively studied postoperative taste changes using a questionnaire, and an electrogustometer (EGM) with regard to symptoms at 7th, 28th days after the surgery. EGM was measured at 5 areas. Also, we have checked pre-operatively about the serum level of zinc. Results With EGM, the threshold of taste was increased at 7th days after the surgery (p<0.05), but recovered 28th days after the surgery at the posterior part of the tongue in the UPPP group. There were no significant changes in subjective taste dysfunction, smell dysfunction, tongue sensory abnormality, and dysgeusia. Conclusion Taste changes after UPPP was transient and they disappeared within the 1st postoperative month. There were no patients who complained of subjective taste dysfunction, dysgeusia, tongue sensory abnormality after UPPP.
참고문헌 (14)
- Croft CB, "Uses and complications of uvulopalatopharyngoplasty", J Laryngol Otol, 104(11), pp.871~875 (1990)
- Ford LC, "Bilateral glossopharyngeal nerve paralysis after tonsillectomy: case report and anatomic study", Laryngoscope, 114(12), pp.2196~2199 (2004)
- Tomita H, "Taste disturbance after tonsillectomy", Arch Otolaryngol, (546), pp.164~172 (2002)
- Tessema B, "Tongue paresthesia and dysgeusia following operative microlaryngoscopy", Ann Otol Rhinol Laryngol, 115(1), pp.18~22 (2006)
- 전은주, "편도절제술 후 미각 기능 변화에 대한 연구", 대한이비인후과학회지 두경부외과학, 49(8), pp.829~837 (2006), 대한이비인후과학회
- Cho YS, "The changes of taste sense after the injury of unilateral chorda tympani nerve during middle ear surgery", Korean J Otolaryngol-Head Neck Surg, 43(2), pp.149~154 (2000)
- Kamel UF, "Hypogeusia as a complication of uvulopalatopharyngoplasty and use of taste strips as a practical tool for quantifying hypogeusia", Acta Otolaryngol, 124(10), pp.1235~1236 (2004)
- Saito T, "Long-term follow-up results of electrogustometry and subjective taste disorder after middle ear surgery", Laryngoscope, 111(11), pp.2064~2070 (2001)
- Lynch MA, "Burket’s oral medicine diagnosis and treatment", pp.343~368 (1994), J.B. Lippincott Co
- Tomita H, "Clinical use of electrogustometry: strengths and limitations", Acta Otolaryngol Suppl, (546), pp.27~38 (2002)
- Murphy C, "Reliability and validity of electrogustometry and its application to young and elderly persons", Chem Senses, 20(5), pp.499~503 (1995)
- Tomofuji S, "Taste disturbance after tonsillectomy and laryngomicrosurgery", Auris Nasus Larynx, 32(4), pp.381~386 (2005)
- Rosen CA, "Oropharyngeal complications of suspension laryngoscopy: a prospective study", Laryngoscope, 115(9), pp.1681~1684 (2005)
- Lehman CD, "Effect of anesthesia of the chorda tympani nerve on taste perception in humans", Physiol Behav, 57(5), pp.943~951 (1995)