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Taste disturbance after mastoid surgery: immediate and long-term effects of chorda tympani nerve sacrifice

Published online by Cambridge University Press:  28 October 2011

E Kiverniti  and
G Watters
E Kiverniti*
Affiliation:
ENT Department, Southend University Hospital, Essex, UK
G Watters
Affiliation:
ENT Department, Southend University Hospital, Essex, UK
*
Address for correspondence: Ms E Kiverniti, 11 Clan McDonald House, 47 Bramhope Lane, London SE7 7FH, UK E-mail: [email protected]
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Abstract

Objective:

To determine the immediate and long-term taste effects of chorda tympani nerve sacrifice in patients undergoing open cavity mastoidectomy.

Design, setting and participants:

A retrospective, questionnaire survey of patients receiving follow up and aural toilet following open cavity mastoidectomy, over a four-month period. The questionnaire assessed taste disturbance, both immediately post-operative and current. Available surgical records were reviewed for chorda tympani references.

Results:

Of 57 patients, six had undergone surgery to both ears. Of those who could recall (37/57), 24.3 per cent were aware of taste disturbance immediately after surgery, while 8.7 per cent reported current disturbance (median post-operative interval, 28.5 years; range, one month to 67 years). No bilateral surgery patients were aware of taste disturbance.

Conclusion:

Mastoidectomy consent procedure emphasises the risk of hearing loss and facial nerve injury, yet in open cavity surgery chorda tympani division is almost inevitable. Reassuringly, most post-operative taste disturbance resolves, and most patients are not aware of long-term disturbance. However, a small percentage suffer ongoing taste disturbance; this could be significant for professional chefs and wine-tasters. The risk of taste disturbance should be addressed in the consent procedure.

Keywords

Chorda TympaniMastoidectomyEar, MiddleComplicationsTaste
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 1 , January 2012 , pp. 34 - 37
Copyright
Copyright © JLO (1984) Limited 2011

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Footnotes

Presented at the Entex Short Papers Meeting, Section of Otology, Royal Society of Medicine, 5th February 2010, London, UK

References

1Gopalan, P, Kumar, M, Gupta, D, Phillipps, JJ. A study of chorda tympani nerve injury and related symptoms following middle-ear surgery. J Laryngol Otol 2005;119:189–92CrossRefGoogle ScholarPubMed
2Michael, P, Raut, V. Chorda tympani injury: operative findings and postoperative symptoms. Otolaryngol Head Neck Surg 2007;136:978–81CrossRefGoogle ScholarPubMed
3Clark, M, O'Malley, S. Chorda tympani nerve function after middle ear surgery. Otol Neurotol 2007;28:335–40CrossRefGoogle ScholarPubMed
4Leung, RM, Ramsden, J, Gordon, K, Allemang, B, Harrison, BJ, Papsin, BC. Electrogustometric assessment of taste after otologic surgery in children. Laryngoscope 2009;119:2061–5CrossRefGoogle ScholarPubMed
5Sone, M, Sakagami, M, Tsuji, K, Mishiro, Y. Younger patients have a higher rate of recovery of taste function after middle ear surgery. Arch Otolaryngol Head Neck Surg 2001;127:967–9CrossRefGoogle ScholarPubMed
6Kveton, JF, Bartoshuk, LM. The effect of unilateral chorda tympani damage on taste. Laryngoscope 1994;104:25–9CrossRefGoogle ScholarPubMed
7Sollars, SI, Hill, DL. In vivo recordings from rat geniculate ganglia: taste response properties of individual greater superficial petrosal and chorda tympani neurones. J Physiol 2005;564:877–93CrossRefGoogle ScholarPubMed