Rate of recovery of taste function after preservation of chorda tympani nerve in middle ear surgery with special reference to type of disease.
To study the recovery of function of the chorda tympani nerve, we examined by electrogustometry 79 patients (83 ears) with both preoperative normal function of the nerve and operative preservation of the nerve, every 2 days during hospitalization and at 6 months after surgery. For symptoms such as tongue numbness and taste disturbance, patients with noninflammmatory (NI) diseases (13/20 or 65.0%) showed a significantly higher rate of symptoms than did patients with chronic otitis media (COM; 13/35 or 37.1%) at 2 weeks after surgery (p = .032). The patients with NI diseases (5/20 or 25.0%) tended to show a higher rate of symptoms than did the COM patients (2/35 or 5.7%) or cholesteatoma patients (2/28 or 7.1%) at 6 months after surgery. The rate of recovery of the EGM threshold to normal at 2 weeks after surgery was significantly lower in NI disease patients (6/20 or 30.0%) than in COM patients (23/ 35 or 62.9%) or cholesteatoma patients (19/28 or 67.9%; p = .015 and .008, respectively). Thus, the patients with NI diseases had postoperative symptoms and elevation of EGM threshold more frequently than did the patients with inflammatory diseases.
Sakagami
Masafumi
M
Department of Otolaryngology, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo 663-8501, Japan.
Sone
Mieko
M
Tsuji
Kojiro
K
Fukazawa
Keijiro
K
Mishiro
Yasuo
Y
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001299:Audiometry; D002648:Child; D002675:Child, Preschool; D018424:Cholesteatoma, Middle Ear / Q000601:surgery; D002814:Chorda Tympani Nerve; D003054:Cochlear Implants; D003627:Data Interpretation, Statistical; D004432:Ear, Middle / Q000002:abnormalities / Q000601:surgery*; D004568:Electrodiagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010033:Otitis Media / Q000601:surgery; D010040:Otosclerosis / Q000601:surgery; D013201:Stapes Surgery; D013649:Taste / Q000502:physiology*; D013652:Taste Threshold; D013997:Time Factors; D014432:Tympanic Membrane / Q000293:injuries