title: Post-tonsillectomy taste disorders.
abstract: Gustatory dysfunction is an uncommon complication following tonsillectomy with a potential impact on the quality of life. This retrospective study was undertaken to evaluate the incidence of post-tonsillectomy dysgeusia and its relationship to wound healing and pain. A retrospective chart review of 100 patients who had undergone tonsillectomy between June and December 2008 at a single tertiary care institution was performed. Clinical examination included evaluation of the patient's history and psychophysical testing with cottons soaked with chininsulfate (0.075%; 0.2%), glucose (2%; 10%), citric acid (0.5%; 7.5%) and sodium chloride (0.5%; 2.5%) before, as well as 4 days to 3 months following tonsillectomy at a tertiary care hospital. Anatomical peculiarities, intubation problems, operation time, methods to achieve hemostasis were extracted from the charts. Healing was scored by the physician and pain was scored by the patient. Subjective taste dysfunction was registered in 29 patients 4 days after surgery. In all patients this dysgeusia regressed within weeks. Measured taste function showed lateralized and transient changes. No investigated factor such as pain, operating time, anatomical particularities, wound healing or haemostatic technique were associated with the occurrence of dysgeusia. Transient taste perception changes seem to be relatively frequent after tonsillectomy. Although our results indicate no correlation of even transiently altered taste perception and any of the investigated parameters, this further confirms the clinical impression that gustatory symptoms can occur even after uneventful tonsillectomy. Informed consent should include post-tonsillectomy gustatory dysfunction.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Malteser Krankenhaus St.Anna, Albertus Magnus Str. 33, 47259 Duisburg, Germany. jochen.windfuhr@malteser.de
authors.forename: Jochen P
authors.initials: JP
authors.lastname: Windfuhr
authors.forename: Florian
authors.initials: F
authors.lastname: Sack
authors.forename: Andreas M
authors.initials: AM
authors.lastname: Sesterhenn
authors.forename: Basile N
authors.initials: BN
authors.lastname: Landis
authors.forename: Yue-Shih
authors.initials: YS
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011788:Quality of Life; D012189:Retrospective Studies; D012307:Risk Factors; D013649:Taste / Q000502:physiology*; D013651:Taste Disorders / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors; D014068:Tonsillectomy / Q000009:adverse effects*; D014945:Wound Healing; D055815:Young Adult
references.citation: Ann Otol Rhinol Laryngol. 2005 Mar;114(3):233-6
references.pmid: 15825575
references.citation: Z Laryngol Rhinol Otol. 1950 Nov;29(11):546-51
references.pmid: 14789135
references.citation: Auris Nasus Larynx. 2005 Dec;32(4):381-6
references.pmid: 16046093
references.citation: Eur Arch Otorhinolaryngol. 2009 Oct;266(10):1621-40
references.pmid: 19184078
references.citation: Laryngoscope. 2004 Dec;114(12):2196-9
references.pmid: 15564844
references.citation: HNO. 1987 May;35(5):195-8
references.pmid: 3610678
references.citation: Laryngoscope. 2004 Jul;114(7):1206-13
references.pmid: 15235350
references.citation: Pract Otorhinolaryngol (Basel). 1955;17(4):260-2
references.pmid: 13310357
references.citation: Eur Arch Otorhinolaryngol. 2008 Dec;265(12):1527-34
references.pmid: 18506467
references.citation: Acta Otolaryngol Suppl. 2002;(546):99-109
references.pmid: 12132628
references.citation: J Neurol. 2009 Feb;256(2):242-8
references.pmid: 19221845
references.citation: Adv Otorhinolaryngol. 2006;63:242-254
references.pmid: 16733342
references.citation: Arch Otolaryngol Head Neck Surg. 2007 Jul;133(7):668-71
references.pmid: 17638779