Collet Stéphanie, Eloy Philippe, Rombaux Philippe, Bertrand Bernard
Department of Otorhinolaryngology-Head and Neck Surgery, Catholic University of Louvain, University Hospital of Mont-Godinne, Yvoir, Belgium.
Ann Otol Rhinol Laryngol. 2005 Mar;114(3):233-6. doi: 10.1177/000348940511400312.
The authors describe a case of dysgeusia that occurred during the recovery period after a tonsillectomy. The cause was thought to be a lesion to the lingual branch of the glossopharyngeal nerve because of the location of the symptoms at the posterior region of the buccal cavity and because of the raised electrogustometric thresholds in the posterior region of one half of the tongue. Clarification of this type of case was made by a review of the literature from 1966 to June 2004, carried out with the aid of Medline. From a medicolegal standpoint, it is important to inform the patient of the risk of dysgeusia after tonsillectomy, especially if that patient has a profession in which taste plays an essential role.
作者描述了一例扁桃体切除术后恢复期发生味觉障碍的病例。病因被认为是舌咽神经舌支受损,这是由于症状出现在口腔后部区域,且一侧舌后部区域的电味觉阈值升高。通过在医学在线数据库(Medline)的辅助下检索1966年至2004年6月的文献,对这类病例进行了阐明。从法医学角度来看,告知患者扁桃体切除术后有味觉障碍的风险非常重要,尤其是对于那些味觉在其职业中起着至关重要作用的患者。