Yung Matthew, Smith Phillip, Hausler Rudolf, Martin Christian, Offeciers Erwin, Pytel Josef, Skladzien Jacek, Somers Thomas, Ven de Heyning Paul
Department of Otolaryngology, The Ipswich Hospital NHS Trust, Ipswich, Suffolk, UK.
Otol Neurotol. 2008 Aug;29(5):661-5. doi: 10.1097/MAO.0b013e3181778211.
To use a study on dysgeusia to assess the usefulness of an otology database.
Data were extracted from the international Common Otology Database.
Primary stapes operations.
From a cohort of 14 otologists, only 8 (57%) were able to satisfy external validation and maintain data input for a period of at least 6 months. The rates of dysgeusia varied from 0 to 39% at 3 months and 0 to 27% at 6 months. The percentages of patients with taste disturbance at 6 months in the "nerve-cut" and "nerve-preserved" groups were 22.7 and 10.9%, respectively, although this was not statistically significant (chi2; p = 0.325).
Many surgeons found it difficult to maintain a prospective otology database. The rates of certain subjective symptoms such as dysgeusia are influenced by how vigorously the reviewers prompt the response from the patients. Dysgeusia after stapes surgery is common even if the chorda tympani nerve is preserved. Many patients whose chorda tympani nerve is divided may not complain of dysgeusia.
通过一项关于味觉障碍的研究来评估耳科学数据库的实用性。
数据取自国际通用耳科学数据库。
镫骨初次手术。
在14名耳科医生的队列中，只有8名（57%）能够通过外部验证并持续输入数据至少6个月。味觉障碍发生率在3个月时为0%至39%，在6个月时为0%至27%。“切断神经”组和“保留神经”组在6个月时味觉障碍患者的百分比分别为22.7%和10.9%，尽管这在统计学上无显著差异（卡方检验；p = 0.325）。
许多外科医生发现难以维持前瞻性耳科学数据库。某些主观症状如味觉障碍的发生率受评审人员促使患者做出反应的力度影响。即使保留了鼓索神经，镫骨手术后味觉障碍也很常见。许多鼓索神经被切断的患者可能不会主诉味觉障碍。
