Karatayli-Ozgursoy Selmin, Ozgursoy Ozan B, Muz Engin, Kesici Gokcen, Akiner Metin N
Department of Otolaryngology-Head and Neck Surgery, Ankara University Medical School, Ankara, Turkey.
Eur Arch Otorhinolaryngol. 2009 Jul;266(7):1025-30. doi: 10.1007/s00405-008-0856-9. Epub 2008 Nov 11.
The aim of this prospective non-randomized study was to evaluate the alterations in taste sensation after myringoplasty and to investigate the influence of smoking on taste. Ninety-six patients who underwent myringoplasty and 43 healthy controls were examined. Whole-mouth gustatory test solutions were sucrose (sweet); sodium chloride (salty taste); citrate (sour) taste; and quinine hydrochloride (bitter). Sucrose, citric acid, and sodium chloride recognition thresholds were high in the early postoperative period; however, they were regressed to the preoperative status in course of time. No difference was found between preoperative, early/late postoperative taste recognition thresholds of smoker and non-smoker patients. Underlay myringoplasty has little but transient effect on taste recognition in the early postoperative period. This impairment is completely recovered within 6 months. Furthermore, smoking has no effect on the taste recognition of patients with permanent tympanic membrane perforation and has no influence on the alterations in taste recognition thresholds after myringoplasty. We believe that this study will supply some additional aspects in the scope of taste disturbances due to ear surgery and smoking.
这项前瞻性非随机研究的目的是评估鼓膜成形术后味觉的变化，并调查吸烟对味觉的影响。对96例行鼓膜成形术的患者和43名健康对照者进行了检查。全口味觉测试溶液包括蔗糖（甜味）、氯化钠（咸味）、柠檬酸盐（酸味）和盐酸奎宁（苦味）。术后早期蔗糖、柠檬酸和氯化钠的识别阈值较高，但随着时间的推移会恢复到术前状态。吸烟者和非吸烟者患者术前、术后早期/晚期味觉识别阈值之间没有差异。单纯鼓膜成形术在术后早期对味觉识别有轻微但短暂的影响。这种损害在6个月内完全恢复。此外，吸烟对永久性鼓膜穿孔患者的味觉识别没有影响，对鼓膜成形术后味觉识别阈值的变化也没有影响。我们相信这项研究将为耳部手术和吸烟导致的味觉障碍提供一些额外的研究方向。
