JCHO Sendai Hospital, Sendai, Japan; Department of Otolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Department of Otolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan; Division of Otolaryngology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Auris Nasus Larynx. 2020 Apr;47(2):238-241. doi: 10.1016/j.anl.2019.07.005. Epub 2019 Jul 16.
To investigate risk factors for dysgeusia after tonsillectomy.
A retrospective survey of medical records identified 318 patients (163 male and 155 female subjects aged 12-75 years, average 41.7±16.1 years) who underwent tonsillectomy.
Thirty three patients (10.4%) and seven patients (2.2%) reported suffering from dysgeusia three and six months after tonsillectomy, respectively. Average age, serum level of Zn and operation time were not significantly different between positive and negative findings of dysgeusia. Women with positive findings of dysgeusia (72.7%) was significantly higher than men (27.3%) (Odds ratio: 3.276, 95% CI: 1.441-7.450, p<0.005). A chi-square test of independence was calculated comparing the frequency of dysgeusia in under 60 years old group (13-59 years-old) and 60 years old and over group (60-75 years-old). A significant interaction was found (χ2 (1)=5.238. p<0.05).
Women and under 60 years old patients had a significantly higher rate of dysgeusia after tonsillectomy. It is recommended that patients are informed of the potential postoperative complication of dysgeusia.
探讨扁桃体切除术后味觉障碍的危险因素。
回顾性病历调查共纳入 318 名（163 名男性和 155 名女性，年龄 12-75 岁，平均 41.7±16.1 岁）接受扁桃体切除术的患者。
术后 3 个月和 6 个月分别有 33 例（10.4%）和 7 例（2.2%）患者报告出现味觉障碍。味觉障碍阳性和阴性患者的平均年龄、血清锌水平和手术时间无显著差异。味觉障碍阳性患者中女性（72.7%）明显高于男性（27.3%）（优势比：3.276，95%置信区间：1.441-7.450，p<0.005）。对 60 岁以下组（13-59 岁）和 60 岁及以上组（60-75 岁）味觉障碍的发生率进行独立性卡方检验，发现存在显著交互作用（χ2 (1)=5.238，p<0.05）。
女性和 60 岁以下患者扁桃体切除术后味觉障碍发生率显著更高。建议告知患者术后味觉障碍的潜在并发症。
