Rollin H
Universitäts-Hals-Nasen-Ohrenklinik Hamburg-Eppendorf.
Arch Otorhinolaryngol. 1975;210(1):165-218. doi: 10.1007/BF00453709.
In a first anatomical section the peripheral gustatory pathways, their central connections, nuclei and cortical projections are discussed. It is evident, that the gustatory fibres from the posterior part of the tongue run in the IX nerve and those from the soft palate reach the medulla oblongata via the petrosal and facial nerve. For the anterior part of the tongue there obviously exists only one gustatory pathway via the chorda tympani-facial nerve. About the further central pathways of taste fibres is much less known. In a second part the methods of taste testing with different taste solutions and the electrogustometry are described. Their practical use and the pitfalls of testing are considered. The disorders of the taste sense compose a third part. Genetic and endocrine abnormalities as well as the side effects of drugs and radiotherapy and the destruction of taste nerves may lead to gustatory deviations. The possibility of central gustatory disorders, especially the combined loss of taste and smell as a result of trauma are mentioned. A chapter dealing with the therapy of taste disorders and a short outlook on the genetic aspects of this oral sense complete this review.
在第一个解剖学部分中,讨论了外周味觉通路、它们的中枢连接、神经核和皮质投射。很明显,来自舌后部的味觉纤维走行于舌咽神经,而来自软腭的味觉纤维通过岩大神经和面神经到达延髓。对于舌前部,显然仅存在一条通过鼓索 - 面神经的味觉通路。关于味觉纤维进一步的中枢通路,人们了解得要少得多。在第二部分中,描述了使用不同味觉溶液进行味觉测试的方法以及电味觉测量法。考虑了它们的实际应用和测试中的陷阱。味觉障碍构成第三部分。遗传和内分泌异常以及药物和放射治疗的副作用以及味觉神经的破坏可能导致味觉偏差。提到了中枢味觉障碍的可能性,特别是由于创伤导致的味觉和嗅觉联合丧失。一章论述味觉障碍的治疗以及对这种口腔感觉的遗传方面的简要展望完善了这篇综述。