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A study of gustatory and olfactory function in patients with craniofacial anomalies.

Olfactory and gustatory function can be reiably studied in patients with craniofacial anomalies over the age of 7 years. In our unoperated patients with orbital hypertelorism or craniofacial dysostosis, preoperative evaluation of the olfactory and gustatory functions showed normal values. The same techniques were employed to study any changes in these modalities following reconstructive craniofacial surgery, and the results are presented.

Child

Chemical senses.

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Humans

Olfactory, auditory, and gustatory function in patients with bonadal dysgenesis.

The olfactory, auditory, and gustatory functions of 20 women with gonadal dysgenesis were studied. Various abnormalities of these functions were found, and they occurred principally in patients with mosaicism of the sex chromosomes. This is further evidence of the increased likelihood of various somatic abnormalities among women with gonadal dysgenesis, and particularly among those who carry more than one line of sex chromosomes.

Female

Burning mouth syndrome.

In spite of the normal clinical appearance of the oral mucosa, BMS subjects do have demonstrated changes in sensory perception and salivary factors in addition to alterations in psychologic features. Although some of these changes may be suggestive of a peripheral or central dysfunction of small afferent nerve fibres, the extent of this alteration and its cause both remain unclear. The existence of changes other than psychologic, however, do weaken the proposition that BMS has a primarily psychogenic origin and suggests instead that future research should address the question of other organic changes in BMS.

Adult

[Standardized examination methods for smell and taste and their clinical value].

The diagnostic of disturbances of the chemical senses is from a clinical standpoint still insufficient, as the literature of the whole world shows. Ten years of experimental and clinical investigations as well as the collection and evaluation of the experiences at the University ENT-Clinic Halle/S., GDR--have helped to develop some new tests and tools like a big and a small smell-case, two electrogustometers, the documentation by means of olfacto- and gustograms and so on. Now in the whole GDR a special group of ENT-scientists, members of our ENT society, are working on standardisation. The experiences will be official in our country. After the representation of our diagnostic system from to-day, as we are using them in our clinic, we are giving clinical examples as the diagnosis of the cranial nerves, the control of the treatment and so on, which are showing the usefulness of such examinations in smell and taste.

Humans

[Electrometric method of studying taste in brain diseases].

Disorders of the sense of taste were studied in 355 patients with craniocerebral pathology, among whom 70 had tumors of the acoustic nerve, 64 had a craniocerebral trauma, 60 had tumors of the cerebral hemispheres. The most coarse disorders with the loss of the sense of taste on the anterior 2/3 of the tongue were encountered in tumors of the acoustic nerve and in transverse infracture of the pyramid of the temporal bone. Longitudinal infractures of the pyramid usually cause a diminished sense of taste on the anterior 2/3 of the tongue in the acute period, with improvment of the taste in the late periods after the trauma. The test for the sense of taste on the anterior 2/3 of the tongue in tumors of the acoustic nerve, in infractures of the temporal bone pyramid, and in arachnoiditis of the cerebellopontine angle is one of the diagnostic methods. Electrogustometry makes it possible to detect the earliest disorders in the sense of taste and make a more precise diagnosis.

Arachnoiditis