The role of taste and taste dysfunction in oral diagnosis.
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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.
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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.
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In a follow-up of 1107 dentoalveolar operations in the postcanine region, 24 (2.2%) temporary sensitivity disturbances of the inferior alveolar nerve and 16 (1.4%) of the lingual nerve were found. Permanent disturbances were not present. Complete recovery had occurred by 6 months in all cases. The incidence of temporary sensitivity disturbances depended on the different surgical interventions performed. For evaluation and follow-up purposes, a computer-aided pain and thermal sensitivity (PATH) tester was used. By PATH testing, spontaneous recovery can already be ascertained at the third or fourth postoperative month.
The purpose of this paper is to describe the variety of chemical agents and medicines which can produce oral manifestations following poisoning. Rapid diagnosis is essential in covert cases to ensure early treatment. Furthermore, oral care is an important part of the general management of many poisoned patients.
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A 37-year-old female presented with complaints of ageusia, dysosmia, fatigue, and toilet tissue pica. She was found to have hypozincemia and iron deficiency anemia. Her complaints quickly abated when treated with oral zinc and iron.