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Taste disorders after tonsillectomy: case report and literature review.

The authors describe a case of dysgeusia that occurred during the recovery period after a tonsillectomy. The cause was thought to be a lesion to the lingual branch of the glossopharyngeal nerve because of the location of the symptoms at the posterior region of the buccal cavity and because of the raised electrogustometric thresholds in the posterior region of one half of the tongue. Clarification of this type of case was made by a review of the literature from 1966 to June 2004, carried out with the aid of Medline. From a medicolegal standpoint, it is important to inform the patient of the risk of dysgeusia after tonsillectomy, especially if that patient has a profession in which taste plays an essential role.

Adult↗

Zinc deficiency and taste disorders.

Elemental zinc supplementation in daily dosages of 25-100 mg po appears to be an efficacious treatment for taste dysfunction secondary to zinc depletion. Insufficient evidence is available to determine the efficacy of zinc supplementation for the treatment of hypogeusia or dysgeusia secondary to drug therapy or medical conditions that do not involve low serum zinc concentrations.

Aged↗

[Taste disorders and liver parenchymal damage after administration of thiamazole (author's transl)].

Marked, and in some cases long-lasting, taste disturbances occurred in three patients on thiamazole. In addition, all three had a rise in serum transaminases and alkaline phosphatase levels, due to associated liver parenchymal damage. Cause of these changes was the high thiamazole dosage (160 and 120 mg/d). Reduction in dosage restored normal taste sense in all three, but in two the drug had to be discontinued because of persisting high transaminase levels.

Adult↗

[Taste disorders following ear surgery (author's transl)].

A prospective study of chorda tympany was carried out on 76 patients aging from 14 to 71 years by performing qualitative taste examination and electrogustometry prior to and at regular intervals up to 1 year after tympanoplasty. In 16 cases of preoperative ageusia, the chorda tympany was found to have been destroyed by cholesteatoma or during a previous ear surgery. Out of 27 cases, in which the chorda tympany remained intact during the surgery, nine patients suffered a mild hypogeusia up to 3 months after the operation. In 13 cases, in which the chorda tympany was stretched or distended during the operation, there existed a marred correlation between the degree of its manipulation and the electrogustometric abnormalities. A chorda tympany section was always followed by a postoperative ageusia.

Adolescent↗