편도적출술 및 후두경하 미세수술 이후 발생한 미각 및 감각 변화

양재민; 최동준; 김일우; 장재혁; 김범규; 김용복; 박일석

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자료유형: 학술저널

저자정보: 양재민 최동준 김일우 장재혁 김범규 김용복 박일석

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제3호

발행연도: 2007.1

수록면: 247 - 251 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives：Postoperative taste and sensory changes are regarded as unusual and minor complications of tonsillectomy and laryngomicrosurgery. This study aimed to identify incidence, cause, and duration of postoperative taste and sensory Subjects and Method：With 20 patients who underwent tonsillectomy and 20 patients who underwent laryngomicro-surgery, we have prospectively studied postoperative taste and sensory changes using questionnaires with regard to symptoms at 1st, 7th , 14th and 28th days after the surgery. The thresholds of sweet, sour, salty and bitter tastes were measured by spatial taste test. Also, we have checked pre-operatively and post-operatively about the serum level of zinc and coper. Results：Five patients (25% ) (15% ) who underwent laryngomicrosurgery sufered from changes in tastes. Four patients (20% ) and 5 patients (25% ) showed the sensory change. Especially, the bitter taste threshold changed in the posterior tongue (p<0.05). Post-operative zinc deficiency was detected on 1 patient. Subjective taste and sensory change disappeared within 28 days. In spatial taste test, the threshold for bitter taste increased on the 1st post-operative day at the posterior tongue, but it returned almost to the preoperative level within 28days. Conclusion：Taste and sensory change after tonsillectomy and la-ural damage, taste and sensory change were transient and disappeared within 28 days. The main cause of transient taste and sensory change seemed to be due to the compression of tongue, and sometimes, to postoperative zinc deficiency. (Korean J Otolaryngol 2007 ;50 :247-51)

#편도적출술·후두경하 미세수술·미각. #Tonsillectomy· Laryngoscopic surgery· Taste.

참고문헌 (14)

참고문헌 신청

/ / Bartoshuk L. Clinical evaluation of sense of taste. Ear Nose Throat J1989 : 331 ~ 7

/ / Rollin H. Gustatory disturbances as side effect of medical treatment.Laryngol Rhinol Otol 1976 : 873 ~ 8

/ / Tomita H. A double blind study of the therapeuticefficacy of zinc gluconate on taste disorder. Auris Nasus Larynx 1991 : 153 ~ 61

/ 1995 / The effect of anesthesia of the chorda tympani nerve on taste perception in humans 57 (5) : 943 ~ 951

/ 1996 / Altered taste sensation in newly-diagnosed NIDDM 19 (7) : 768 ~ 770

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