Gustatory changes in patients with chronic otitis media, before and after middle-ear surgery

2012 ◽  
Vol 126 (5) ◽  
pp. 470-474 ◽  
Author(s):  
C-C Huang ◽  
C-D Lin ◽  
C-Y Wang ◽  
J-H Chen ◽  
Y-T Shiao ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
Middle Ear Surgery ◽  
Chorda Tympani ◽  
Chorda Tympani Nerve ◽  
Ear Surgery ◽  
Taste Testing ◽  
Gustatory Function ◽  
Before And After

AbstractObjective:We investigated gustatory changes in patients with chronic otitis media, before and after middle-ear surgery.Methods:This prospective study included 38 patients with unilateral chronic otitis media. We used taste testing solutions to evaluate each patient's taste function. Intra-operative assessments of the chorda tympani nerve were also compared and analysed.Results:Patients with chronic otitis media had significantly worse ipsilateral perception of sour, bitter and salty tastes. In patients with good intra-operative preservation of the chorda tympani nerve, there was significant improvement in gustatory function one month post-operatively, compared with the pre-operative baseline. In patients who sustained intra-operative chorda tympani nerve injury, one month post-operative gustatory function was the same as the pre-operative baseline.Conclusion:Middle-ear surgery for chronic otitis media not only treats the ear but also improves gustatory function in the majority of patients. In patients with intra-operative injury to the chorda tympani nerve, post-operative taste decline is only temporary.

Tinnitus in patients with chronic otitis media before and after middle ear surgery

2011 ◽  
Vol 268 (10) ◽  
pp. 1443-1448 ◽  
Author(s):  
Dong-Kee Kim ◽  
Shi-Nae Park ◽  
Min Ji Kim ◽  
Se Yun Lee ◽  
Kyoung-Ho Park ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Before And After

Clinical Assessment of Gustatory Function before and after Middle Ear Surgery: A Prospective Study with a Two-Year Follow-up Period

2008 ◽  
Vol 117 (10) ◽  
pp. 769-773 ◽  
Author(s):  
Christian A. Mueller ◽  
Saher Khatib ◽  
Asami Naka ◽  
Andreas F. P. Temmel ◽  
Thomas Hummel
Keyword(s):  
Middle Ear ◽  
Anterior Part ◽  
Middle Ear Surgery ◽  
Chorda Tympani Nerve ◽  
Self Assessment ◽  
Ear Surgery ◽  
Visual Analog Scales ◽  
Gustatory Function ◽  
Before And After ◽  
A Prospective Study

Objectives: Middle ear surgery can affect gustatory function because of the course of the chorda tympani nerve (CTN) close to the tympanic membrane. The aim of the study was to evaluate the sense of taste before and after middle ear surgery with a test suitable for clinical routine. Moreover, subjective complaints were assessed over a relatively long period of time. Methods: Forty-seven patients (26 female, 21 male; mean age, 42 years) were investigated before and 4 days after surgery on both sides of the anterior part of the tongue. Self-assessment of taste function was performed by visual analog scales. Results: The mean (±SD) taste scores significantly decreased on the side ipsilateral to the operated ear in patients with major manipulation of the CTN (12.0 ± 4.5 before surgery and 6.9 ± 4.5 after surgery; p < 0.001), whereas no significant changes were measured in patients with minor manipulation of the CTN (12.5 ± 3.1 before surgery and 11.2 ± 3.9 after surgery; p = 0.14). Self-assessed ratings of taste function significantly decreased after surgery in all patients (p < 0.001). Reassessment of subjective taste function after 2 years indicated no persisting complaints. Conclusions: Depending on the amount of manipulation of the CTN, taste function is decreased after surgery. However, long-lasting changes of gustatory function seem to be rare.

scholarly journals Impact of depressive disorders on quality of life after middle ear surgery in patients with chronic otitis media

2020 ◽  
Author(s):  
Susen Lailach ◽  
Theresa Langanke ◽  
Thomas Zahnert ◽  
Susan Garthus-Niegel ◽  
Marcus Neudert
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Otitis Media ◽  
Middle Ear ◽  
Short Form ◽  
Chronic Otitis Media ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Sf 36

Abstract Purpose The aim of this study was to determine whether preoperative depressive symptoms influence health-related quality of life (HRQOL) after middle ear surgery in patients with chronic otitis media (COM). Methods This prospective clinical case study was conducted at a tertiary referral center. All 102 patients who had undergone middle ear surgery for COM were assessed clinically and by audiometric testing (pure tone audiometry) in pre- and postoperative settings. Disease-specific HRQOL was assessed by the validated chronic otitis media outcome test 15 (COMOT-15) and the Zurich chronic middle ear inventory (ZCMEI-21). General HRQOL was measured using the short form 36 (SF-36). Depressive symptoms were assessed using the patient health questionnaire (PHQ-D). The Charlson comorbidity index (CCI) was used to classify comorbidities. The middle ear status was determined using the ossiculoplasty outcome parameter staging (OOPS) index. Results After middle ear surgery, the total COMOT-15 and ZCMEI-21 scores improved significantly (p < 0.001). General HRQOL (total SF-36 score) was unaffected by surgery (p < 0.05). Patients without elevated depressive symptoms had significantly better total scores for the COMOT-15 (p < 0.01), ZCMEI-21 (p < 0.001), and for SF-36 (p < 0.001) postoperatively. The results of the multiple regression analyses show that, after adjusting for the OOPS, CCI, and hearing improvement, preoperative depressiveness was significantly associated with worse postoperative COMOT-15 and ZCMEI-21 outcome scores (β = 0.425 and β = 0.362, p < 0.001). Conclusion Preoperative depressiveness was an essential predictive factor for HRQOL in patients with COM. This should be considered during patient selection to provide more suitable preoperative counseling.

Low-Entry-Point Method for Chorda Tympani Nerve Preservation during Middle Ear Surgery

2012 ◽  
Vol 147 (5) ◽  
pp. 972-974
Author(s):  
Chien-Hao Chen ◽  
Peir-Rong Chen ◽  
Chia-Fone Lee ◽  
Lee-Ping Hsu ◽  
Yu-Fu Chou
Keyword(s):  
Middle Ear ◽  
Point Method ◽  
Entry Point ◽  
Middle Ear Surgery ◽  
Chorda Tympani ◽  
Chorda Tympani Nerve ◽  
Ear Surgery ◽  
Nerve Preservation

Taste Function after Section of Chorda Tympani Nerve in Middle Ear Surgery

2004 ◽  
Vol 131 (2) ◽  
pp. P241-P241
Author(s):  
Masafumi Sakagami ◽  
Toshihiko Muto ◽  
Yasuo Mishiro ◽  
Keijiro Fukazawa ◽  
Makito Okamoto
Keyword(s):  
Middle Ear ◽  
Middle Ear Surgery ◽  
Chorda Tympani ◽  
Chorda Tympani Nerve ◽  
Ear Surgery

A study of chorda tympani nerve injury and related symptoms following middle-ear surgery

2005 ◽  
Vol 119 (3) ◽  
pp. 189-192 ◽  
Author(s):  
P Gopalan ◽  
M Kumar ◽  
D Gupta ◽  
J J Phillipps
Keyword(s):  
Prospective Study ◽  
Middle Ear ◽  
Recovery Time ◽  
Middle Ear Surgery ◽  
Chorda Tympani ◽  
Chorda Tympani Nerve ◽  
Ear Surgery ◽  
Number Of Patients ◽  
Prolonged Recovery ◽  
A Prospective Study

This is a prospective study that looks into the prevalence of chorda tympani nerve (CTN) injury and related symptoms following varying degrees of trauma to the nerve during three common types of middle-ear operation: myringoplasty, tympanotomy and mastoidectomy. The number of patients with CTN-related symptoms varied widely between the three groups. Increased occurrence of the nerve related symptoms and a prolonged recovery time were observed in the tympanotomy group. Stretching of the nerve produced more symptomatic cases than cutting it in the myringoplasty and mastoidectomy groups. Recovery was complete in 92 per cent of the symptomatic patients by 12 months. It is important to inform patients about the possibility of CTN injury during middle-ear operations, and it should also be emphasized that symptoms related to CTN injury can occur irrespective of the type of damage to the nerve.

scholarly journals STUDY TO ASSESS THE EUSTACHIAN TUBE FUNCTION BEFORE AND AFTER TYMPANOPLASTY: A COMPARATIVE STUDY.

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Abhiniti . ◽  
Pawan Kumar Lal
Keyword(s):  
Comparative Study ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Middle Ear Surgery ◽  
Eustachian Tube Function ◽  
Ear Surgery ◽  
Before And After ◽  
Tube Function

Aim: aim to assess the eustachian tube function before and after tympanoplasty. Materials and methods: The present prospective comparative study was conducted in the Department of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar  India .Among 60 patients confirmed with the diagnosis of chronic otitis media. Preoperative PTA and eustachian tube function tests were taken. Patients were then subjected to ear surgery. Results: Majority of patients were young adults the mean age group was 28.16±6.61 years. Of these patients, 55.0% were males and 45.0% were females. Mean preoperative PTA was 40.32±3.41 and post operatively the PTA was 31.41±4.65 improved significantly (p<0.05). Conclusion: The prognosis of middle ear surgery has a direct correlation with the Eustachian tube functions, i.e. good Eustachian tube functions is essential for obtaining a good prognostic value and vice versa. Keywords: eustachian tube functions, pure tone audiometry, tympanoplasty, chronic otitis media

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