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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 34(6); 1991 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1991;34(6): 1186-1194.
Taste function in the patients with chronic otitis media and changes after chorda tympanic nerve section.
Sang Cheol Lee, Seong Kook Park, Gun Joo Lee, Chun Keun Park
만성중이염 환자의 미각기능과 고삭신경절단후의 미각변화
이상철 · 박성국 · 이건주 · 박춘근
인제대학교 의과대학 부산백병원 이비인후과학교실
ABSTRACT

Taste fibers reach the anterior two-thirds of the tongue via the chorda tympanic nerve from the facial nerve. The chorda tympanic nerve may be damaged during the course of the middle ear infection or surgery. Authors investigated taste function in the 56 patients of chronic otitis media who were admitted for ear surgery preoperatively, and taste function in the 10 patients whose chorda tympanic nerve was resected during ear surgery. We used filter paper disc(FPD) method which was not only quantitative but also qualitative method for evaluation of taste function. The taste substances used in this study were sucrose for sweet, sodium chloride for salty, tartaric acid for sour and quinine hydrochloride for bitter. The results were as follows : 1) The subjects being used in this study were 56 patients as 26 non-cholesteatomatous and 30 cholesteatomatous otitis media. 2) The taste function at the side of titis media showed the tendency of decrease or loss especially to sucrose, at the area of chorda tympanic nerve. 3) The taste function at the side of the lesion in the cholesteatomatous patients was more decreased than in the non-cholesteatomatous patients. 4) Of the 7 patients who were lost of taste function preoperatively, chorda tympanic nerve was cut already or can not be found on operative field. 5) After section of the chorda tympanic nerve during ear surgery, the taste function on at the area of chorda tympanic nerve was not recovered until follow up period of 6 months, however, the taste function in the normal side of the area of chorda tympanic nerve was more increased as compare to preoperatively. From the above results, authors concluded that the taste function at the area of chorda tympanic was not recovered after resection of the nerve.

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