25 1 17 22, 2012 QOL Canal wall up Bell 17
25 1 (%) 100 ** P0.008 80 60 40 20 No recovery Complete recovery 0 2W 6M 0-20 years n=18 2W 6M 2W 6M 21-40 years n=15 41-60 years n=27 3 2 1 Noninfla COMChole Noninfla / / COM / / Chole / / P00047P0000900001 by McNemar test P0032P022011 P by Fisher s exact test N=83 ears No recovery 2 1 67 cases 37 cases 28 cases 37 cases 8 cases 6 cases P 005 Non-inflan=20) COM (n=35) Chole (n=28) 4 Incomplete recovery Complete recovery Noninfla COMChole 18
25 1 Number of Patients 6 n=18 5 4 2 1 Duration 5 n18 B 6 0 0.5 3 24 month a b 7 19
25 1 8 3 yesno n35 n35 LM LM, p. 198199. Sakagami M. Taste disturbance and its recovery after middle ear surgery. Chemical Senses 2005 ; 30Suppl 1: i220i221. Sone M, Sakagami M, Tsuji K, et al. Younger patients have a higher rate of recovery of tatse function after middle ear surgery. Arch Otolaryngol Head Neck Surg 2001 ; 127 : 967969. Steinberg DR, Koman LA : Factors affecting the result of peripheral nerve repair. Gelberman RH, ed. Operative Nerve Repair and Construction. Philadelphia, Lippincott Co ; 1991, p. 349364. 20
25 1 9 Danielidis V, Skevas A, Van Cauwenberge P, et al. A comparative study of age, and degree of facial nerve recovery in patients with Bell s palsy. Eur Arch Otorhinolaryngol 1999 ; 256 : 520522. Sakagami M, Sone M, Tsuji K, et al. Rate of recovery of taste function after preservation of chorda tympani nerve in middle ear surgery with special reference to type of diseases. Ann Otol Rhinol Laryngol 2003 ; 112 : 5256. Tsuji K, Sone M, Kakibuchi M, et al. Bilateral cholesteatoma and habitual sniffing. Auris Nasus Larynx 2002 ; 29 : 111114. Nin T, Sakagami M, SoneOkunaka M, et al. Taste function after sevtion of chorda tympani nerve in middle ear surgery. Auris Nasus Larynx 2006 ; 33 : 1317. Negoro A, Umemoto M, Fukazawa K, et al. Observation of tongue papillae by video microscopy and contact endoscopy to investigate their correlation with taste function. Auris Nasus Larynx 2004 ; 31 : 255260. p. 184187. Saito T, Shibamori Y, Manabe Y, et al. Longterm followup results of electrogustometry and subjective taste disorder after middle ear surgery. Laryngoscope 2001 ; 111 : 20642070. Terada T, Sone M, Tsuji K, et al. Taste function in elderly patients with unilateral middle ear diseases. Acta Otolaryngol 2004 ; 553Suppl: 113116. Tomita H, Ohtsuka K. Taste disturbance after tonsillectomy. Acta Otolaryngol 2002 ; 546Suppl: 164172. Goins MR, Pitovsky DZ. Posttonsillectomy taste distortion : a significant complication. Laryngoscope 2004 ; 114 : 12061213. Tomofuji S, Sakagami M, Kushida K, et al. Taste disturbance after tonsillectomy and laryngomicrosurgery. Auris Nasus Larynx 2005 ; 32 : 381386. Sakurada T, Kobayashi T, Ikeda K, et al. Taste disturbance after laryngomicrosurgeryin Japanese. Otolaryngol Head Neck SurgTokyo1986 ; 13Suppl 1: 115. 21
25 1 Taste disorders in the practice of otolaryngology Masafumi Sakagami Department of Otolaryngology, Hyogo College of Medicine Key words : middle ear surgery, tonsillectomy, laryngomicrosurgery, chorda tympani nerve, glossopharyngeal nerve 22