Premium
Earlier recovery of lingual dysfunction after middle ear surgery in pediatric versus adult patients
Author(s) -
Nishii Tomoko,
Nin Tomomi,
Maeda Emi,
Fukunaga Akiko,
Mishiro Yasuo,
Sakagami Masafumi
Publication year - 2020
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.28165
Subject(s) - medicine , dysgeusia , tongue , surgery , somatosensory system , incidence (geometry) , adverse effect , physics , pathology , psychiatry , optics
Objectives It is generally thought that the recovery of damaged chorda tympani nerve (CTN) function after middle ear surgery is different in pediatric patients from that in adult patients. The purpose of this study was to investigate the changes and the progress of taste and somatosensory functions of the tongue after middle ear surgery in pediatric patients compared with those of adult patients. Study Design Prospective study. Methods Fifty‐nine pediatric patients and 106 adult patients underwent middle ear surgery. Taste and somatosensory functions of the anterior tongue, the so‐called CTN functions, were assessed using electrogustometry (EGM), a 2‐point discriminator, an electrostimulator, and a questionnaire before and 2 weeks and 6 months after surgery. Results Two weeks after surgery, there was no significant difference in the incidence of dysgeusia and abnormal EGM thresholds between the patient groups. The incidence of tongue numbness was significantly lower in pediatric patients than in adult patients regardless of CTN manipulation. Although the lingual somatosensory thresholds of adult patients were significantly increased, those of pediatric patients were not increased. Six months after surgery, the incidences of dysgeusia and an abnormal EGM threshold were lower in pediatric patients than in adult patients. Tongue numbness disappeared, and the thresholds of lingual somatosensory tests returned to normal in most pediatric patients. Conclusion Not only taste function but also lingual somatosensory function was damaged after middle ear surgery even in pediatric patients. Pediatric patients complained of tongue numbness less frequently and showed earlier recovery than adult patients. Level of Evidence 2 Laryngoscope , 130:1016–1022, 2020