Olfactory and Gustatory Function in Patients With Different Types of Maxillofacial Trauma.
Le Fort
Smell
anosmia
crumple zone
maxillofacial
taste
trauma
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
31
07
2019
revised:
09
03
2020
accepted:
07
04
2020
pubmed:
1
5
2020
medline:
22
1
2021
entrez:
1
5
2020
Statut:
ppublish
Résumé
To investigate olfactory and gustatory function in patients with maxillofacial trauma and associated fractures. Retrospective cohort study. Olfactory and gustatory function was assessed psychophysically in 124 patients who had sustained maxillofacial trauma with an associated fracture. Five groups were defined based on the fracture type: Le Fort, mandibular, nasal, orbital, and zygomatic. Olfaction was measured with Sniffin' Sticks (threshold, discrimination, identification [TDI] score) and gustation with the taste spray method. Patients self-rated olfactory and gustatory function on a visual analog scale prior to formal testing. Ten out of 124 patients were found to be anosmic (8%), with half of them found in the Le Fort (skull base) group. The Le Fort fracture group had significantly lower olfactory function than other fracture types (TDI score = 22.4 ± 10.7; P = .01; possible range = 1-48). The mean gustatory spray test score was 3.82 ± 0.4 (possible range = 0-4) without any intergroup differences. Self-rated olfactory function showed a correlation with the measured scores (r = 0.61, P < .001) across all groups. The present data show a significant effect of maxillofacial fracture type on the development of anosmia. Maxillofacial fractures involving the skull base, such as Le Fort fractures, are more likely to cause permanent smell loss, whereas the other fracture types are rarely associated with anosmia. 4 Laryngoscope, 131:E331-E337, 2021.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E331-E337Informations de copyright
© 2020 The American Laryngological, Rhinological and Otological Society, Inc.
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