Taste impairment after endoscopic stapes surgery: Do anatomic variability of chorda tympani and surgical technique matter? : Post-operative dysgeusia after EStS.
Chorda tympani
Dysgeusia
Endoscopic ear surgery
Oval window
Stapes surgery
Taste
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
09
04
2021
accepted:
25
05
2021
pubmed:
9
7
2021
medline:
9
4
2022
entrez:
8
7
2021
Statut:
ppublish
Résumé
To investigate how the anatomical configuration of the oval window region (OWR) influences the management of the chorda tympani (ChT) and the curetting of adjacent bony structures, in a setting of patients undergoing endoscopic stapes surgery (EStS); to assess the incidence of early and late post-operative dysgeusia and to identify anatomical and surgical factors influencing taste function after EStS. Surgical video recordings of 48 patients undergoing EStS for otosclerosis between January 2019 and July 2020 were retrospectively revised, to classify the anatomical variability of selected middle ear structures and the management strategies for the ChT. Clinical records of included patients were reviewed for subjective early and late post-operative taste impairment using a 5-point Likert-scale. The most common configuration of the OWR was type III. The extension of the bony curettage resulted inversely proportional to the exposure of the OWR. The long-term rate of preserved post-operative taste function was 85%. Displacement of the ChT was necessary in 43/48 cases (90%), mostly medially (36/48, 75%). Bone curetting during EStS does not correlate with post-operative taste impairment. Despite 100% ChT preservation rate, dysgeusia may occur in a minority of patients, with no apparent relationship to anatomical variability or intraoperative management of the ChT. The use of CO
Identifiants
pubmed: 34236486
doi: 10.1007/s00405-021-06908-0
pii: 10.1007/s00405-021-06908-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2269-2277Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Alicandri-Ciufelli M, Molinari G, Rosa MS, Monzani D, Presutti L (2019) Gusher in stapes surgery: a systematic review. Eur Arch Otorhinolaryngol 276(9):2363–2376. https://doi.org/10.1007/s00405-019-05538-x
doi: 10.1007/s00405-019-05538-x
pubmed: 31273448
Mueller CA, Khatib S, Naka A, Temmel AF, Hummel T (2008) Clinical assessment of gustatory function before and after middle ear surgery: a prospective study with a two-year follow-up period. Ann Otol Rhinol Laryngol 117(10):769–773. https://doi.org/10.1177/000348940811701012
doi: 10.1177/000348940811701012
pubmed: 18998507
Clark MP, O’Malley S (2007) Chorda tympani nerve function after middle ear surgery. Otol Neurotol 28(3):335–340. https://doi.org/10.1097/01.mao.0000247820.16325.f0
doi: 10.1097/01.mao.0000247820.16325.f0
pubmed: 17195771
Gedikli O, Doğru H, Aydin G, Tüz M, Uygur K, Sari A (2001) Histopathological changes of chorda tympani in chronic otitis media. Laryngoscope 111(4 Pt 1):724–727. https://doi.org/10.1097/00005537-200104000-00029
doi: 10.1097/00005537-200104000-00029
pubmed: 11359147
McManus LJ, Stringer MD, Dawes PJ (2012) Iatrogenic injury of the chorda tympani: a systematic review. J Laryngol Otol 126(1):8–14. https://doi.org/10.1017/S0022215111002039
doi: 10.1017/S0022215111002039
pubmed: 21867582
Michael P, Raut V (2007) Chorda tympani injury: operative findings and postoperative symptoms. Otolaryngol Head Neck Surg 136(6):978–981. https://doi.org/10.1016/j.otohns.2006.12.022
doi: 10.1016/j.otohns.2006.12.022
pubmed: 17547991
Lucidi D, Molinari G, Reale M, Alicandri-Ciufelli M, Presutti L (2021) Functional Results and Learning Curve of Endoscopic Stapes Surgery: A 10-Year Experience. Laryngoscope 131(4):885–891. https://doi.org/10.1002/lary.28943
doi: 10.1002/lary.28943
pubmed: 33124036
Molinari G, Yacoub A, Alicandriciufelli M et al (2021) Endoscopic anatomy of the chorda tympani: systematic dissection, novel anatomic classification, and surgical implications. Otol Neurotol. https://doi.org/10.1097/MAO.0000000000003143 (published online ahead of print, 2021 Mar 19)
doi: 10.1097/MAO.0000000000003143
pubmed: 34172654
Migirov L, Wolf M (2013) Endoscopic transcanal stapedotomy: how I do it. Eur Arch Otorhinolaryngol 270(4):1547–1549. https://doi.org/10.1007/s00405-013-2420-5
doi: 10.1007/s00405-013-2420-5
pubmed: 23463349
Marchioni D, Rubini A, Gazzini L et al (2018) Complications in endoscopic ear surgery. Otol Neurotol 39(8):1012–1017. https://doi.org/10.1097/MAO.0000000000001933
doi: 10.1097/MAO.0000000000001933
pubmed: 30113561
Bonali M, Fermi M, Alicandri-Ciufelli M et al (2020) Correlation of radiologic versus endoscopic visualization of the middle ear: implications for endoscopic ear surgery. Otol Neurotol 41(9):e1122–e1127. https://doi.org/10.1097/MAO.0000000000002787
doi: 10.1097/MAO.0000000000002787
pubmed: 32925849
Bull TR (1965) Taste and the chorda yypani. J Laryngol Otol 79:479–493. https://doi.org/10.1017/s0022215100063969
doi: 10.1017/s0022215100063969
pubmed: 14292248
Maeda E, Katsura H, Nin T, Sakaguchi-Fukunaga A, Mishiro Y, Sakagami M (2018) Change of somatosensory function of the tongue caused by chorda tympani nerve disorder after stapes surgery. Laryngoscope 128(3):701–706. https://doi.org/10.1002/lary.26598
doi: 10.1002/lary.26598
pubmed: 28397279
Alicandri-Ciufelli M, Guarino P, Fabbri F, Cunsolo EM, Presutti L, Anschuetz L (2018) Middle ear microvascularization: an “in vivo” endoscopic anatomical study. Eur Arch Otorhinolaryngol 275(4):889–894. https://doi.org/10.1007/s00405-018-4905-8
doi: 10.1007/s00405-018-4905-8
pubmed: 29429024
Quaranta N, Piccininni K, Romanello M, Lucidi D, Sergi B (2019) The impact of intra-operative factors in otosclerosis outcomes: retrospective study in a tertiary centre. Acta Otorhinolaryngol Ital 39(3):197–204. https://doi.org/10.14639/0392-100X-2004
doi: 10.14639/0392-100X-2004
pubmed: 31131839
pmcid: 6536026
Guder E, Böttcher A, Pau HW, Just T (2012) Taste function after stapes surgery. Auris Nasus Larynx 39(6):562–566. https://doi.org/10.1016/j.anl.2011.10.020
doi: 10.1016/j.anl.2011.10.020
pubmed: 22326118
Miuchi S, Sakagami M, Tsuzuki K, Noguchi K, Mishiro Y, Katsura H (2009) Taste disturbance after stapes surgery–clinical and experimental study. Acta Otolaryngol Suppl 562:71–78. https://doi.org/10.1080/00016480902915731
doi: 10.1080/00016480902915731
Yung M, Smith P, Hausler R et al (2008) International Common Otology Database: taste disturbance after stapes surgery. Otol Neurotol 29(5):661–665. https://doi.org/10.1097/MAO.0b013e3181778211
doi: 10.1097/MAO.0b013e3181778211
pubmed: 18580696
Bartel R, Sanz JJ, Clemente I et al (2020) Endoscopic stapes surgery outcomes and complication rates: a systematic review. Eur Arch Otorhinolaryngol. https://doi.org/10.1007/s00405-020-06388-8 (published online ahead of print, 2020 Oct 1)
doi: 10.1007/s00405-020-06388-8
pubmed: 33001293
Ziylan F, Smeeing DPJ, Bezdjian A, Stegeman I, Thomeer HGXM (2018) Feasibility of preservation of chorda tympani nerve during noninflammatory ear surgery: A systematic review. Laryngoscope 128(8):1904–1913. https://doi.org/10.1002/lary.26970
doi: 10.1002/lary.26970
pubmed: 29086423
Berling Holm K, Knutsson J, Strömbäck K et al (2017) Taste disturbance after stapes surgery: an evaluation of frequency, severity, duration, and quality-of-life. Acta Otolaryngol 137(1):39–43. https://doi.org/10.1080/00016489.2016.1217562
doi: 10.1080/00016489.2016.1217562
pubmed: 27540683
Lucidi D, De Corso E, Paludetti G, Sergi B (2019) Quality of life and functional results in canal wall down vs canal wall up mastoidectomy. Acta Otorhinolaryngol Ital 39(1):53–60. https://doi.org/10.14639/0392-100X-2005
doi: 10.14639/0392-100X-2005
pubmed: 30936579
pmcid: 6444168
Lucidi D, Reale M, Fermi M et al (2021) Disease-specific quality of life and psychological distress after endoscopic tympanoplasty. Eur Arch Otorhinolaryngol. https://doi.org/10.1007/s00405-021-06670-3 (published online ahead of print, 2021 Feb 16)
doi: 10.1007/s00405-021-06670-3
pubmed: 34236486
Skoloudik L, Krtickova J, Haviger J, Mejzlik J, Chrobok V (2021) Changes of taste perception after stapes surgery: a prospective cohort study. Eur Arch Otorhinolaryngol. https://doi.org/10.1007/s00405-021-06665-0 (published online ahead of print, 2021 Feb 15)
doi: 10.1007/s00405-021-06665-0
pubmed: 33909144
Koukkoullis A, Tóth I, Gede N et al (2020) Endoscopic versus microscopic stapes surgery outcomes: a meta-analysis and systematic review. Laryngoscope 130(8):2019–2027. https://doi.org/10.1002/lary.28353
doi: 10.1002/lary.28353
pubmed: 31714605
Yacoub A, Wimmer W, Molinari G et al (2020) Transcanal transpromontorial approach to lateral skull base: maximal area of exposure and surgical extensions. World Neurosurg 135:e181–e186. https://doi.org/10.1016/j.wneu.2019.11.102
doi: 10.1016/j.wneu.2019.11.102
pubmed: 31778835
Choi N, Ahn J, Cho YS (2018) Taste changes in patients with middle ear surgery by intraoperative manipulation of chorda tympani nerve. Otol Neurotol 39(5):591–596. https://doi.org/10.1097/MAO.0000000000001780
doi: 10.1097/MAO.0000000000001780
pubmed: 29561383
Saito T et al (2001) Long-term follow-up results of electrogustometry and subjective taste disorder after middle ear surgery. Laryngoscope 111(11 Pt 1):2064–2070. https://doi.org/10.1097/00005537-200111000-00037
doi: 10.1097/00005537-200111000-00037
pubmed: 11801998
Mahendran S, Hogg R, Robinson JM (2005) To divide or manipulate the chorda tympani in stapedotomy. Eur Arch Otorhinolaryngol 262(6):482–487. https://doi.org/10.1007/s00405-004-0854-5
doi: 10.1007/s00405-004-0854-5
pubmed: 15942802
Bottrill I, Perrault DF Jr, Poe D (1996) In vitro and in vivo determination of the thermal effect of middle ear endoscopy. Laryngoscope 106(2 Pt 1):213–216. https://doi.org/10.1097/00005537-199602000-00020
doi: 10.1097/00005537-199602000-00020
pubmed: 8583856
Ito T, Kubota T, Takagi A et al (2016) Safety of heat generated by endoscope light sources in simulated transcanal endoscopic ear surgery. Auris Nasus Larynx 43(5):501–506. https://doi.org/10.1016/j.anl.2015.12.014
doi: 10.1016/j.anl.2015.12.014
pubmed: 26806025
Sergi B, Lucidi D, De Corso E, Paludetti G (2016) Long-term follow-up after “one-shot” CO
doi: 10.1007/s00405-016-3976-7
pubmed: 27007130
Lesinski SG (1990) Lasers for otosclerosis–which one if any and why. Lasers Surg Med 10(5):448–457. https://doi.org/10.1002/lsm.1900100509
doi: 10.1002/lsm.1900100509
pubmed: 2233099
Wegner I, Kamalski DM, Tange RA et al (2014) Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review. Laryngoscope 124(7):1687–1693. https://doi.org/10.1002/lary.24514
doi: 10.1002/lary.24514
pubmed: 24214900
Fang L, Lin H, Zhang TY, Tan J (2014) Laser versus non-laser stapedotomy in otosclerosis: a systematic review and meta-analysis. Auris Nasus Larynx 41(4):337–342. https://doi.org/10.1016/j.anl.2013.12.014
doi: 10.1016/j.anl.2013.12.014
pubmed: 24572322