- 期刊
Taste Disturbance after Palatopharyngeal Surgery for Obstructive Sleep Apnea
懸雍垂顎咽手術之味覺障礙－病例報告
摘要
懸雍垂顎咽手術後造成的味覺障礙雖然罕見，但對生活品質可能有很大衝擊。我們提出－51歲男性睡眠呼吸中止症病患，接受以電燒剝開顎咽皮瓣之懸雍垂顎咽手術。病患於術後抱怨味覺障礙，我們使用三滴試液法(three-drop-method)作味覺測試，結果顯示病人的甜味喪失併有自發性苦味，經追蹤兩年，此病人仍困擾於味覺失真及自發性苦味，食慾大受影響，體重明顯下降，生活品質亦自覺不佳。因此；我們建議應在術前針對有需要接受懸雍垂顎咽手術之病人，告知此項可能之併發症；並在術中減少使用電燒剝開顎咽皮瓣，以減少術後發生味覺障礙的機會。本文中亦就味覺障礙之檢驗方法及顎咽手術造成味覺障礙之可能原因加以討論。
並列摘要
Taste disorder is a rare complication of uvulopalatopharyngoplasty, and may have a significant impact on quality of life. Herein, we report a case of obstructive sleep apnea syndrome in a 51-year-old man who experienced taste disturbance after palatopharyngeal surgery using electrocautery for developing a uvulopalatal flap. Gustatory function test using three-drop-method with solutions of highest concentration was implemented to assess the deficiency of four basic tastes. The results showed deficit of sweet taste associated with phantom of bitter taste. The patient reported constant spontaneous bitter taste and dysgeusia in sweet taste with poor quality of life at the 2-year follow-up. We suggest that patients are informed of the potential for taste impairment from palatopharyngeal surgery, as well as reducing the use of electrocautery in developing uvulopalatal flap to reduce damage to taste function.