Taste perception in patient with chronic rhinosinusitis with nasal polyps treated with oral glucocorticosteroid therapy
Journal Title: Otolaryngologia Polska - Year 2009, Vol 63, Issue 3
Abstract
Background: Chronic rhinosinusitis with nasal polyps is observed in 1–4% persons during rhinoscopy. While the occurrence of their problems is connected with smell sense, still not enough attention is paid to the malfunctioning of their taste sense. Aim: The purpose of this study was estimation of taste sense functioning in patients with chronic rhinosinusitis with nasal polyps, treated with oral glucocorticosteroid. Material and methods: The study included 82 persons. The 31 of them were patients of Otolaryngology Department of Warsaw Military Institute with chronic rhinosinusitis with nasal polyps’ diagnosis, who were treated with systemic – oral glucocorticosteroid for three weeks. There were 51 healthy people as a control group. Both prior to the treatment and one month after it was fi nished, all patients had the taste examination. The taste functioning was examined with two methods: the gustometry by Börnstein and impulse bipolar electrogustometry method. Subjective nasal patency was noted based on analogical scale. The smell function was assessed with the Elsberg–Levy olfactometry in Pruszewicz’s modifi cation. Results: Before treatment the taste disturbances were observed, depending on kind of taste, in 6–16 cases (19,4–51,6%) in gustometry and for 10 patients (32,26%) in electrogustometry. Before treatment the taste examination results in chronic rhinosinusitis with nasal polyps’ cases were statistically signifi cantly different than in the control group. After treatment with glucocorticosteroid the taste disturbances were observed, depending on kind of taste, in 0–9 cases (0–29%) in gustometry and for 4 patients (12,9%). in electrogustometry. Statistically, glucocorticosteroid therapy also decreased the smell threshold and was effective in restoration of the nose patency. Conclusions: Statistically, therapy with glucocorticosteroid signifi cantly improved both the taste and smell perception in patients with chronic rhinosinusitis with nasal polyps.
Authors and Affiliations
Karolina Dżaman, Piotr Rapiejko, Kornel Szczygielski, Witold Pleskacz, Dariusz Jurkiewicz
Keywords
Related Articles
- EP ID EP51736
- DOI -
- Views 128
- Downloads 0
Vestibular neuritis – a case description
Vestibular neuritis is a group of symptoms resulting from a sudden unilateral vestibular dysfunction. It seldom occurs in children (approximately 7%). Its etiology and pathogenesis are unknown, although most researchers...
Cytokiny w popłuczynach z zatok szczękowych jako wykładnik stanu zapalnego
Introduction. In a pathogenetic chain of chronic sinusitis there is a set of cellular and humoral factors that are accepted as characteristic of a chronic inflammatory process. These include mast cells, granulocytes (bas...
Case of paraganglioma of the originally numerous location in the 24 year old male
Introduction. Paragangliomas, in other words chemodectomas were bening tumors arising from the paragangliomas cells of the parasympathetic system. There are four kinds of paragangliomas: carotic artery baroreceptors (glo...
Keratinocyte growth factor and it's receptor in middle-ear cholesteatoma
Aim: Etiology of middle ear cholesteatoma is far from beeing elucidated. Current concepts postulate that cholesteatoma is the result of disturbed wound healing process. Keratinocyte growth factor (KGF) plays important ro...
Analiza czułości i swoistości ogólnopolskiego „Programu przesiewowych badań słuchu u noworodków”
Introduction. Polish National Universal Hearing Screening Program (PNPUHS) has got three-level structure. Audiology Outpatient Clinic in The Childrens’ Memoriał Health Institute in Warsaw is a center of the second and th...