How to Manage Taste Disorders

Hsieh, Julien Wen; Daskalou, Dimitrios; Macario, Sonia; Voruz, François; Landis, Basile Nicolas

doi:10.1007/s40136-022-00428-z

Cited by 12 publications

(6 citation statements)

References 68 publications

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“…Dysgeusia (metallic or distorted taste) was also identified in this systematic review and has also been reported in the literature [76]. Dysgeusia is generally a common symptom reported with various oral disorders, such as oral lichen planus, candidiasis, and taste disorders [77]. Hormonal changes in the menopausal period have been reported to be associated with dysgeusia [78].…”

Section: Other Findingsmentioning

confidence: 75%

Is Burning Mouth Syndrome Associated with Extraoral Dryness? A Systematic Review

Le,

DosSantos,

Gazerani

2023

JCM

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Burning mouth syndrome (BMS) is characterized by a persistent intraoral burning sensation, often experienced by postmenopausal women. The etiology of BMS remains partially understood, and consequently, treatments remain suboptimal. Extraoral manifestations of BMS, such as extraoral dryness, are less studied. However, it has been suggested that the identification of the frequency and patterns of extraoral dryness and potential underlying mechanisms are essential to optimize treatment strategies and reduce the burden of disease. Therefore, we conducted this systematic review to provide existing evidence about extraoral dryness in BMS. The guidelines for the conduction and reporting of systematic reviews were followed. An electronic search was conducted in four major databases—PubMed, Web of Science, COCHRANE Library, and EBSCOhost—and the grey literature was assessed through Google Scholar. From each included article, information on extraoral dryness in BMS was extracted, and odds ratios were calculated for extraoral dryness among BMS patients compared with non-BMS controls. The findings demonstrated higher odds of the prevalence of extraoral dryness in BMS, which was found to a high degree in the lips, eyes, skin, and genitalia. The pattern of spread and locations of extraoral dryness propose a potential central mechanism. Based on our findings, we encourage the standardization of the assessment, recording, and reporting of the extraoral characteristics of BMS, including extraoral dryness, which can lead to better management strategies and enhance the quality of life of the affected patients.

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Section: Other Findingsmentioning

confidence: 75%

Is Burning Mouth Syndrome Associated with Extraoral Dryness? A Systematic Review

Le,

DosSantos,

Gazerani

2023

JCM

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“…We asked untreated patients upon consultation to report the presence of subjective taste impairment, reducing possible influence from recall inaccuracies. By controlling for the taste of the contralateral to the mass side of the tongue, we decrease the effect of confounding factors that could influence taste function bilaterally, such as age, gender, systemic disease, and medication (13,30). However, we cannot exclude other confounders influencing our results.…”

Section: Discussionmentioning

confidence: 99%

Gustatory Function in Patients With Cerebellopontine Angle Masses

Daskalou,

Hsieh,

Hugentobler

et al. 2024

Otol Neurotol

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Objective To investigate the impact of cerebellopontine angle (CPA) masses on subjective and measured taste function. Study Design Retrospective cross-sectional study. Setting Tertiary referral center. Patients Consecutive adult patients with untreated CPA masses. Interventions Gustatory function was psychophysically measured with Taste Strips (range, 0–16) on both sides of the tongue. Subjective taste complaints were assessed using a questionnaire. Main Outcome Measures Half-sided taste impairment (hemi-ageusia) was defined as side-to-side asymmetry ≥4 points with <9 points on the side of the CPA mass. We used the Koos classification for vestibular schwannomas (VS) and, in the case of facial nerve palsy, the House–Brackmann grading system. Results We included 135 patients (mean [standard deviation (SD)] age, 55.3 ± 14.1 yr; 62 males). The most common CPA mass was VS (77%). Overall, the measured taste function was lower on the affected compared with the healthy side of the tongue (mean score, 9.8 ± 3.3 versus 11 ± 2.9; p < 0.0001). Looking for clinically relevant one-sided taste impairment revealed 18 (13.3%) patients with hemi-ageusia, but only 4 (30.8%) of those subjectively complained of taste dysfunction. Regarding VS, Koos IV masses presented the lowest score on the affected side (mean score, 7.5 ± 3.7). Six patients presented with facial palsy. Having facial palsy did not result in a lower Taste Strips score (p = 0.23). Conclusion Before any CPA mass treatment, a measurable ipsilateral decrease in gustatory function is present in many patients. Most patients do not notice this preexisting taste impairment. From a medicolegal standpoint, this warrants consideration. To avoid postoperative claims regarding taste function, a preoperative assessment may be considered.

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“…The researchers utilized the following definitions [25] to categorize the taste changes reported by patients: normogeusia—no change in taste, including both the ability to identify flavors and the taste intensity; ageusia—complete loss of flavor perception; hypogeusia—reduced flavor perception; and parageusia—distorted taste perception, such as a switch from one flavor to another.…”

Section: Methodsmentioning

confidence: 99%

Photobiomodulation minimizes taste changes during hematopoietic cell transplantation: A randomized clinical trial

Ferreira,

Bezinelli,

de Paula Eduardo

et al. 2024

Journal of Biophotonics

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Prevention and treatment protocols for taste changes observed during hematopoietic cell transplantation (HCT) are not well‐established. The purpose of this study was to assess the efficacy of photobiomodulation (PBM) in relieving taste changes and preventing lingual papillae atrophy. HCT patients received PBM (n = 42) on the tongue dorsum using an InGaAIP laser (660 nm, 100 mW, 1.1 W/cm2, 8.8 J/cm2). During the HCT conditioning (T0), severe neutropenia (T1), and after neutrophil engraftment (T2), taste acuity for sweet, bitter, sour, and salty solutions, and clinical appearance of lingual papillae were compared with those of a placebo group (n = 43). PBM significantly reduced hypogeusia, ageusia, and parageusia at T1 and T2, and also successfully prevented papillae atrophy during all the analyzed HCT periods. In conclusion, PBM enhanced taste acuity during HCT. The decrease in papillae atrophy indicated a potential regenerative effect of this therapy on tongue mucosa.

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How to Manage Taste Disorders

Cited by 12 publications

References 68 publications

Is Burning Mouth Syndrome Associated with Extraoral Dryness? A Systematic Review

Is Burning Mouth Syndrome Associated with Extraoral Dryness? A Systematic Review

Gustatory Function in Patients With Cerebellopontine Angle Masses

Photobiomodulation minimizes taste changes during hematopoietic cell transplantation: A randomized clinical trial

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