Related Experiment Video
Updated: May 15, 2026

03:49
Enhanced Cochlear Coverage and Hearing Preservation in High-Frequency Hearing Loss via Electric Acoustic Stimulation with Longer Electrode
Published on: October 11, 2024
Taste sensation following cochlear implantation surgery
F Alzhrani1, T Lenarz, M Teschner
1Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, Germany. alzhrani.farid@mh-hannover.de
Cochlear Implants International
|January 17, 2013
Summary
Cochlear implantation surgery poses a minimal risk of temporary taste dysfunction. Most taste issues following the procedure are transient, with full recovery expected within six weeks.
Area of Science:
- Otolaryngology
- Neurosurgery
- Sensory Science
Background:
- Cochlear implantation, particularly with posterior tympanotomy, risks chorda tympani nerve (CTN) damage.
- Taste disorders are a potential complication of this surgical approach.
Purpose of the Study:
- To determine the risk of taste dysfunction after cochlear implantation using a mastoidectomy and posterior tympanotomy.
- To assess the impact of surgical manipulation on the CTN and subsequent taste function.
Main Methods:
- Taste tests (sweet, sour, salty, bitter) and patient self-ratings were conducted preoperatively, 3 days postoperatively, and 6 weeks postoperatively in 26 patients.
- Intraoperative CTN status was documented by surgeons.
Main Results:
- 19.2% of patients experienced postoperative taste dysfunction (subjective or objective).
- Taste dysfunction occurred even when the CTN was reportedly preserved or protected by bone.
- All reported taste dysfunctions were transient, with 100% recovery by 6 weeks.
Conclusions:
- Cochlear implantation surgery presents a low risk of taste dysfunction.
- The majority of taste disturbances are temporary, resolving within six weeks post-surgery.
Related Concept Videos
Taste Buds and Receptors
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
Gustation
Gustation is a chemical sense that, along with olfaction (smell), contributes to our perception of taste. It starts with the activation of receptors by chemical compounds (tastants) dissolved in the saliva. The saliva and filiform papillae on the tongue distribute the tastants and increase their exposure to the taste receptors.
The Physiology of Taste
The perception of a salty flavor is facilitated by sodium ions within the oral salivary fluid. Upon consumption of a salty substance, salt crystals disassemble, leading to the liberation of its constituents—Na+ and Cl- ions. These ions subsequently dissolve into the salivary fluid present in the oral cavity. The external environment of the gustatory cells experiences an elevation in Na+ concentration, thereby establishing a potent concentration gradient. This gradient propels the diffusion of...