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Updated: Jan 10, 2026

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Taste Exam: A Brief and Validated Test
Published on: August 17, 2018
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在手术和麻醉后,有催化剂的气味和味道丧失
Morten Rewaldt Klitskov1, Alexander Wieck Fjældstad2,3, Therese Ovesen2,3
1Audiology Clinic, ENT Department, Aarhus University Hospital.
Danish medical journal
|November 28, 2025
概括
在医疗程序后永久失去味觉和嗅觉是罕见的,但显著. 鼻外科手术和桃体切除术是关键原因,强调需要意识和谨慎的技术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 麻醉学 麻醉学
背景情况:
- 味觉和嗅觉 (嗅觉或味觉功能障碍) 的阳性损失是医疗干预的未被认可的并发症.
- 这种功能障碍可能会使人虚弱,并显著影响生活质量.
研究的目的:
- 为了鉴别永久性异质性嗅觉或味觉功能障碍的患者,请转诊到专门的味道诊所.
- 确定最常与这些感官缺陷相关的医疗程序.
主要方法:
- 在2017年5月至2024年11月期间在味道诊所评估的患者的回顾性队列研究.
- 纳入标准:嗅觉或味觉功能障碍>1年,与医疗干预有明显的时间联系.
- 方法包括标准化感官测试,耳鼻喉科检查和相关的成像/实验室评估.
主要成果:
- 在超过3000名被评估的患者中,有55人符合永久性阳性感官功能障碍的纳入标准.
- 在局部麻醉下进行鼻外科手术是嗅觉功能障碍的主要原因 (n=11).
- 桃体切除术是味觉功能障碍的主要原因 (n=18),通常与神经损伤有关;全身麻醉和全身疗法也起到了作用.
结论:
- 虽然很少见,但永久性阴性嗅觉和味觉功能障碍在临床上很重要.
- 桃切除术,鼻外科手术和麻醉 (局部/全身) 是显著的贡献者.
- 提高意识,细致的手术技术和全面的知情同意至关重要,以尽量减少发病率和医疗法律问题.
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