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目的:观察治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的咽成形术对嗅、味觉的影响。方法:总结2005年4月~12月行咽成形术的39例患者中有嗅、味觉改变的主诉情况。结果:4例诉术后味觉改变,其中1例诉同时有嗅觉改变。例1嗅觉减退,酸和咸感觉丧失,2个月后部分恢复,对甜感觉过敏;例24种味觉均减退;例3对酸的感觉过度敏感;例4感痰中有酸和苦的感觉,属味幻觉。味觉改变的发生率达10%。结论:嗅觉和味觉的改变可能是咽成形术的并发症,影响患者的生活质量,必须给予重视,术前应向患者交代清楚,以免引起不必要的医疗纠纷。术中尽可能避免损伤味觉功能,如果发生嗅、味觉损伤,术后需给予处理。
Objective: To observe the effects of pharyngoplasty on olfactory and taste in obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: From April 2005 to December 2009, 39 patients with oropharyngeal angioplasty were investigated with olfactory and taste changes. Results: Four patients complained of taste changes, of which 1 patient also had olfactory changes. Example 1 Loss of scent, loss of acid and salt, partial recovery after 2 months, allergy to sweet sensation; loss of all 24 flavors; Example 3 over-sensitivity to acid; Example 4 sensation of acid and bitterness in sputum , Is a taste of illusion. Taste changes occurred in 10%. Conclusion: The change of smell and taste may be the complication of pharyngoplasty, affecting the quality of life of patients, we must pay attention to preoperative patients should explain clearly to avoid unnecessary medical disputes. Intraoperative as much as possible to avoid damage to taste function, if the smell, taste damage, postoperative need to be addressed.