Middle Ear and Mastoid DiseaseInternational Common Otology Database: Taste Disturbance After Stapes SurgeryYung, Matthew*; Smith, Phillip†; Hausler, Rudolf‡; Martin, Christian§; Offeciers, Erwin∥; Pytel, Josef¶; Skladzien, Jacek#; Somers, Thomas∥; Ven de Heyning, Paul** Author Information Departments of *Otolaryngology and †Research and Development, The Ipswich Hospital NHS Trust, Ipswich, Suffolk, U.K.; ‡Department of ORL, Head and Neck Surgery, Inselspital, University of Bern, Bern, Switzerland; §Department of Otolaryngology, Head and Neck Surgery, Saint-Etienne University Hospital Center, Bellevue Hospital, St-Etienne, France; ∥University ENT Department, Saint-Augustinus Hospital, Wilrijk (Antwerp), Belgium; ¶Department of Otorhinolaryngology and Head and Neck Surgery, Medical School, University of Pecs, Pecs, Hungary; #Department of Otolaryngology, The Jagiellonian University, Krakow, Poland; and **Department of Otorhinolaryngology, University Hospital Antwerp, Antwerp, Belgium Address correspondence and reprint requests to Matthew Yung, M.S. Ph.D. F.R.C.S., Department of Otolaryngology, The Ipswich Hospital NHS Trust, Heath Road, Ipswich, Suffolk IP4 5PD, United Kingdom; E-mail: [email protected] Otology & Neurotology: August 2008 - Volume 29 - Issue 5 - p 661-665 doi: 10.1097/MAO.0b013e3181778211 Buy Metrics Abstract Objective: To use a study on dysgeusia to assess the usefulness of an otology database. Study Design: Data were extracted from the international Common Otology Database. Intervention: Primary stapes operations. Main Outcome Measure and Results: From a cohort of 14 otologists, only 8 (57%) were able to satisfy external validation and maintain data input for a period of at least 6 months. The rates of dysgeusia varied from 0 to 39% at 3 months and 0 to 27% at 6 months. The percentages of patients with taste disturbance at 6 months in the "nerve-cut" and "nerve-preserved" groups were 22.7 and 10.9%, respectively, although this was not statistically significant (χ2; p = 0.325). Conclusion: Many surgeons found it difficult to maintain a prospective otology database. The rates of certain subjective symptoms such as dysgeusia are influenced by how vigorously the reviewers prompt the response from the patients. Dysgeusia after stapes surgery is common even if the chorda tympani nerve is preserved. Many patients whose chorda tympani nerve is divided may not complain of dysgeusia. © 2008 Otology & Neurotology, Inc.