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Is electrogustometry useful for screening abnormalities of taste?

Published online by Cambridge University Press:  12 October 2007

E K Ellegård ,
K D Hay  and
R P Morton
E K Ellegård*
Affiliation:
Department of Otorhinolaryngology, Kungsbacka Hospital, Sweden
K D Hay
Affiliation:
Oral Health Unit, Green Lane Hospital, Auckland, New Zealand
R P Morton
Affiliation:
Department of Otorhinolaryngology, Manukau Super Clinic, Manukau New Zealand
*
Address for correspondence: Dr Eva Ellegård, Department of Otorhinolaryngology, Kungsbacka Hospital, S-434 80 Kungsbacka, Sweden. Fax: +46 300 565301 E-mail: eva.ellegard@lthalland.se
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Abstract

Background:

Electrogustometry is an accurate and increasingly popular method used to examine taste. However, its usefulness as a screening test is unknown.

Methods:

We asked 114 subjects, some healthy but most with medical conditions possibly affecting taste, to rate their overall taste ability, on a scale of zero to 10. Those who had current symptoms related to taste– and who rated their taste as five or worse – were defined as ‘aberrant tasters’. We recorded automated electrogustometry thresholds, and visual analogue scale intensity ratings, for solutions of the four basic tastes (sweet, sour, salty and bitter). A visual analogue scale score of 50 was used as a cut-off point to identify ‘poor tasters’.

Results:

The sensitivity and specificity of electrogustometry in identifying abnormal taste function were low.

Conclusions:

We conclude that automated electrogustometry is not a useful clinical screening method for taste disturbance in a population such as ours.

Keywords

ElectrogustometryTasteVisual Analogue ScaleSensitivitySpecificityScreening
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 12 , December 2007 , pp. 1161 - 1164
Copyright
Copyright © JLO (1984) Limited 2007

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References

1 Bartoshuk, L. Clinical evaluation of the sense of taste. ENT J 1989;68:331–7Google ScholarPubMed
2 Yamauchi, Y, Endo, S, Sakai, F, Yoshimura, I. A new whole-mouth gustatory test procedure. 1. Thresholds and principal components analysis in healthy men and women. Acta Otolaryngol Suppl 2002;39–48CrossRefGoogle ScholarPubMed
3 Tsuruoka, S, Wakaumi, M, Araki, N, Ioka, T, Sugimoto, K, Fujimura, A. Comparative study of taste disturbance by losartan and perindopril in healthy volunteers. J Clin Pharmacol 2005;45:1319–23CrossRefGoogle ScholarPubMed
4 Mueller, C, Kallert, S, Renner, B, Stiassny, K, Temmel, AF, Hummel, T et al. Quantitative assessment of gustatory function in a clinical context using impregnated ‘taste strips’. Rhinology 2003;41:2–6Google Scholar
5 Tomita, H, Ikeda, M. Clinical use of electrogustometry: strengths and limitations. Acta Otolaryngol Suppl 2002;27–38CrossRefGoogle ScholarPubMed
6 Nin, T, Sakagami, M, Sone-Okunaka, M, Muto, T, Mishiro, Y, Fukazawa, K. Taste function after section of chorda tympani nerve in middle ear surgery. Auris Nasus Larynx 2006;33:13–17CrossRefGoogle ScholarPubMed
7 Tomofuji, S, Sakagami, M, Kushida, K, Terada, T, Mori, H, Kakibuchi, M. Taste disturbance after tonsillectomy and laryngomicrosurgery. Auris Nasus Larynx 2005;32:381–6CrossRefGoogle ScholarPubMed
8 Morton, RP, Hay, KD, Goldsmith, DB, Stillman, JA. Patterns of sensory recovery in the lingual nerve after surgical trauma. N Z Dent J 2005;101:53–7Google ScholarPubMed
9 Murphy, C, Quinonez, C, Nordin, S. Reliability and validity of electrogustometry and its application to young and elderly persons. Chem Senses 1995;20:499–503CrossRefGoogle Scholar
10 Ikui, A. A review of objective measures of gustatory function. Acta Otolaryngol Suppl 2002;60–8CrossRefGoogle ScholarPubMed
11 Ikeda, M, Aiba, T, Ikui, A, Inokuchi, A, Kurono, Y, Sakagami, M et al. Taste disorders: a survey of the examination methods and treatments used in Japan. Acta Otolaryngol 2005;125:1203–10CrossRefGoogle ScholarPubMed
12 Stillman, JA, Morton, RP, Goldsmith, D. Automated electrogustometry: a new paradigm for the estimation of taste detection thresholds. Clin Otolaryngol Allied Sci 2000;25:120–5CrossRefGoogle ScholarPubMed
13 Stillman, JA, Morton, RP, Hay, KD, Ahmad, Z, Goldsmith, D. Electrogustometry: strengths, weaknesses, and clinical evidence of stimulus boundaries. Clin Otolaryngol Allied Sci 2003;28:406–10CrossRefGoogle ScholarPubMed
14 Lobb, B, Elliffe, DM, Stillman, JA. Reliability of electrogustometry for the estimation of taste thresholds. Clin Otolaryngol Allied Sci 2000;25:531–4CrossRefGoogle ScholarPubMed
15 Grant, R, Ferguson, MM, Strang, R, Turner, JW, Bone, I. Evoked taste thresholds in a normal population and the application of electrogustometry to trigeminal nerve disease. J Neurol Neurosurg Psych 1987;50:12–21CrossRefGoogle Scholar
16 Ajdukovic, D. Electrical taste stimulus: current intensity or current density? Chem Senses 1990;15:341–7CrossRefGoogle Scholar
17 Ellegård, EK, Goldsmith, D, Hay, KD, Morton, RP. Studies on the relationship between electrogustometry and sour taste perception. Auris Nasus Larynx 2007 (in press)CrossRefGoogle ScholarPubMed