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[Case of gustatory disturbance caused by pontine infarction].

We reported a 72-year-old man presented with gustatory disturbance. He lost bitter, salty, sour and sweet sensation on the left half of the tongue. No other neurologic signs were observed. Brain MRI showed the cerebral infarction in the left middle cerebellar peduncle. The lesion was suspected of affecting the gustatory tract running from the nucleus solitalius to the pontine taste area in the upper pons. The gustatory tract is generally recognized to be located medially from the medial lemniscus and the reticular formation. Our case suggests that the tract would be located laterally from the medial lemniscus and the reticular formation.

Aged↗

[Modification of taste in cancer patients].

This paper is a review about the relationship that may exist between taste alterations in cancer patients and cancer itself, surgery, chemotherapy, radiotherapy or symptomatic treatments. Therapeutic strategies dealing with patients with taste alterations are also discussed.

Humans↗

[Nickel solubility and metallic taste].

Main causes for metal taste may be deficiency diseases (especially deficiency of zinc), medication or dental restorations. Saliva of probationers with partial dentures was analyzed for their nickel contents. The solubility behavior in saliva of the alloys studied was related to metal taste and burning sensation. For most alloys the frequency of metal taste was in accordance with the nickel solubility in saliva.

Adult↗

[The influence of medical and nutritional factors in gerodontology].

Nutritional and medical factors may influence dental treatment for the elderly. The aim of this paper is to review these factors for the practitioner who provides treatment for the aged. Better knowledge should lead to a greater facility in providing treatment for this group of people.

Aged↗

[Neurological complications following tonsillectomy].

Iatrogenic neurological complications of tonsillectomy have been extremely rarely described. We report on 5 patients who developed glossopharyngeal paresis, impairment of taste on the base of the tongue, or hypoglossal paresis following tonsillectomy, and discuss the possible etiology of these isolated lesions of the cranial nerves.

Adult↗

[Factors that alter taste perception].

Dysfunction of taste perception is a significant problem for many individuals. Taste anomalies may affect health not only by directly affecting liquid and solid food intake, but also by creating a state of depression due to the loss of an important source of pleasure. Many factors alter taste perception, such as lesions of the oral mucosa, cigarette smoking, radiation, chemotherapy, renal disease, hepatitis, leprosy, hormones, nutrition, use of dentures, medications, and aging. Gum or ice chewing may temporarily help loss of taste. Patients should be encouraged to chew their food thoroughly, alternating the sides of the mouth, or alternating different foods. Unfortunately, in many cases there is no cure for this alteration, and patience is then the only possibility.

Age Factors↗

The relationship between mercury from dental amalgam and oral cavity health.

The findings presented here suggest that mercury from dental amalgam may play a role in the etiology of oral cavity health. Comparisons between subjects with and without amalgam showed significant differences of diseases of the mouth. Subjects who had amalgams removed reported that symptoms of diminished oral health were improved or eliminated after removal. The data suggest that inorganic mercury from dental amalgam does affect the oral cavity.

Adult↗

Oral complications in patients with advanced cancer.

Disturbances caused by lesions of the oral cavity play an important part in the alteration of the quality of life of cancer patients. The main complications affecting the oral cavity are infections (fungal, viral, bacterial), neutropenic ulcers, drug-induced stomatitis, dry mouth, and taste alteration. Most of the information available about these entities has been acquired in the cancer patient without advanced disease. The little known about the epidemiology and physiopathology of such lesions in the advanced phase of cancer is presented and approaches to management are suggested.

Humans↗

[Taste sensitivity in diabetic patients].

Taste sensitivity of 33 healthy subjects and 120 diabetic patients, either suffering from complication or not, was compared. Diabetic patients showed statistically significative reduction of sensitiveness for some tastes in some oral zones. Taste decrease looks to be related more to vascular of diabetes, than to neurologic ones.

Diabetes Mellitus, Type 1↗

[Taste changes in diabetics. Clinico-experimental study].

A preliminary research was carried out, comparing taste sensitivity of 33 healthy subjects and 120 diabetics patients, either with complications or not. After this, a further analysis of the results was done, collecting the patients into more numerous groups. A significant decrease of the sensitivity for some tastes in some oral areas was attested, as regards diabetics with vascular and neurologic complications.

Aged↗

[Glossopharyngeal nerve neuralgia: not just a sore throat].

In this article we describe six cases of glossopharyngeal neuralgia. The characteristic attacks of lancinating pain in throat, ear and tongue can be accompanied by symptoms such as coughing, hoarseness, stridor and fainting. These symptoms can also occur without the pain, which may lead to frequent misdiagnosis and unnecessary investigations. The drugs of choice are carbamazepine, phenytoin and lithium. Persisting symptoms may require an operation.

Adult↗