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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1989 Sep;52(9):1058–1062. doi: 10.1136/jnnp.52.9.1058

The effect of chorda tympani section on ipsilateral and contralateral salivary secretion and taste in man.

R Grant 1, S Miller 1, D Simpson 1, P J Lamey 1, I Bone 1
PMCID: PMC1031740  PMID: 2795075

Abstract

Bilateral chorda tympani section is an accepted treatment for troublesome sialorrhoea. Nevertheless the effects of this operation have been poorly studied. Twenty patients were studied with unilateral chorda tympani section and a healthy contralateral ear. The effects on ipsilateral and contralateral stimulated submandibular and parotid flow and taste recognition and detection thresholds were measured. Stimulated submandibular flow accounted for only 27% of the total salivary flow. Chorda tympani section had no effect on submandibular flow in seven patients and only reduced submandibular flow by approximately 54% in the remaining 13 patients. No significant effect was observed on ipsilateral parotid flow rate. Electrogustometric taste detection thresholds were more than twice the accepted upper limit of normal on the lesioned side and taste recognition thresholds were also markedly abnormal. Chorda tympani section alone is a poor method of reducing stimulated salivary flow.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chilla R., Nicklatsch J., Arglebe C. Late sequelae of iatrogenic damage to chorda tympani nerve. Acta Otolaryngol. 1982 Nov-Dec;94(5-6):461–465. doi: 10.3109/00016488209128935. [DOI] [PubMed] [Google Scholar]
  2. Dawes C., Wood C. M. The contribution of oral minor mucous gland secretions to the volume of whole saliva in man. Arch Oral Biol. 1973 Mar;18(3):337–342. doi: 10.1016/0003-9969(73)90156-8. [DOI] [PubMed] [Google Scholar]
  3. Frederick F. J., Stewart I. F. Effectiveness of transtympanic neurectomy in management of sialorrhea occurring in mentally retarded patients. J Otolaryngol. 1982 Aug;11(4):289–292. [PubMed] [Google Scholar]
  4. Grant R., Ferguson M. M., Strang R., Turner J. W., Bone I. Evoked taste thresholds in a normal population and the application of electrogustometry to trigeminal nerve disease. J Neurol Neurosurg Psychiatry. 1987 Jan;50(1):12–21. doi: 10.1136/jnnp.50.1.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. McKeown K. C., Dunstone G. H. Some Observations on Salivary Secretion and Fluid Absorption by Mouth. Br Med J. 1959 Oct 10;2(5153):670–672. doi: 10.1136/bmj.2.5153.670. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Michel R. G., Johnson K. A., Patterson C. N. Parasympathetic nerve section for control of sialorrhea. Arch Otolaryngol. 1977 Feb;103(2):94–97. doi: 10.1001/archotol.1977.00780190074008. [DOI] [PubMed] [Google Scholar]
  7. Michel R. G., Johnson K. A., Patterson C. N. Parasympathetic nerve section for control of sialorrhea. Arch Otolaryngol. 1977 Feb;103(2):94–97. doi: 10.1001/archotol.1977.00780190074008. [DOI] [PubMed] [Google Scholar]
  8. Mullins W. M., Gross C. W., Moore J. M. Long-term follow-up of tympanic neurectomy for sialorrhea. Laryngoscope. 1979 Aug;89(8):1219–1223. doi: 10.1002/lary.1979.89.8.1219. [DOI] [PubMed] [Google Scholar]
  9. SCHNEYER L. H., LEVIN L. K. Rate of secretion by exogenously stimulated salivary gland pairs of man. J Appl Physiol. 1955 May;7(6):609–613. doi: 10.1152/jappl.1955.7.6.609. [DOI] [PubMed] [Google Scholar]
  10. Thomas R. L. Tympanic neurectomy and chorda tympani section. Aust N Z J Surg. 1980 Aug;50(4):352–355. doi: 10.1111/j.1445-2197.1980.tb04138.x. [DOI] [PubMed] [Google Scholar]
  11. Toremalm N. G., Bjerre I. Surgical elimination of drooling. Laryngoscope. 1976 Jan;86(1):104–112. doi: 10.1288/00005537-197601000-00021. [DOI] [PubMed] [Google Scholar]
  12. Townsend G. L., Morimoto A. M., Kralemann H. Management of sialorrhea in mentally retarded patients by transtympanic neurectomy. Mayo Clin Proc. 1973 Nov;48(11):776–779. [PubMed] [Google Scholar]
  13. Vollrath M., Arglebe C., Chilla R. Die Bedeutung der Chorda tympani für die Parotisfunktion. Arch Otorhinolaryngol. 1982;236(1):87–95. doi: 10.1007/BF00464061. [DOI] [PubMed] [Google Scholar]
  14. Wallenborn W. M. Parotid gland atrophy produced by transtympanic destruction of tympanic plexus. Laryngoscope. 1968 Jan;78(1):132–144. doi: 10.1288/00005537-196801000-00011. [DOI] [PubMed] [Google Scholar]

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