Evaluation of young smokers and non-smokers with Electrogustometry and Contact Endoscopy
Pavlidis Pavlos, Nikolaidis Vasilios, Anogeianaki Antonia, Koutsonikolas Dimitrios, Kekes Georgios and Anogianakis Georgios

Abstract
Background:
Smoking is the cause of inducing changes in taste functionality under conditions of chronic exposure. The objective of this study was to evaluate taste sensitivity in young smokers and non-smokers and identify any differences in the shape, density and vascularisation of the fungiform papillae (fPap) of their tongue.

Methods: Sixty-two male subjects who served in the Greek military forces were randomly chosen for this study. Thirty-four were non-smokers and 28 smokers. Smokers were chosen on the basis of their habit to hold the cigarette at the centre of their lips. Taste thresholds were measured with Electrogustometry (EGM). The morphology and density of the fungiform papillae (fPap) at the tip of the tongue were examined with Contact Endoscopy (CE).


Results: There was found statistically important difference (p < 0.05) between the taste thresholds of the two groups although not all smokers presented with elevated taste thresholds: Six of them (21%) had taste thresholds similar to those of non-smokers. Differences concerning the shape and the vessels of the fungiform papillae between the groups were also detected. Fewer and flatter fPap were found in 22 smokers (79%). Conclusion: The majority of smokers shown elevated taste thresholds in comparison to nonsmokers. Smoking is an important factor which can lead to decreased taste sensitivity. The combination of methods, such as EGM and CE, can provide useful information about the vascularisation of taste buds and their functional ability.

Background
Complete loss of taste is rather uncommon because the presence of four major afferent routes for taste provides substantial redundancy to the sensory communication for taste and a substantial back-up system in case of failure of any single nerve. There are two categories of taste measurement, whole mouth and regional tests. A preliminary evaluation of a patient suffering from taste disorders can be performed with the use of colourless solutions of sweet, bitter, sour and salt. More sophisticated is regional chemogustometry whereby chemicals are applied to part of the tongue usinga piece of filter paper or a cotton swab. Regional chemogustometry can also be performed using closed chambers cemented to the tongue.

The simplest regional test for evaluation of taste is EGM. EGM was introduced in the clinical assessment of taste sensitivity during the 1950s. Compared to tests based on chemical solutions, EGM is an efficient clinical tool, used in the evaluation of taste disorders caused by different factors such as middle-ear surgery, Bell's palsy, tumors, and tonsillectomy. Increased application of this method is due to its easiness, the short time required and its quantitative character. CE is a diagnostic technique suitable for head and neck screening. It was developed for observing cell construction in the epithelial surface. The first application of CE was in gynecology. The quality of the images and magnifications obtained with endoscopes, led to the application ofCE in otolaryngology. CE allows for both in vivo and in situ observations of pathology in the superficial layer of the tongue, nasal mucosa, vocal cords in laryngomicrosurgery and nasopharynx.

The effects of smoking on taste sensitivity and olfaction have been studied since the early 60's. However, up to day, only few experimental studies provide histological data about the effects of smoke on the size and shape of the tongue papillae. The aim of this study is to investigate if smokers and non-smokers differ in EGM thresholds on the anterior and posterior tongue and soft palate and if any observed difference, in EGM thresholds on the anterior tongue of smokers vs. non-smokers, can be attributed to a difference in the density or morphology of fungiform papillae at that site.

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2 comments

  1. Unknown // April 18, 2010 at 2:11 PM  

    This information is very bagus.memang cigarettes should be avoided because it can damage the health of ourselves ..

  2. saneshmangal // April 20, 2010 at 12:57 AM  

    This , blog has rightly pointed , that smokers lose taste buds. It was found (79%), smokers have lost some taste , compared to non-smokers. Conclusion: The majority of smokers shown elevated taste thresholds in comparison to nonsmokers. Smoking is an important factor which can lead to decreased taste sensitivity.