Unusual Taste and Smell After Nasal Surgery: What to Know

Eating certain foods can result in unusual tastes?

Hello, doctor.
Recently, I underwent a turbinate laser surgery due to severe post-nasal drip.
The recovery period for the first month and a half was normal, but as the scabs in my nasal cavity were about to fall off, I started experiencing unusual symptoms.
Specifically, certain tastes and smells became strange and completely different from what I was used to.
For example, cola (while other carbonated beverages are normal) and some meats (like boiled pork slices) have a faint disinfectant-like taste.
However, the taste of all other foods remains normal.
Additionally, I find that certain shampoos or the smell of air conditioning in restaurants can feel a bit stuffy and irritating, similar to the strange taste I mentioned earlier.
Outside of these instances, my sense of smell is completely fine.
The wounds in my nasal cavity have mostly healed, but I still have issues with taste and smell, and the post-nasal drip symptoms have not improved much.
Could you please help me understand the possible reasons for this?

A He, 20~29 year old female. Ask Date: 2023/05/03

Dr. Ji Zhaoyun reply Otolaryngology

Hello, for any postoperative concerns, it is best to consult the original surgeon.
Regarding the sense of smell and taste, you may consider supplementing with B vitamins.

Reply Date: 2023/05/03

More Info

Unusual taste and smell sensations following nasal surgery can be concerning and may stem from several factors related to the surgical procedure and the healing process. After undergoing nasal surgery, such as turbinate reduction or other procedures aimed at alleviating nasal obstruction, patients may experience temporary changes in their olfactory (smell) and gustatory (taste) functions. Here’s a closer look at the potential reasons for these unusual sensations and what you might expect moving forward.

Potential Causes of Altered Taste and Smell
1. Nasal Healing Process: After surgery, the nasal passages undergo a healing process that can involve swelling, inflammation, and the formation of crusts or scabs. These changes can temporarily affect the ability to smell and taste. As the nasal tissues heal, the olfactory receptors may be less responsive, leading to altered perceptions of taste and smell.

2. Post-Surgical Swelling: Swelling in the nasal passages can obstruct airflow and affect the ability to detect odors. Since taste is closely linked to smell, any impairment in olfactory function can lead to a diminished taste sensation. This is particularly relevant if you are experiencing nasal congestion or blockage.

3. Changes in Mucosal Secretions: Surgery can alter the normal mucosal secretions in the nasal cavity. If the secretions become thicker or change in composition, they may affect how smells are perceived. This can lead to unusual tastes, especially when consuming certain foods or beverages.

4. Nerve Damage or Irritation: Although rare, surgical procedures can sometimes lead to nerve irritation or damage. The olfactory nerve, responsible for the sense of smell, can be affected, leading to altered taste sensations. This might explain why certain foods taste different or have an unusual flavor profile.

5. Psychological Factors: Sometimes, the anxiety or stress associated with surgery and recovery can also influence taste perception. The brain plays a significant role in how we perceive flavors, and psychological factors can lead to altered taste experiences.

What to Expect and Next Steps
1. Time for Recovery: It is essential to understand that changes in taste and smell can be temporary. As the nasal passages heal and inflammation subsides, many patients report a gradual return to normal sensory function. This process can take weeks to months, depending on individual healing rates.

2. Follow-Up with Your Surgeon: It is crucial to maintain communication with your surgeon or ENT specialist. If your symptoms persist or worsen, they may recommend further evaluation, such as imaging studies or a nasal endoscopy, to assess the healing process and rule out any complications.

3. Nutritional Considerations: If you find that you are only able to enjoy heavily flavored foods, consider incorporating a variety of textures and temperatures in your meals. This can help enhance your eating experience even if taste sensations are altered.

4. Olfactory Training: Some patients benefit from olfactory training, which involves regularly smelling specific scents to help retrain the olfactory system. This can be particularly useful if you are experiencing persistent changes in smell.

5. Consultation with Specialists: If your symptoms do not improve, consider consulting with a neurologist or an otolaryngologist specializing in taste and smell disorders. They can provide additional insights and potential treatment options.

In summary, while unusual taste and smell sensations after nasal surgery can be disconcerting, they are often a temporary side effect of the healing process. Monitoring your symptoms and maintaining open communication with your healthcare provider will be key in managing your recovery and ensuring the best possible outcome.

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