Tactile dysgeusia is an unusual complication after otologic and neurotologic procedures. It is likely related to aberrant re-innervation of the special sensory fibers within the CTN nerve or the NI with somatosensory fibers. Postoperative "tactile dysgeusia" may not be so rare; its true incidence could only be ascertained through a more rigorous postoperative assessment.
Post-operative use of opioids following OSAS may not be safe for all children. It is conceivable that if the child is among the significant proportion that experiences increased oxygen desaturations, the CNS depressing effects of codeine or hydrocodone and their respectively potent morphine or hydromorphone metabolites can further compromise respiratory drive. Larger studies are needed to investigate the potential contribution of CYP2D6 genotype.
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