Chemical Senses · 2005 · 134 citations · 14 references
Life SciencesAnesthesiologyNeurobiologyAnesthesiaDental AnesthesiaSensory PhysiologyDental Local AnesthesiaGustatory NeurobiologyGustatory NeuroscienceGustatory PhysiologyPain PhysiologyChorda Tympani Nerve CourseChorda Tympani Taste PathwaysGlossopharyngeal Nerve PathwayGlossopharyngeal Nerve Taste PathwaysInhibitory ConnectivityInhibitory TransmissionPeripheral Taste InnervationPterygomandibular Space
Taste damage, taste intensification and taste phantoms Studies using anesthesia provide insights into oral phantoms. The chorda tympani nerve is accessible for anesthesia at two sites. First, the chorda tympani leaves the tongue with the lingual nerve (CN V) and the two travel through the pterygomandibular space. The inferior alveolar nerve, which conveys pain from the lower teeth, passes through the same space; thus dental anesthesia abolishes taste and touch as well as pain. Secondly, the chorda tympani passes through the middle ear after separating from the lingual nerve, so injection of an anesthetic just under the skin near the ear drum anesthetizes taste but not touch. Using both procedures, we showed that anesthesia of the chorda tympani intensifies tastes evoked from the contralateral rear of the tongue, the area innervated by the glossopharyngeal nerve This finding supports the earlier evidence of This inhibition acts as a constancy mechanism: when one nerve is damaged, its input to the central nervous system (CNS) is reduced, releasing inhibition on other taste structures and thus compensating for the loss of input from the damage.
14