RESUMEN
The study aims to describe six subgemmal neurogenous plaque (SNP) cases and compile the previously available data on SNP. Searches on PubMed, Web of Science, Embase, Scopus, and a two-step study selection were performed to compile data from case reports/series of SNP published in English literature. Our six patients (range 29-63 years) had SNP in the posterior lateral border of the tongue. Four of them were associated with lymphoepithelial cysts. A total of 15 studies, comprising 116 patients, were included in this overview. There was a slight predilection for female patients (56.0%) in the 5th (22.4%) and the 7th (23.9%) decades. The lateral border of the tongue (66.4%) was the most common anatomical location. The major manifestation was nodule/papule. Histologically, the presence of taste buds (n = 40/ 34.5%), superficial neural plexus (n = 32/ 27.6%), deep nerve fascicles (n = 32/ 27.6%), ganglion cells (n = 41/ 35.3%), and lymphoid tissue (n = 22/ 19.0%) was mainly reported. Surgical removal was the primary approach, with a low recurrence rate. Although largely unknown, SNP is a regular and likely frequent structure located in the tongue. The findings emphasize the importance of describing clinicopathological patterns of SNP as a differential diagnosis of neural lesions that affect the tongue.
Asunto(s)
Enfermedades de la Lengua , Humanos , Femenino , Adulto , Persona de Mediana Edad , Masculino , Enfermedades de la Lengua/cirugía , Enfermedades de la Lengua/patología , Papilas Gustativas/patología , Diagnóstico DiferencialRESUMEN
A 13-month-old male presents with a firm left anterior tongue mass noted since birth that has increased proportionally with the child's growth. What is your diagnosis?
Asunto(s)
Úlceras Bucales , Enfermedades de la Lengua , Humanos , Lengua , Enfermedades de la Lengua/diagnóstico , Enfermedades de la Lengua/cirugíaRESUMEN
Interdisciplinary evaluation is essential to diagnose and define clinical conduct for children and adults presenting with an altered lingual frenulum; however, there are few reports on the subject in the literature. In this context, the following study exemplifies a proposed protocol for the surgical and SLT treatment of a lingual frenulum based on a review of the literature and the experience of speech and language therapists and maxillofacial surgeons from hospitals in Santiago de Chile. After its application, a history of breastfeeding with difficulties and a maintained preference for soft foods was reported. Upon anatomic examination, the lingual apex was heart-shaped, and the lingual frenulum was fixed in the upper third of the ventral side of the tongue, with a pointed shape, submerged up to the apex, and of adequate thickness. Meanwhile, upon functional examination, the tongue was descended at rest, performed tongue protrusion with restrictions (raising and clicking), did not achieve attachment or vibration, and presented distortion of the sounds / r/ and /rr/. With this information, an altered lingual frenulum was diagnosed, with the indication for surgery and postoperative speech and language therapy. The constructed instrument allowed for the standardization of the evaluation in different teams but should be validated in future research.
Asunto(s)
Anquiloglosia , Enfermedades de la Lengua , Niño , Femenino , Adulto , Humanos , Frenillo Lingual/cirugía , Logopedia , Lengua/cirugía , Lactancia Materna , Enfermedades de la Lengua/diagnóstico , Enfermedades de la Lengua/cirugía , Anquiloglosia/cirugíaRESUMEN
A 19-year-old man presented with tongue pain of 3 months' duration and a raised tongue lesion with slightly hairy appearance. What is your diagnosis?
Asunto(s)
Úlceras Bucales , Enfermedades de la Lengua , Neoplasias de la Lengua , Masculino , Humanos , Enfermedades de la Lengua/diagnóstico , Enfermedades de la Lengua/cirugía , Enfermedades de la Lengua/patología , Lengua , Neoplasias de la Lengua/diagnóstico , Neoplasias de la Lengua/cirugía , Neoplasias de la Lengua/patologíaRESUMEN
INTRODUCTION: Palate development involves a genetic regulation through a complex molecular mechanism that may be disrupted by environmental factors, resulting in impaired fusion and cleft palate formation. An encounter with a case of cleft palate due to dorsal tongue hamartoma prompted us to perform this systematic review. OBJECTIVE: To review the clinical profile and management approach for a case with cleft palate and tongue hamartoma. DESIGN: A systematic literature search was conducted using keywords related to cleft palate and tongue hamartoma in PubMed, Scopus, MEDLINE, and Scielo databases through December 2021, with no time or language restrictions. PATIENTS, PARTICIPANTS: Studies reporting patients with cleft palate and tongue hamartoma were included. MAIN OUTCOME MEASURE(S): Information related to clinical profile, diagnostic tests, histopathology, management, and outcomes were extracted.Fourteen relevant publications were identified with 16 cases reported so far. Among them, thirteen patients were females (81.25%), and 3 were males (18.75%). The age of presentation varied from birth to 19 years. Oral-facial-digital syndrome (type II) was the most commonly associated syndrome.Congenital tongue hamartoma with cleft palate is a rare presentation, which can present as an isolated entity or part of a syndrome. Genetic evaluation is warranted, particularly for multiple hamartomatous lesions. The preferred treatment is immediate excision of hamartoma while following a standard timeline for palatoplasty.
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Fisura del Paladar , Hamartoma , Enfermedades de la Lengua , Masculino , Femenino , Humanos , Fisura del Paladar/complicaciones , Enfermedades de la Lengua/etiología , Enfermedades de la Lengua/cirugía , Lengua/anomalías , Hamartoma/cirugía , Hamartoma/complicaciones , Hamartoma/patología , SíndromeRESUMEN
A cartilaginous choristoma is a nonneoplastic nodular growth of histologically normal cartilage in an abnormal site. This report describes a case of a cartilaginous choristoma on the lateral surface of the tongue in a 65-year-old woman. The entire lesion was excised, and histologic examination revealed mature cartilaginous tissue surrounded by dense connective tissue. Choristomas are rare findings in the oral cavity, easily confused with proliferative processes or soft tissue neoplasms. Nevertheless, choristomas may be part of the differential diagnosis for lesions similar to the one described in this case report.
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Coristoma , Enfermedades de la Lengua , Anciano , Cartílago , Coristoma/diagnóstico , Coristoma/cirugía , Diagnóstico Diferencial , Femenino , Humanos , Lengua , Enfermedades de la Lengua/diagnóstico , Enfermedades de la Lengua/cirugíaAsunto(s)
Enfermedades de la Piel , Enfermedades de la Lengua , Humanos , Lengua , Enfermedades de la Lengua/cirugía , ÚlceraRESUMEN
Osteomas are rare benign bony tumors located in the tongue area. In most cases, patients presenting with a lingual osteoma are asymptomatic but may complain of the sensation of having a foreign body. Fewer than 100 cases of lingual osteoma have been reported worldwide. Here, we present 2 cases of tongue base osteoma that were treated with excision under a laryngoscope.
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Osteoma , Enfermedades de la Lengua , Neoplasias de la Lengua , Humanos , Neoplasias de la Lengua/cirugía , Neoplasias de la Lengua/patología , Osteoma/cirugía , Osteoma/patología , Enfermedades de la Lengua/cirugía , Lengua/patologíaRESUMEN
ABSTRACT: Congenital tumor of tongue is not rare, but associated with cleft palate and bifid tongue is unusual. The authors describe a case of 7-year-old patient having bifid tongue, congenital tongue tumor, and cleft palate. Clinical features, physical and pathological examinations, possible diagnosis, and surgical treatment have been elaborated in this case report.
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Fisura del Paladar , Enfermedades de la Lengua , Neoplasias de la Lengua , Niño , Fisura del Paladar/diagnóstico por imagen , Fisura del Paladar/cirugía , Humanos , Lengua/cirugía , Enfermedades de la Lengua/diagnóstico , Enfermedades de la Lengua/cirugía , Neoplasias de la Lengua/diagnóstico , Neoplasias de la Lengua/cirugíaRESUMEN
BACKGROUND: We present a first case report of an Actinomycosis lesion of the ventral tongue. Actinomycosis of the tongue is an uncommon finding. CASE DESCRIPTION: The 64-year-old female patient presented with a leukoplakic ventral tongue lesion. The diagnosis Actinomycosis was confirmed by histopathologic evaluation. The lesion was successfully treated with antibiotics and laser ablation therapy. PRACTICAL IMPLICATIONS: Diagnostic and therapeutic concerns are discussed. Clinicians are alerted to considering Actinomycosis within the differential diagnosis of leukoplakic tongue lesions.
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Actinomicosis , Terapia por Láser , Enfermedades de la Lengua , Actinomicosis/diagnóstico , Actinomicosis/tratamiento farmacológico , Actinomicosis/cirugía , Diagnóstico Diferencial , Femenino , Humanos , Persona de Mediana Edad , Lengua/cirugía , Enfermedades de la Lengua/diagnóstico , Enfermedades de la Lengua/cirugíaRESUMEN
AIM: The aim of this study was to review the craniofacial growth impairment and different malfunctions associated with short lingual frenum and to assess the validity of lingual frenum surgery based on minimally invasive laser release with a myofunctional approach. MATERIALS AND METHODS: Thirty patients, children and adolescents whose ages ranged from 8 years to 18 years, diagnosed with a short lingual frenum and concomitant orthodontic problems and/or presence of associated muscular or postural problems, were treated in this study. Pre-operative tongue assessment was performed following morphological and functional criteria, consisting of measurement of the free tongue, and of visual assessment of tongue protrusion out of the mouth and elevation to the incisive palatal papilla. Postural evaluation was assessed in frontal and lateral view. Laser surgery was completed with local anaesthesia, using Erbium YAG laser (2940 nm, LightWalker, AT-Fotona, Ljubljana, Slovenia) equipped with sapphire conical tip (600 micron), with energy ranging from 120 to 160 mJ, at 15 Hz frequency, and varying the adjustable pulse duration from 300 µs to 600 µs. RESULTS: Significant improvement was noted in 29 of 30 patients comparing preoperative scores to both three-week and two-month post-op scores. Postural improvement was found in 18 of 30 patients, indicating the multifactorial involvement of different causes for correct body posture. CONCLUSION: This study confirmed the validity of Erbium:YAG laser surgery as an effective technique in children and adolescents to release a short lingual frenum. The functional approach of the procedure performed with the Erbium:YAG laser, and the concomitant myofunctional therapy demonstrated to be simple and safe in children, and adolescents. Because of the multifactorial causes involved in correct body posture, an adequate osteopathic therapy is important to successfully complete the full body rehabilitation.
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Terapia por Láser , Láseres de Estado Sólido , Enfermedades de la Lengua , Adolescente , Niño , Humanos , Lactante , Frenillo Lingual/cirugía , Lengua , Enfermedades de la Lengua/cirugíaAsunto(s)
Coristoma/diagnóstico , Fístula Cutánea/cirugía , Fístula Oral/cirugía , Glándula Sublingual , Glándula Submandibular/anomalías , Enfermedades de la Lengua/diagnóstico , Coristoma/complicaciones , Coristoma/cirugía , Fístula Cutánea/congénito , Fístula Cutánea/diagnóstico , Humanos , Lactante , Imagen por Resonancia Magnética , Masculino , Fístula Oral/congénito , Fístula Oral/diagnóstico , Recurrencia , Glándula Submandibular/diagnóstico por imagen , Glándula Submandibular/cirugía , Tomografía Computarizada por Rayos X , Enfermedades de la Lengua/complicaciones , Enfermedades de la Lengua/cirugía , Resultado del TratamientoAsunto(s)
Absceso/diagnóstico por imagen , Enfermedades de la Lengua/diagnóstico por imagen , Absceso/tratamiento farmacológico , Absceso/cirugía , Adulto , Antibacterianos/uso terapéutico , Ceftriaxona/uso terapéutico , Drenaje , Femenino , Humanos , Laringoscopía , Imagen por Resonancia Magnética , Tomografía Computarizada por Rayos X , Enfermedades de la Lengua/tratamiento farmacológico , Enfermedades de la Lengua/cirugíaRESUMEN
Congenital fibrous hamartoma of the tip of the tongue, a peculiar and novel entity, consists of one or two asymptomatic pearly or yellowish nodules, not exceeding 0.5 cm in maximum diameter, at the tip of the tongue, ventrally or dorsally. Unlike other localizations, congenital fibrous hamartoma of the tip of the tongue is not associated with cleft lip or palate, or with feeding problems. Surgical excision should be avoided, reserved only for dubious cases, since the lesions are benign and stable over time.
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Labio Leporino , Fisura del Paladar , Hamartoma , Enfermedades de la Lengua , Hamartoma/diagnóstico , Hamartoma/cirugía , Humanos , Lengua/cirugía , Enfermedades de la Lengua/diagnóstico , Enfermedades de la Lengua/cirugíaRESUMEN
A 2-month-old full-term female infant with medical history of situs inversus totalis presented to the emergency department with congestion and abnormal breathing. She was discovered to have failure to thrive (FTT) and subsequently admitted. Investigations revealed a large vallecular mass at the base of her tongue which was noted to cause severe, intermittent airway obstruction. The mass underwent marsupialisation by otolaryngology (ENT) and pathology confirmed a diagnosis of vallecular cyst. The patient made a full recovery and is now growing and thriving. This case emphasises the need to consider anatomic airway abnormalities in the differential diagnosis of young infants with the constellation of respiratory symptoms and FTT. Such airway abnormalities can cause life-threatening airway obstruction if not discovered.
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Obstrucción de las Vías Aéreas/etiología , Quistes/diagnóstico , Insuficiencia de Crecimiento/etiología , Enfermedades de la Lengua/diagnóstico , Obstrucción de las Vías Aéreas/diagnóstico , Quistes/complicaciones , Quistes/cirugía , Insuficiencia de Crecimiento/diagnóstico , Femenino , Humanos , Lactante , Lengua/cirugía , Enfermedades de la Lengua/complicaciones , Enfermedades de la Lengua/cirugía , Resultado del TratamientoRESUMEN
A 61-year-old Caucasian woman presented to an outpatient otolaryngology clinic with increased bleeding from a dorsal tongue telangiectasia for 3 weeks. Her history was significant for hereditary haemorrhagic telangiectasia (HHT), a rare condition that causes vascular dysplasia, and recent symptomatic anaemia requiring blood transfusions. After failing medical management with topical haemostatic agents, she was offered and underwent surgical intervention to remove the tongue telangiectasia with duel therapy potassium titanyl phosphate (KTP) laser coblation and bevacizumab injections. A team of otolaryngologists removed the lesion without complications, and the patient denied bleeding, had minimal pain, and endorsed increased quality of life postoperatively. Tongue telangiectasias can cause life-threatening bleeding in some patients with HHT, and no surgical management guidelines exist to treat them. This case demonstrates the efficacy of KTP laser followed by bevacizumab injections in treating tongue telangiectasias in a patient with HHT.
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Coagulación con Láser/métodos , Telangiectasia Hemorrágica Hereditaria/cirugía , Enfermedades de la Lengua/cirugía , Lengua/irrigación sanguínea , Femenino , Humanos , Persona de Mediana Edad , Telangiectasia Hemorrágica Hereditaria/diagnóstico , Lengua/cirugía , Enfermedades de la Lengua/diagnósticoRESUMEN
Vascular lesions, including hemangiomas and vascular malformations, are common benign diseases. More than 50% originate from blood vessels or vascular structures and are locate in the head and neck region. This study aimed to evaluate the efficiency and safety of a combination of laser treatments for oral venous malformations using ultrasound navigation. This study reports 3 cases of massive vascular malformation in the oral cavity, which were treated by a combination of a multiple spotted transmucosal irradiation technique (the so-called leopard technique) for the superficial layer, and intralesional photocoagulation for the deep layer using a neodymium-doped yttrium aluminum garnet laser, under real-time ultrasound navigation. All cases presented with a venous malformation with multiple blue swellings on the dorsum of the tongue, which had a maximum dimension of over 30âmm. The percent reduction in the size of the lesions was determined by magnetic resonance imaging. All cases showed a decrease in lesion volume of over 80%, without extensive tissue necrosis, 6 to 12 months after the laser treatment. None of the patients experienced any complications, and all were satisfied with the treatment outcome after one irradiation session.The results of this study suggest that laser treatment using ultrasound navigation is a promising approach for the safe and minimally invasive resolution of oral vascular lesions without scarring and loss of normal tissue architecture, sensation, oral function.
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Enfermedades de la Lengua/cirugía , Malformaciones Vasculares/cirugía , Anciano de 80 o más Años , Edema , Femenino , Humanos , Láseres de Estado Sólido , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Enfermedades de la Lengua/diagnóstico por imagen , Resultado del Tratamiento , Ultrasonografía , Malformaciones Vasculares/diagnóstico por imagenRESUMEN
Hamartomas commonly occur in respiratory and digestive organs, such as the lungs, pancreas, and liver; they rarely occur in the oral cavity, especially in the sublingual region. This report describes a 5-month-old boy who presented with a giant sublingual hamartoma and medial cleft tongue. He underwent corrective operations at 5 months, 11 months, and 31 months of age. Histopathological analysis revealed features suggestive of hamartoma. There have been no signs of recurrence. The boy exhibited normal speech development at 3 years of age; all other oral functions were unaffected at that time. This report includes a review of relevant literature. The findings in this report and previous literature suggest that a multidisciplinary approach, carefully planned staged surgery, and rehabilitation are needed to achieve favorable outcomes in patients with hamartoma in the oral cavity.
Asunto(s)
Hamartoma , Enfermedades de la Lengua , Hamartoma/diagnóstico por imagen , Hamartoma/cirugía , Humanos , Lactante , Masculino , Recurrencia Local de Neoplasia , Lengua/cirugía , Enfermedades de la Lengua/cirugíaRESUMEN
BACKGROUND Rosai-Dorfman disease (RDD), is a rare, benign, proliferative, histiocytic disorder characterized by persistent massive lymphadenopathy, which mimics malignant tumors. Diagnosis of extranodal RDD without lymphadenopathy is difficult due to its unusual clinical manifestation and lack of typical histopathologic features. Hence, it requires both a high degree of clinical suspicion and careful histopathologic examination. CASE REPORT A 57-year-old woman presented with an isolated mass on the base of the tongue (BOT) without lymphadenopathy. Laryngoscopic examination revealed a mass on the midline of the BOT. The patient underwent complete surgical excision via suspension laryngoscopy with a CO2 laser. Based on the histopathologic features, including numerous histiocytic infiltrations with emperipolesis and cytoplasmic expression of S100 and CD68 in histiocytes, the diagnosis was confirmed as extranodal RDD. No further treatment was required, and follow-up evaluation revealed no evidence of recurrence. CONCLUSIONS Because no ideal therapeutic approach is available for RDD, treatment should be tailored to the clinical manifestations. To prevent airway obstruction and recurrence, surgery is considered an appropriate option in cases of localized RDD arising on the upper respiratory tract. We report an extremely rare case of extranodal RDD without lymphadenopathy in the BOT, and provide a detailed discussion of its clinical and histopathologic features and treatment with a brief review of the relevant literature.