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Journal articles on the topic 'Tongue laceration'

Author: Grafiati
Published: 5 June 2025
Last updated: 16 July 2025

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1

Andi, Arfandi Arifuddin, Sjamsudin Endang, Sylvyana Melita, and Lia Emiliana. "Emergencies treatment for tongue laceration in children : A serial case." International Journal of Medical Reviews and Case Reports 3, no. 7 (2019): 488–93. https://doi.org/10.5455/IJMRCR.emergencies-tongue-laceration.

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Introduction: In children, tongue laceration may occur through several mechanisms, but are most common after a fall or a collision with an object or person. Tongue laceration provides a challenge for an emergency physician with a thought to suture or not. Wound closure typically involves local anaesthesia, sedative drugs, or even general anaesthesia. Objective: To describe emergencies treatment and adequate wound closure for tongue laceration in children. Case Report: Three cases of tongue laceration on the child's in the Emergency Unit, Hasan Sadikin Hospital and Padjadjaran University Dental Hospital, with complaint of bleeding from the tongue due to fall and collision with a toys. Clinical examination shows tongue laceration with different location and size. The first case was laceration of the dorsal and ventral of the tongue with 4x1 cm and 2x1x1 cm in size, wound closure and debridement were performed under general anaesthesia in the operating room. The second case was laceration of the dorsal tongue with 3x0.5x0.5 cm in size, wound closure and debridement was performed with sedative drugs and the third case was laceration of the anterior tongue with 3x1x1 cm in size, wound closure and debridement was performed in local anaesthesia. Furthermore, analgesics, antibiotic and antitetanus injection are given. Discussion: The treatment of tongue laceration should consider signs and symptoms of airway obstruction, uncontrolled bleeding, extensive tearing and cooperative levels in patients. Management of tongue laceration in children is performed wound cleansing, tongue muscle and mucosa suturing under local anaesthesia in fairly cooperative patients and with sedative drugs and general anaesthesia in uncooperative patients. Conclusion: The treatment for tongue laceration in children requires special treatment consider the level of cooperative in children and the large of the wound, which can be performed under local, sedative drugs and general anaesthesia.
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2

Hambire, Chaitali, and Umesh Hambire. "To Sew or Not to Sew: A Case Report." Medical Journal of Dr. D.Y. Patil Vidyapeeth 17, no. 6 (2024): 1281–84. http://dx.doi.org/10.4103/mjdrdypu.mjdrdypu_751_23.

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Introduction-Tongue injuries in children vary from slight lacerations to complete amputations. It could be due to fall, self-mutilation, epilepsy, child abuse, or sport injury. The anterior dorsum is the most common site followed by the mid dorsum and anterior ventral part. These injuries may cause dysfunction of tongue, hemorrhage, and disfigurement. Management of injuries of tongue in young children is challenging. There are no established guidelines for managing tongue lacerations. This is a case report of a three-year-old girl with a laceration on the anterolateral part of the tongue with non-approximating wound edges. The laceration extended from the dorsal to the ventral part. The parents were apprehensive about the surgical management of the injury due to the age of their daughter. Hence, healing of the injury with conservative management without suturing was achieved. Conclusion-The management of traumatic injuries of tongue in children is difficult due to their age and cooperation. The pediatrician has to decide whether to heal the tongue by primary or secondary intention. Our decision to allow the healing by secondary intention was successful. The tongue healed without any complications barring a small scar with satisfactory aesthetic and functional outcome. Both the parents and the child were satisfied with the management of the injury.
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Hambire, Chaitali, and Umesh Vishnu Hambire. "To Sew or Not to Sew." Journal of Nature and Science of Medicine 7, no. 2 (2024): 144–47. http://dx.doi.org/10.4103/jnsm.jnsm_95_22.

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Abstract Tongue injuries in children vary from slight lacerations to complete amputation. It could be due to falls, self-mutilation, epilepsy, child abuse, or sports injuries. The anterior dorsum is the most common site, followed by the mid dorsum and anterior ventral part. These injuries may cause dysfunction of the tongue, hemorrhage, and disfigurement. Management of injuries of the tongue in young children is challenging. There are no established guidelines for managing tongue lacerations. This is a case report of a 3-year-old girl with a laceration on the anterolateral part of the tongue with nonapproximating wound edges. The laceration extended from the dorsal to the ventral part. The parents were apprehensive for the surgical management of the injury due to the age of their daughter. Hence, healing of the injury with conservative management without suturing was achieved. The management of traumatic injuries of the tongue in children is difficult due to their age and cooperation. The pediatrician has to decide whether to heal the tongue by primary or secondary intention. Our decision to allow the healing by secondary intention was successful. The tongue healed without any complications, barring a small scar, with satisfactory esthetic and functional outcome. Both the parents and the child were satisfied with the management of the injury.
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4

Gurung, Pratistha, Sneba Shrestha, Mamta Dali, and Bandana Koirala. "Lacerated Tongue Injury in an Infant: A Case Report." Journal of Nepalese Association of Pediatric Dentistry 1, no. 1 (2020): 23–26. http://dx.doi.org/10.3126/jnapd.v1i1.41399.

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Tongue laceration is not uncommon in young children. The most common location for a lacerated tongue injury in children is the anterior dorsum of the tongue. Fall at home is the most common cause of injury. Choosing an optimal treatment option for tongue lacerations remains a challenge due to contradictory recommendations and lack of current guidelines. This case reports the timely intervention and repair of a lacerated tongue injury in an 11-month-old infant under local anesthesia with satisfactory healing where function and esthetics of the tongue was restored. Thus, timely intervention of suturing in lacerated tongue injury in children can give good results.
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5

Jehng, Yauh-Mirng, Francis Tzen-Tak Lee, Yung-Chia Pai, and Wai-Mau Choi. "Traumatic esophageal laceration presenting as a tongue laceration." Journal of Acute Medicine 1, no. 1 (2011): 30–32. http://dx.doi.org/10.1016/j.jacme.2011.07.001.

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6

Woo, Sang-Woo, and Sang-Hwan Do. "Tongue laceration during electroconvulsive therapy." Korean Journal of Anesthesiology 62, no. 1 (2012): 101. http://dx.doi.org/10.4097/kjae.2012.62.1.101.

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7

Harel, Svetlana, and Lia Cruz. "Large tongue laceration in a pediatric patient." Visual Journal of Emergency Medicine 13 (October 2018): 111–12. http://dx.doi.org/10.1016/j.visj.2018.07.024.

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8

Kaitlyn, Kuntzman, Davis III Wellington, and Esernio-Jenssen Debra. "Uvular bisection from child physical abuse." Archives of Otolaryngology and Rhinology 10, no. 1 (2023): 001–3. http://dx.doi.org/10.17352/2455-1759.000152.

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Oral injuries are common in abused children. In non-mobile infants, these injuries are often inflicted by various instruments, or by hands, fingers, or bottles during feedings. Subsequently, an infant may suffer lacerations/bruising to the tongue, alveolar mucosa, frenum, or the soft and/or hard palate. Rarely, pharyngeal or esophageal perforations may occur from penetrating trauma. This is a unique case of an infant with facial bruising who presented with oral and nasal bleeding and was ultimately discovered to have a palatal laceration with complete bisection of the uvula. Clinicians need to consider abuse when infants present with oral injuries.
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9

Muhsan, Thaer H. "Tetanus: an unusual case associated with Tongue laceration." Journal of Wasit for Science and Medicine 2, no. 1 (2022): 144–49. http://dx.doi.org/10.31185/jwsm.40.

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A case of tetanus is described in a 43 years old Male, The initial presentation was Trismus and dysphagia following a tongue laceration by grossly carious tooth .Subsequently he developed muscular spasm which led to the diagnosis of tetanus. This paper discusses the general management of tetanus
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10

Pisklakov, Sergey, Vanny Le, and Paul Sandoval. "Tongue Laceration during Neurophysiologic Monitoring with Motor Evoked Potentials." Open Journal of Anesthesiology 02, no. 05 (2012): 226–27. http://dx.doi.org/10.4236/ojanes.2012.25052.

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11

Rathod, Ramya, Neha Choudhary, Bharat Hosur, and Sandeep Bansal. "Early presentation of traumatic pseudoaneurysm of deep lingual artery as a massive oral bleed." BMJ Case Reports 14, no. 4 (2021): e240928. http://dx.doi.org/10.1136/bcr-2020-240928.

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Tongue trauma with active bleed is most commonly due to the ruptured lingual artery and its branches, whereas delayed haemorrhage is usually secondary to pseudoaneurysm formation. This case is a unique presentation of traumatic tongue bleeds with early formation of pseudoaneurysm of a lingual artery branch. We present our experience in its management. A contrast-enhanced CT (CECT) with angiography detected right deep lingual artery pseudoaneurysm, which was managed by endovascular gelfoam embolisation followed by tongue laceration repair. Tongue bleed stopped immediately post embolisation; tongue viability and functions restored on postoperative day 1 of repair. No complications like secondary haemorrhage or tongue necrosis were noted at 1-month follow-up. High index of suspicion for lingual artery and/or its branch pseudoaneurysm is crucial in acute and uncontrollable traumatic tongue bleed. A CECT is a minimum norm in early diagnosis. Choice of management is the cornerstone of a successful outcome.
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12

Illston, Jana D., Alicia C. Ballard, David R. Ellington, and Holly E. Richter. "Modified Beef Tongue Model for Fourth-Degree Laceration Repair Simulation." Obstetrics & Gynecology 129, no. 3 (2017): 491–96. http://dx.doi.org/10.1097/aog.0000000000001908.

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13

Kazzi, Massoud G., and Mark Silverberg. "Pediatric Tongue Laceration Repair Using 2-Octyl Cyanoacrylate (Dermabond®)." Journal of Emergency Medicine 45, no. 6 (2013): 846–48. http://dx.doi.org/10.1016/j.jemermed.2013.05.004.

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14

Kwak, Kyu Wan, Yoon Ghil Park, Dawoon Kim, Hyo Sik Eom, and Jinyoung Park. "Tongue laceration occurred during spinal surgery with intraoperative neurophysiological monitoring." Journal of Intraoperative Neurophysiology 5, no. 2 (2023): 37–42. http://dx.doi.org/10.33523/join.2023.5.2.37.

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15

El Azzouzi, Rajaa. "Macroglossia Revealing a Neuroleptic Malignant Syndrome: a Clinical Images." International Journal of Clinical Case Reports and Reviews 16, no. 05 (2024): 01–02. http://dx.doi.org/10.31579/2690-4861/410.

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Neuroleptic malignant syndrome is a rare and potentially fatal side effect that can occur in response to treatment with antipsychotic drugs. It is characterized by four main symptoms: Impaired mental function, fever, muscle rigidity and autonomic dysfunction. We report the case of a 20-year-old patient, followed for psychosis, in whom a new therapeutic line was adapted 3 days ago: Largactil (chlorpromazine) and Haldol (Haloperidol), who presented to the maxillofacial emergency department with tongue laceration. Clinical examination revealed in an agitated, uncooperative tachycardic and apyretic patient, revealed a generalized muscular spasm associated with trismus attacks, causing tongue injuries due to the installed macroglossia.
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16

Illston, J. D., A. C. Ballard, D. Ellington, I. Meyer, and H. E. Richter. "2: Modified beef tongue model for fourth-degree laceration repair simulation." American Journal of Obstetrics and Gynecology 214, no. 4 (2016): S509. http://dx.doi.org/10.1016/j.ajog.2016.01.114.

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17

Di Luca, Daniel Garbin, and Jason H. Margolesky. "Severe tooth loss secondary to orofacial dyskinesias in anti-NMDA receptor encephalitis." BMJ Case Reports 12, no. 3 (2019): e228380. http://dx.doi.org/10.1136/bcr-2018-228380.

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A 24-year-old woman with no significant medical or psychiatric history was brought to the emergency department due to altered mental status and bizarre behaviour. Physical examination was remarkable for decreased speech output and orofacial dyskinesia. Upon further evaluation, electroencephalogram showed extreme delta brush waves and cerebrospinal fluid was positive for anti-NMDA receptor antibodies. Despite aggressive treatment with steroids and immunosuppressive therapy, her dyskinesia was severe enough to cause tooth loss, tongue and lip laceration.
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18

Malek, J., J. D. Illston, A. C. Ballard, and H. E. Richter. "10: Fourth-degree laceration repair using modified beef tongue model: An instructional video." American Journal of Obstetrics and Gynecology 218, no. 2 (2018): S957. http://dx.doi.org/10.1016/j.ajog.2017.12.133.

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19

Okechi, UC, OT Umeanuka, and JO Akpeh. "Traumatic Tongue Laceration: An Experience of Two Tertiary Centers in South East Nigeria." Nigerian Journal of Clinical Practice 26, no. 5 (2023): 612–16. http://dx.doi.org/10.4103/njcp.njcp_687_22.

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20

Yusuf, M., HM Abdullahi, AL Dayyabu, and AM Miko. "Deep tongue laceration following eclampsia, Cesarean section, repair and blood transfusion- A case report." Tropical Journal of Obstetrics and Gynaecology 36, no. 3 (2019): 468. http://dx.doi.org/10.4103/tjog.tjog_95_18.

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21

Beena, JP. "Management of tongue and lip laceration due to dystonia in a 1-year-old infant." Journal of Indian Society of Pedodontics and Preventive Dentistry 35, no. 1 (2017): 90. http://dx.doi.org/10.4103/0970-4388.199223.

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22

Vranian, Steven, and Martin Burke. "ID: 332395 Severe Tongue Laceration: A complication of Intraoperative Neuromonitoring during lumbar Dorsal Root Ganglion Implantation." Neuromodulation: Technology at the Neural Interface 27, no. 7 (2024): S75. http://dx.doi.org/10.1016/j.neurom.2024.06.145.

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23

Patel, Minita, Christine LaSala, Paul Tulikangas, David M. O’Sullivan, and Adam C. Steinberg. "Use of a beef tongue model and instructional video for teaching residents fourth-degree laceration repair." International Urogynecology Journal 21, no. 3 (2009): 353–58. http://dx.doi.org/10.1007/s00192-009-1042-3.

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24

Meco, Başak C., Sıddık Aytug, Elif B. Baskan, and Cem Meco. "Can tongue laceration caused by intraoperative neuromonitoring during spinal surgery in the prone position be prevented?" European Journal of Anaesthesiology Intensive Care 2, no. 5 (2023): e0033. http://dx.doi.org/10.1097/ea9.0000000000000033.

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25

Liu, Gabriel, Priscilla Ang, and TanJun Hao. "A rare complication of tongue laceration following posterior spinal surgery using spinal cord monitoring: A case report." Indian Journal of Anaesthesia 58, no. 6 (2014): 773. http://dx.doi.org/10.4103/0019-5049.147159.

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26

Schmitt, Eric, Jose Roble, Emily Penick, and Jamie Humes. "Low-Budget Perineal Repair Model on Modular Base." Obstetrics & Gynecology 144, no. 1 (2024): e4-e5. http://dx.doi.org/10.1097/aog.0000000000005616.

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OBJECTIVE: The American College of Obstetricians and Gynecologists reports that 53–79% of patients will sustain some type of perineal laceration during vaginal delivery. Although many simulations already are designed to practice these repairs, we have found that formal reusable anatomic models often are accessible only in simulation rooms. Self-built designs, such as the beef tongue model, are useful for a simulation day but require disposal after one use. We designed a $5.16 foam model that can be used to practice all types of perineal repairs. Our model can be used with an already-described modular base, which has been used to practice vaginal morcellation as well as loop electrosurgical excision procedures. PROJECT SUMMARY: We developed a written guide with visual aids describing how to build both our model and the base. All of the materials are available at local home improvement retailers. A basic description of the steps includes:Cut two 6-inch and one 4-inch segment of pipe-insulator. Cut a single 5-inch segment of foam tape. Use double-sided tape to cover the top and bottom lips of the 6-inch pipe insulator.Pull off adhesive strips and form a circle with one 6-inch segment of pipe insulator.Nest this segment of insulator inside the other 6-inch segment and attach with tape. This represents the vaginal walls.Use scissors to make a hole near the taped lip of the insulator and feed the foam tape through this hole. This represents the external anal sphincter. The pipe insulator below the foam tape represents the internal anal sphincter.Use tape to attach a glove finger to the bottom of the model. This represents the rectum.Cover this with the final layer of 4-inch foam. You are ready to practice with your model. OUTCOMES: Thirty health care professionals built and used the model, then participated in an anonymous survey. Survey respondents included two medical students, 13 residents, four midwives, and 11 obstetrics and gynecology staff. Participants found the model to be a very or somewhat realistic simulation of a second-, third-, and fourth-degree repair (26/30, 21/24, and 17/23 respondents, respectively). Participants also found that the model either greatly or somewhat contributed to their confidence in performing a second-, third-, or fourth-degree repair (23/30, 19/30, and 17/30 respondents, respectively). Twenty-four respondents (80%) found this simulation to be a useful addition to their routine training, and 22 found the model very easy or somewhat easy to build. RELEVANCE: Our model is an effective and economical tool for practicing perineal repairs. The design features improvements in accessibility of materials and in the ease of assembly. In a cost-comparison analysis, our model cost $5.16 per model compared with $16.50 per beef tongue model and $325 per mannequin multi-use model. It takes 10 minutes to build compared with 30 minutes for the beef tongue model. With only simple adjustments, the model is adaptable to practice complex and simple perineal lacerations. The range of options allows for customization of the model to the appropriate level of the learner. Our model supports learners of all levels of experience, is affordable, is adaptable, has proven effectiveness, and can be adapted to any environment.
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27

Patel, A. "Tongue lacerations." British Dental Journal 204, no. 7 (2008): 355. http://dx.doi.org/10.1038/sj.bdj.2008.257.

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28

Johnson, Grace, Sherell Hicks, and Charles A. Khoury. "Repair of tongue lacerations." Visual Journal of Emergency Medicine 29 (October 2022): 101465. http://dx.doi.org/10.1016/j.visj.2022.101465.

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29

Mellor, David J. "Mouth Pain in Horses: Physiological Foundations, Behavioural Indices, Welfare Implications, and a Suggested Solution." Animals 10, no. 4 (2020): 572. http://dx.doi.org/10.3390/ani10040572.

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A proposition addressed here is that, although bitted horses are viewed by many equestrians as being largely free of bit-related mouth pain, it seems likely that most behavioural signs of such pain are simply not recognised. Background information is provided on the following: the major features of pain generation and experience; cerebrocortical involvement in the conscious experience of pain by mammals; the numerous other subjective experiences mammals can have; adjunct physiological responses to pain; some general feature of behavioural responses to pain; and the neural bases of sensations generated within the mouth. Mouth pain in horses is then discussed. The areas considered exclude dental disease, but they include the stimulation of pain receptors by bits in the interdental space, the tongue, the commissures of the mouth, and the buccal mucosa. Compression, laceration, inflammation, impeded tissue blood flow, and tissue stretching are evaluated as noxious stimuli. The high pain sensitivity of the interdental space is described, as are likely increases in pain sensitivity due to repeated bit contact with bruises, cuts, tears, and/or ulcers wherever they are located in the mouth. Behavioural indices of mouth pain are then identified by contrasting the behaviours of horses when wearing bitted bridles, when changed from bitted to bit-free bridles, and when free-roaming unbitted in the wild. Observed indicative behaviours involve mouth movements, head-neck position, and facial expression (“pain face”), as well as characteristic body movements and gait. The welfare impacts of bit-related pain include the noxiousness of the pain itself as well as likely anxiety when anticipating the pain and fear whilst experiencing it, especially if the pain is severe. In addition, particular mouth behaviours impede airflow within the air passages of the upper respiratory system, effects that, in their turn, adversely affect the air passages in the lungs. Here, they increase airflow resistance and decrease alveolar gas exchange, giving rise to suffocating experiences of breathlessness. In addition, breathlessness is a likely consequence of the low jowl angles commonly maintained during dressage. If severe, as with pain, the prospect of breathlessness is likely to give rise to anxiety and the direct experience of breathlessness to fear. The related components of welfare compromise therefore likely involve pain, breathlessness, anxiety, and fear. Finally, a 12-point strategy is proposed to give greater impetus to a wider adoption of bit-free bridles in order to avoid bit-induced mouth pain.
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30

Ud-din, Z., and S. Gull. "Should minor mucosal tongue lacerations be sutured in children?" Emergency Medicine Journal 24, no. 2 (2007): 123–24. http://dx.doi.org/10.1136/emj.2006.045211.

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31

Üstün, Onur, Tolgar Lütfi Kumral, Yavuz Atar, et al. "Histopathological Comparison of 2-Octyl Cyanoacrylate and Primary Suturing for Tongue Lacerations." Journal of Craniofacial Surgery 31, no. 4 (2020): e334-e337. http://dx.doi.org/10.1097/scs.0000000000006254.

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32

Chau, Arthur Yuk Kong. "Tongue lacerations in a geriatric dog after bilateral inferior alveolar nerve blocks with bupivacaine." Veterinary Record Case Reports 5, no. 3 (2017): e000433. http://dx.doi.org/10.1136/vetreccr-2017-000433.

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33

Faverani, Leonardo Perez, Ellen Cristina Gaetti-Jardim, Gabriel Ramalho-Ferreira, Jessica Lemos Gulinelli, Thallita Pereira Queiroz, and Idelmo Rangel Garcia Júnior. "Ligature of external carotid artery as an optional technique in a patient with von Willebrand disease." Brazilian Dental Journal 22, no. 5 (2011): 435–38. http://dx.doi.org/10.1590/s0103-64402011000500015.

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The von Willebrand disease (vWD) is a hereditary coagulopathy. There is no gender predilection. Clinically characterized by mucocutaneous bleeding, especially nose bleeding, menorrhagia and bleeding after trauma. This article reports a case of a 52-year-old Caucasian male patient with vWD, who presented with extensive bleeding in the tongue after a lacerating injury caused by accidental biting, and describes some clinical, pathological and treatment aspects of vWD. After repeated attempts to suture the wound and replace clotting factors, a decision was made to perform the ligature of the external carotid artery ipsilateral to the injury. There was favorable resolution of the case, with a good aspect of the scar 2 months after ligation. This case reinforces that it is extremely important to make a thorough review of medical history of all patients, searching for possible bleeding disorders or previous family history.
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34

Betten, David P., Ian S. Batson, Leah N. Babiarz, and Kristen N. Owen. "Bilateral Scapular Fractures Occurring as a Result of a First-Time Seizure." Case Reports in Emergency Medicine 2022 (May 17, 2022): 1–4. http://dx.doi.org/10.1155/2022/9186275.

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The violent nature of generalized tonic-clonic seizures puts individuals at risk of a large number of potential injuries. These can occur due both to the profound muscular contractions that accompany these episodes as well as falls and other traumatic events that occur due to the period of loss of consciousness that occurs during generalized seizures. While injuries such as soft tissue contusions, tongue biting, dental injuries, and facial lacerations resulting from falls from standing predominate, bony injuries are not uncommon. We present a case of bilateral scapular fractures that occurred in an otherwise healthy 32-year male who presented with shoulder and back pain and inability to perform any significant movement of his upper arms secondary to pain after experiencing an apparent first-time generalized tonic-clonic seizure. The presence of unilateral and bilateral scapular fractures, while uncommonly described, should be considered as an additional potential orthopedic injury that may occur secondary to a generalized tonic-clonic seizure. In the absence of observed significant forceful traumatic injury, this injury is unusual, and its presence noted in a patient experiencing sudden loss of consciousness should raise heightened concern of seizures as the potential etiology.
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35

Vaz, Larissa Cristina de Moura, Luciana Alves Herdy da Silva, José Massao Miasato, et al. "Orofacial manifestations in violent children sexually: the role of dentist surgeon in diagnosis." Brazilian Journal of Development 8, no. 9 (2022): 63402–18. http://dx.doi.org/10.34117/bjdv8n9-198.

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Sexual abuse against children and adolescents is one of the main public health problems around the world that can cause physical and psychological short and long-term consequences. The objective of this study is to review the literature on signs and symptoms related to sexual abuse in children and adolescents that can be identified by the dentist. The most common orofacial manifestations are composed of lacerations, bruises or abrasions on the lip, tongue, labial and lingual frenums, gingiva, oral mucosa, dental trauma, ecchymosis, bites and scratches. Oral lesions from sexual violence are difficult to diagnose, because they can be confused with accident or disease, but signs such as erythema, ulcer, petechiae on the palate can be a sign of sexual practice through forced oral sex, in addition to the presence of symptoms of sexually transmitted infections in the orofacial and oropharyngeal region. Many victims do not show the physical signs mentioned above, therefore, the psychological aspects must be taken into account. The fear on the part of healthcare professional of seeing violence is a fact, since they fear the reaction of family members, the incorrect diagnosis and lack of knowledge of how to carry out the notification. In cases of suspected sexual abuse, the dentist must record it in the patient's medical record, followed by notification to Organs. It is concluded that the dentist is a professional capable of acting in the identification of cases involving child sexual abuse.
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36

Gonsalves, Clarelle L., Jie Wei Zhu, Grace Y. Kim, Cameron F. Leveille, and April J. Kam. "Surgical versus conservative management of tongue lacerations in the acute care setting: A systematic review of the literature." Paediatrics & Child Health, August 3, 2021. http://dx.doi.org/10.1093/pch/pxab044.

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Abstract Objective The objective of this study was to determine whether suturing or conservative management of tongue lacerations results in differences in wound healing and functional outcome. The secondary aim was to identify whether antibiotics are required in the treatment of tongue lacerations. Methods Studies published between December 1954 and August 2020 were extracted from MEDLINE via PubMed, Embase via OVID, CINAHL via EBSCO, Web of Science, and the Cochrane Library and evaluated for inclusion based on predetermined inclusion and exclusion criteria by two independent reviewers in accordance with PRISMA guidelines. Results The search yielded a total of 16,111 articles, 124 of which were evaluated by full-text review, resulting in 11 articles included in this systematic review representing 142 unique cases of tongue lacerations. At least 26 lacerations (18.3%) included penetration of the muscle layer of the tongue, and 24 (16.9%) were classified as full-thickness lacerations. Thirty-five of the 142 tongue lacerations (24.6%) were sutured. The remaining lacerations underwent some form of conservative management. The majority of studies reported excellent healing of tongue lacerations regardless of the management method, with minimal scarring and excellent return to normal functional status. No cases of infection were reported. Conclusions Current literature is inconsistent with regards to indications and guidelines for primary repair of tongue lacerations. The majority of tongue lacerations reported in the literature heal with excellent outcomes regardless of management method. Physician judgement along with patient and parental preference based on potential risks of the procedure should be used when deciding whether a tongue laceration requires primary repair. Tongue lacerations in otherwise healthy individuals are at very low risk of infection.
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37

Arifuddin, Andi, Endang Sjamsudin, Melita Sylvyana, and Emiliana Lia. "EMERGENCIES TREATMENT FOR TONGUE LACERATION IN CHILDREN : A SERIAL CASE." International Journal of Medical Reviews and Case Reports, 2019, 1. http://dx.doi.org/10.5455/ijmrcr.emergencies-tongue-laceration.

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38

Bernstein, Jeffrey D., Sara Kruczek, Natalie Laub, and Daniela Carvalho. "Extensive Tongue Laceration in an Edentulous Infant: Is It Child Abuse?" Ear, Nose & Throat Journal, January 13, 2023, 014556132211498. http://dx.doi.org/10.1177/01455613221149803.

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It is important for medical providers to distinguish between accidental and abusive mechanisms of injury in children. In the absence of a serious trauma, an isolated tongue laceration and oromaxillofacial trauma in a young, edentulous infant raises significant concern for abuse. The presented case demonstrates a unique injury pattern and serves as an opportunity to explore the multidisciplinary approach to infant trauma in Otolaryngology. Presented is an edentulous infant who sustained a deep splitting laceration of the oral tongue as a result of being dropped a short distance onto carpeted floor. This injury pattern, in the absence of other trauma, raised concern for abuse. Hospital social work and Child Abuse Pediatrics further investigated the matter. A surveillance camera video was produced which demonstrated the blunt force of the fall, coupled with the friction sliding on the floor, ripped open the infant's tongue and left a pattern otherwise suspicious for sharp object laceration. To our knowledge, this is the first report describing a full-thickness tongue laceration after a fall from a caregiver’s arms onto carpeted ground. This case underscores the responsibility of the astute provider coupled with a multidisciplinary team to identify or rule out potential child abuse.
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39

Gupta, Pooja, Vaishali, Vinay Kumar Srivastava, and Aman Kumar. "Aesthetic and Functional Restoration of Accidental Tongue Bite in Pediatric Patients: A Case Series." Clinical Dentistry, September 21, 2024. https://doi.org/10.33882/clinicaldent.15.35734.

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Traumatic injuries to the orofacial region occur frequently in children and can be challenging to pediatric dentists. The incidence of injury to the tongue is not frequently sustained. These injuries occur commonly when there's a fall or blow and the tongue is trapped between the teeth. They cause parents to panic and the child to cry uncontrollably with blood and soft tissue debris in the mouth. In the present case series, successful revascularization is achieved of a near-total amputation of the tongue in a 2.5-year-old female, a through-and-through tongue bite injury in an 8-year-old male and a partial tongue laceration injury in a 6-year-old female. This case series describes the patient’s presenting symptoms, the treatment rendered, and outcomes after subsequent follow-ups. Key Words Amputation, Tongue bite, Tongue laceration
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40

Matsumoto, Katsuhiro, Hideyuki Nakagawa, and Akira Kitamura. "Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report." JA Clinical Reports 8, no. 1 (2022). http://dx.doi.org/10.1186/s40981-022-00593-6.

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Abstract Background Transcranial motor-evoked potential (Tc-MEP) monitoring is usually performed during surgeries involving a risk of damaging brain motor areas. However, it involves a risk of bite injuries. We report a case of severe tongue laceration from Tc-MEP stimulation during carotid endarterectomy (CEA) in a patient taking antiplatelet agents. Case presentation A 74-year-old man on antiplatelet therapy was scheduled for CEA under general anesthesia with intraoperative Tc-MEP monitoring. Bite blocks were not inserted. Postoperatively, we observed a tongue laceration with severe bleeding, which was sutured. The difficulties in tongue movement persisted for ≥ 1 month postoperatively. Conclusions Bite injuries during Tc-MEP may induce severe bleeding in patients on antiplatelets. The complications of tongue bite injuries may persist, decreasing the patients’ quality of life. Hence, during Tc-MEP monitoring, it is important to use soft bite blocks and to check the patient’s face and the position of the tracheal tube intraoperatively.
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41

Navin, Namasivaya, S. Prabakaran, S. Rajasekaran, and M. Parijatha. "Traumatic Bull Gore Injuries to Oropharynx- A Case Report." JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2022. http://dx.doi.org/10.7860/jcdr/2022/53515.16863.

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Bull gore injury is not an uncommon injury comprises 2% among the traumatic injuries, especially in the rural area. The damage is predominantly caused by the animal's horn tip. The abdomen and perineum are the most commonly affected organs; additional organs include the lower limb, upper limb, chest, and others. Palatal lacerations are more common in children when they put objects in their mouth or by falling down with the object inside, but oropharyngeal injuries due to bull gore are scarce. Authors hereby reports two cases, in first case, a 3-year-old female child was brought with alleged history of injury to the soft palate by the horn of a cow. The tensor veli palatine muscle tear was repaired, submucosa and mucosal layer was sutured. In second case, a 62-year-old male came with alleged history of trauma, hit by a bull while driving two wheeler following which patient had deep laceration in the submental region, laceration in the floor of mouth and ventral surface of tongue. The mylohyoid muscle injury was identified and repaired. The wound was closed in layers from muscle to skin. Thus, bull gore injuries have a wide range of presentation from minor lacerations to life threatening injuries to oral cavity, neck, chest and abdomen. Timely admission and prompt treatment, repair of lacerations under proper sterile environment is important.
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42

Theophilus, Ipeh Ugbem, and Nnoli Martin. "Rape Homicide Following Criminal Abortion: An Autopsy Finding in Calabar, Nigeria." Journal of Forensic Pathology, September 28, 2018. https://doi.org/10.5281/zenodo.8385506.

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Background: Medical practitioners have been accused by female patients of sexual assault (rape) while undertaking examination on them in their consulting room without chaperons which is against medical ethics. In the said case the medical officer sustained a deep laceration to his tongue leading to massive blood loss and his death. Aim/Objectives: To determine the cause of death of a senior medical doctor in the theatre while performing an evacuation on a first trimester primigravida undergraduate female student using Dilatation and Curettage method alone in his clinic without an assistance or a chaperone. Materials and Method: This is a hospital based autopsy carried out in the Department of Pathology, University of Calabar Teaching Hospital on a medical officer who died on arrival at the accident and emergency unit of the hospital on account of massive blood loss resulting from multiple deep laceration he sustained on his tongue without injuries to his upper and lower lips or mucous membranes while performing a dilatation and curettage procedure on a young undergraduate female patient without a chaperone in his private clinic. Results: The patient was markedly pale with a deep laceration on the posterior surface of the tongue and held loosely by six absorbable catgut suture located 2.5 cm from the tip of his tongue and measuring 4 cm in length and 2 cm in depth, obliquely oriented against the line of the patients dentition on the anterior surface and both fresh and altered blood within the tracheobronchial tree, esophagus and lungs. There were generalized visceral organ pallor and shock kidneys. Conclusion: The cause of death is exsanguination secondary to traumatic injury to the tongue. Poor surgical repair of both vascular and muscle planes of the tongue resulted in failure to arrest the bleeding. Bite marks against the patient’s dentition helped in linking his injuries to the female patient.
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43

MACHADO, Angélica A. Faria de, Soraya da Silva OLIVEIRA, Jonas Dantas BATISTA, Lair Mambrini FURTADO, and Flaviana Soares ROCHA. "Important aspects during advanced lingual laceration management: report of 2 cases." RGO - Revista Gaúcha de Odontologia 69 (2021). http://dx.doi.org/10.1590/1981-86372021002220190095.

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ABSTRACT Intraoral injuries affect the stomatognathic system, creating difficulties in mastication and speech articulation, especially when they affect the tongue. In this context, the quality of the suture and local care are important to proper recovery and the patient’s brief return to their normal functions. Oral lacerations resulting from trauma require specific approaches. Treatments of this type of trauma may primarily be performed by professionals who conduct emergency care; however, they may require the attention of specialists. This article contains recommendations for the primary approach, treatment, and postoperative care of complex lacerations in the tongue.
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44

Eston, Michelle, Alyssa Stephenson-Famy, Hannah McKenna, and Michael Fialkow. "Perineal Laceration and Episiotomy Repair Using a Beef Tongue Model." MedEdPORTAL 16, no. 1 (2020). http://dx.doi.org/10.15766/mep_2374-8265.10881.

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45

Mahendra, S., S. Debajyoti, M. Karunakarn, A. Teja, and D. Kinkar. "Surgical management of deep tongue laceration in a cow: A case report." Indian Journal of Animal Health Online (September 6, 2021). http://dx.doi.org/10.36062/ijah.2021.06021.

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46

Buxo, Zachary, Jonathan Rexroth, Benjamin S. Johnson, Richard D. Fessler, and Michael Carron. "Pseudoaneurysm of the Lingual Artery in a Patient With Facial Trauma From Gunshot Wounds." Journal of Craniofacial Surgery, October 15, 2024. http://dx.doi.org/10.1097/scs.0000000000010788.

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A pseudoaneurysm is an abnormal dilatation within the wall of a blood vessel due to the formation of a hematoma in the vessel wall after vessel injury. Because of the protective nature of the facial skeleton and the deep location of the lingual artery, the lingual artery pseudoaneurysm is rare. The authors report a case of a 20-year-old male who suffered multiple gunshot wounds, including to the mouth, presenting with immediate life-threatening injuries. On hospital day 1, otolaryngology performed debridement of the mandible, retrieval and removal of bullet fragments, intermaxillary fixation, external fixation of the mandible, intra-oral laceration repair, repair of tongue laceration, and tracheotomy revision. On postoperative day 15, the otolaryngology service was called for the abrupt onset of major oral cavity bleeding. computed tomography-angiogram detected a pseudoaneurysm of the lingual artery and was successfully treated with endovascular coil embolization.
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47

Jones, Joel W., Kent Lee, Suzanne Stevens, and Chris Larsen. "Hypoglossal nerve stimulation for obstructive sleep apnoea in a patient with previous tongue laceration." BMJ Case Reports, March 28, 2018, bcr—2017–222230. http://dx.doi.org/10.1136/bcr-2017-222230.

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48

Noll, C., C. Reyner, J. E. Dechant, et al. "Equine tongue tumours: A multicentre retrospective study." Equine Veterinary Education, February 3, 2025. https://doi.org/10.1111/eve.14114.

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SummaryBackgroundTumours of the oral cavity in horses are rare, and because they are not easily visible, their diagnosis is often delayed. Different types of equine tongue tumours have been described, but information about clinical signs, treatments and outcomes is very limited.ObjectivesTo identify horses with a confirmed antemortem diagnosis of a tongue tumour and to document their clinical presentation, treatment and outcome.Study designRetrospective multicentre study.MethodsMedical records (1997–2024) from eight specialty or referral practices were reviewed. Horses met inclusion criteria if an antemortem diagnosis of a tongue tumour was made and confirmed by cytology or histopathology.ResultsThirteen horses met the inclusion criteria. Presenting complaints included one or more of the following: tongue mass (4) or wound (2), difficulty eating (6), external facial swelling (2) and abnormal respiratory noise (2). Tumours were identified as squamous cell carcinoma (SCC) (5), melanoma (2), mast cell tumour (2), anaplastic carcinoma (1), poorly differentiated carcinoma (1), B‐cell lymphoma (1) and neuroendocrine tumour (1). Seven of 13 horses (54%) underwent surgical treatment. Five of the seven (71%) had no recurrence for ≥1 year, and two were euthanised earlier for reasons other than tumour regrowth. One mast cell tumour responded to conservative treatment. All horses with SCC were euthanised following palliative or no treatment.Main limitationsThe main limitations are the small sample size, a result of the rarity of the condition and the diversity of performed diagnostics and treatments, a consequence of the multicentre study design.ConclusionHorses with tongue tumours frequently present for evaluation of a tongue laceration or mass and biopsy or cytology is required for definitive diagnosis. While the prognosis for lingual SCC was uniformly grave, surgical excision for other types of tongue tumours carried a good long‐term prognosis in this study.
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49

Peshwani, Bharti, Gunjan Chouksey, and Dr Goel. "Case Series of Natal Teeth: A Comprehensive Overview." European Journal of Dental Research, 2025, 1. https://doi.org/10.5455/ejdr.20250216042751.

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Natal teeth are a rare occurrence, showing the teeth present at time of birth. These teeth are most commonly seen in the mandibular incisor region, resulting from accelerated premature growth of normal primary teeth.Typically, natal teeth closely resemble the normal primary dentition in size and shape; but they often appear small, conical and yellowish colour with hypoplastic enamel and dentin additionally with poor or no root formation leads to increased mobility and further pose to risk of aspiration. Due to sharp edges of natal teeth it causes difficulty during suckling, trauma to the baby’s tongue or laceration on the mother's breast and sometime leads to Riga Fede disease (sublingual ulceration). However, no treatment is required if the teeth are asymptomatic and do not interfere with breastfeeding. Extraction is recommended if the teeth is supernumerary or excessively mobile. This article discusses a series of cases in which natal and neonatal teeth were extracted due to the risk of aspiration associated with the mobility.
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50

Siegel, Rebecca, Dalal Budri, and John Morrison. "Uncontrolled Bleeding After Tongue Laceration Leading to a Difficult Airway in the Setting of Hemophilia A: A Case Report." Cureus, November 13, 2022. http://dx.doi.org/10.7759/cureus.31455.

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