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Background Children with tongue injuries often visit the pediatric emergency department. The vast majority of cases can be conservatively treated, while some injuries require operative repair. The aim of this article was to demonstrate a “back-to-basics” approach to a refractory bifid tongue injury in a toddler. Case description A 1-year-old toddler with a tongue injury was unsuccessfully treated three times within a week by a surgeon in another specialty; all reconstructions were mucosal only. The case was then referred to our maxillofacial unit for proper management. On examination, the recurrent injury seemed to occur because of the patient's self-biting habit. We performed the fourth reconstruction of the tongue muscles and mucosa, and because of no dental prosthetic laboratory available in our hospital, we used transparent adhesive drapes fixed by resorbable sutures to cover the patient's anterior teeth instead of bite guards. The toddler was fed via a nasogastric tube for 1 week under 2-day antibiotic prophylaxis and routine oral care. The patient was discharged without any complications 1 week later. Conclusions and practical implications The causes of repeated orofacial injuries should be identified and require particular attention to establish a proper treatment. For intraoral injuries in pediatric patients, self-biting habits should not be overlooked. The application of materials in an operating theater can help the treating clinicians improve the treatment outcomes.

We describe a do-it-yourself method of making a bite guard, using pairs of Foley catheters and surgical gloves to prevent tongue, lip, and other injuries during the monitoring of transcranially elicited motor evoked potential. We have used it in five cases, and have found that the hack is particularly cost-effective and reliable. We describe the technique here using multiple photographs.

Objective The aim of the current study was to compare the risk and also the types of ictal injuries in three groups of people with seizures [i.e., IGE vs. TLE vs. FS]. Methods This was a retrospective study. All patients with an electro-clinical diagnosis of IGE, TLE, or FS were recruited at the outpatient epilepsy clinic at Shiraz University of Medical Sciences, Shiraz, Iran, from 2008 until 2020. Age, sex, age at seizure onset, seizure type(s), and occurrence of ictal injury at any time since the onset of the seizures and its characteristics were registered routinely for all patients at the time of the first visit. Results One thousand and one hundred seventy-four patients were studied (481 patients with IGE, 402 people with TLE, and 291 persons with FS). While the groups differed in their demographic and clinical characteristics, the rates of ictal injury did not differ significantly between the groups. Tongue injury was more frequently reported by patients with TLE compared with that by people with IGE or FS. Other types/locations of ictal injury were more or less reported by all three groups of the patients. Conclusion Ictal injuries may happen with more or less similar rates among people with epilepsy (IGE and TLE) and those with FS. Ictal injury (rate, type, or location) should not be used as a marker for any specific diagnosis among people with seizures.

Introduction/Objective. Epilepsy is associated with numerous misconceptions due to its dramatic manifestation and poor knowledge among the public. The aim of this study was to assess epilepsy awareness, knowledge and attitudes among secondary school teachers. Methods. We conducted a cross-sectional survey by sending a simple self-administered questionnaire to all secondary schools in Podgorica, Montenegro. The questionnaire contained 16 questions regarding epilepsy awareness, knowledge and attitudes, first aid attitudes, as well as demographic and teaching experience data. Results. We analyzed 219 questionnaires. Almost all teachers had heard or read about epilepsy, 57.5% of whom knew someone with epilepsy; 21% had a pupil with epilepsy in their class; more than 50% had witnessed a seizure, with 25% of them linking epilepsy to a central nervous disturbance. Over 60% of teachers chose convulsions/shaking to be a major feature of an epileptic attack. Forty percent of teachers thought epilepsy could be cured. Almost 80% thought people with epilepsy should get married and have children, but only one third would marry a person with epilepsy. Over 13% would object to their child playing with another child with epilepsy, and more than 50% would object if their child married a person with epilepsy. About 35% of teachers suggested putting something in a person?s mouth during attack to prevent tongue injury and asphyxiation. Conclusion. Awareness and understanding of epilepsy among teachers were satisfactory, but the results also revealed negative attitudes. Teachers need further education about epilepsy to increase seizure recognition and first aid management, reduce stigma, and intensify acceptance of people with epilepsy.

Sialolipoma is a rare benign neoplasm of the salivary glands that was recently described in the literature, and, until now, fewer than 60 cases have been reported. A 9-year-old child presented complaining of tongue injury. Intra-oral examination revealed a pediculus nodulus lesion with fibrous consistence with 15 mm in maximum diameter, located in the posterior dorsum of the tongue. The child’s parents reported that they had noticed the lesion since her birth. An excisional biopsy was performed based on the initial clinical diagnosis of a fibroepithelial polyp. Histologic examination of the lesion showed a benign neoplastic proliferation of adipocytes and also serous and mucous acini, involved with dense connective tissue. The definitive diagnosis was sialolipoma of the tongue dorsum. The patient has had no evidence of recurrence at 1 year of follow-up.

The sublingual hematoma is the cause of bleeding and swelling under the tongue it is commonly seen in the people after some kind of tooth surgery or implant or it can commonly see in the people after a mouth or tongue injury.

Objective To understand risk and possible mechanisms of thermal injury to the tongue during suspension laryngoscopy. Study Design and Setting Tongue injury was noted following suspension laryngoscopy in a cluster of cases; the findings raised suspicion for thermal injury. To characterize the potential for thermal injury, a lighted laryngoscope was placed in contact with samples of tongue. Tissue heating was recorded over time at fixed distances from the light carrier within a laryngoscope. Comparisons were made between two light sources and carriers. Results Maximal tissue heating using a newer-model light source and new carrier was 16.7°F immediately beneath the light carrier tip and 19.8°F at 1 cm distal to the carrier tip. Other combinations of an older source and carriers failed to raise temperatures. Heating up to 10.7°F occurred with the new source and an older carrier. Conclusion and Significance Tissue heating may occur from contact with operative laryngoscopes. This is an important patient safety issue in laryngology.

Epilepsy and other neurological disorders can have profound social, physical and psychological consequences, especially when they begin in childhood. Moreover, seizure episodes may cause fractures, burns, head injuries and oral injuries. This report presents a case history of an adolescent with a severe tongue injury related to epileptic seizures and outlines the proposed treat-ment, which included use of a maxillary silicone bite guard that allowed healing of the tongue injury within a few months.

We report a healthy teenager with involuntary nocturnal tongue biting resulting in recurrent tongue injury. Causes for tongue biting during sleep in children include seizures, bruxism, faciomandibular myoclonia, hypnic myoclonia, and rarely geniospasm, which has been described as a rare inherited movement disorder accompanied with chin quivering. In the absence of family history, we diagnosed our patient with sporadic geniospasm based on polysomnographic findings with good response to clonazepam. Geniospasm should be considered in the differential diagnosis of cases with unexplained tongue injury in sleep.

Other than in patients suffering from epilepsy, tongue lacerations are rare. Most commonly, these injuries occur when the tongue is between the teeth and a fall or blow occurs. They cause parents to panic and the child to cry uncontrollably with blood, tooth and soft tissue debris in the mouth. The presenting characteristics of the patient and injury as well as the treatment rendered and its outcomes are described.

This study describes a case report of a female stroke patient with an oral self-injury. She was admitted to a palliative care hospital and after two weeks of hospitalization she presented with a severe tongue injury caused by frequent biting. We proposed a course of curative treatment and preventive measures to prevent re-injury. We also present a short literature review of these types of injuries. Even though this is only a case report on self-injury in stroke patients, our approaches were different from those described previously in the literature; we used a new combination of a silicon device and laser therapy to treat this lesion.

This clinical report describes the treatment of a patient having traumatic macroglossia due to schwannoma in the craniocervical region. Enlarged tongue or macroglossia may compromise vital functions of the patient. To avoid a chronic tongue bite trauma, a bite guard that was inspired from a habit breaker was fabricated. Tongue injury has significantly healed with the use of this appliance, and the patient was able to masticate without biting on his tongue.

This clinical report describes the treatment of a 48-year-old patient who demonstrated neuropathologic and reflex mastication of her tongue after an intracerebral hemorrhage. Standard medical interventions failed to address the oral condition, and the attending neurosurgeon consulted the dental team. A provisional soft occlusal guard was initially placed, followed by fabrication of a heat-polymerized, acrylic resin occlusal guard. The tongue injury improved after placement of the oral device and administration of systemic hydrocortisone.

A patient with posttraumatic macroglossia has been presented. A literature review reveals that this is a rare sequela of tongue injury and is usually of acute onset. The delayed symptom of swelling in this patient and the exacerbation of swelling in association with hyaluronidase suggest a causal relationship between the two events. Macroglossia has not been reported in association with hyaluronidase injection, and it is recommended that the drug not be used to treat swelling after tongue injury.

Tongue injuries are caused mechanically, thermically, chemically and radiologically, etc., but these lesions and healing processes seem to have been less studied.The authors examined tongue injuries by acid or alkali substances, and discussed some problems about the healing process.Experimental methods:Six-week-old Wistar strain male rats were used as experimental animals. HC1 was used as acid, while NaOH used as alkali. The concentration of each chemical used in this study was 10, 20 and 30% diluted aqueous solution with application time of 1 minute. These experimental animals were generally anesthesized with Nembutal and the afilter paper sufficiently soaked with HCl or NaOH was applied to the anterior 2/3 part of tongue dorsal surfae.Thirty day-research was made on tongue damage and recovery which were examined by light and scanning electron microscope.Experimental results:Macroscopically, no remarkable change occurred by HCl or NaOH, but light and scanning electron microscopic examinations revealed the tongue injured by increased drug concentration and considerably destroyed taste buds of fungiform papillae. One or two weeks after the tongue injury, these damaged areas showed healing of the filiform and fungiform papillary wounds, and 30 days after the injury they showed regeneration with an almost normal structure of the taste bud. In this case, however, though usually a fungiform papillary taste bud has a taste pore, some of the regenerated taste buds had several taste pores, a very intresting finding in terms of the regeneration mechanism.