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Introduction Although most tongue lacerations in children can be treated conservatively, accepted indications for suture repair include complex injury, large flaps, and active bleeding. The purpose of this article is to highlight repair of a unique, severe injury pattern in a child. Presentation and treatment A 3-year-old boy fell on a cemented floor causing a midline full-thickness laceration through the median fibrous septum, resulting in a bifid tongue. Given the midline location, neurovascular supply was protected, and following surgical repair, the patient enjoyed an uneventful recovery. Conclusion Our case outlines a surgical approach for this unique case of acquired traumatic pediatric bifid tongue, which to our knowledge, has never been reported in the English literature., Highlights • This presented case highlights a unique severe injury pattern in a child. • A 3-year-old presented with a unique acquired traumatic bifid tongue injury. • He underwent successful functional and aesthetic surgical repair. • To the best of our knowledge, this rare presentation of traumatic bifid tongue in a child has not been reported in the English literature. • The case has been presented based on SCARE guidelines.

Eclampsia still remains an issue of serious concern in Sub Saharan Africa. Preeclampsia is the precursor to eclampsia, in which hypertension and proteinuria are present, with or without oedema1-2. This is a case of Mrs SK, a 21year old Primigravida who was unsure of her last menstrual period, but she was said to be 9 months pregnant; she developed generalized tonic clonic convulsions with each episode lasting about 30 seconds. She sustained a V-shaped laceration affecting lower one third of the tongue with clots of blood on the affected area. A diagnosis of antepartum eclampsia was made. She was admitted into the eclamptic ward and resuscitated. Intravenous infusion and Magnesium sulphate were commenced using Zuspan Regimen. She had an emergency caesarean section and was delivered of a fresh still birth female baby who weighed 3.0kg. The lacerated tongue was repaired by maxillofacial surgeon and she was transfused with 2 pints of blood. Eclampsia is the leading cause of maternal mortality in developing countries. Recognizing the features of preeclampsia and instituting appropriate measures is mandatory in order to prevent the progression of the disease to eclampsia with its associated complications.

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.

This case report describes the management of tongue and lip lacerations due to dystonia in a 1-year-old infant. A splint was given to raise the bite and prevent repeated trauma and aid in healing of the oral tissue. This paper highlights the importance of pediatric dentist's role in improving quality of patient care in an intensive care unit.

We encountered a 74-year-old male patient with tongue laceration after convulsive seizures under intensive care. The tongue showed severe swelling, and the right ventral surface had been lacerated by his isolated and pointed right lower canine. Our university hospital has established a perioperative management center, and is promoting interprofessional collaboration, including dentists, in perioperative management. Dentists collaborating in the perioperative management center took dental impressions, with the support of anesthesiologists who opened the patient's jaw under propofol sedation, to produce a mouth protector. By raising the patient's bite, the completed mouth protector prevented the isolated tooth from contacting the tongue and protected the lacerated wound. Use of the mouth protector prevented the lacerated tongue from coming into contact with the pointed tooth, and the tongue healed gradually. These findings underscore that interprofessional collaboration including dentists can improve the quality of medical care.

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.

Background Tongue lacerations provide a challenge for emergency physicians, especially in the case of pediatric patients. Traditional wound closure typically involves local anesthesia or procedural sedation in children, which is time consuming and often anxiety provoking for providers, patients, and parents. 2-Octyl cyanoacrylate (Dermabond®; Ethicon, Inc., Sommerville, NJ) has been used in the context of the emergency department for successful repair of lacerations, however, is not marketed for use on mucosal or intraoral surfaces. This case report describes an alternative manner of tongue laceration repair by the use of 2-octyl cyanoacrylate. Objective 2-Octyl cyanoacrylate is generally not indicated for intraoral use. Our case demonstrates a situation in which it was used safely and effectively to repair a tongue laceration. Case Report A 7-year-old boy presented to the emergency department after sustaining a large tongue laceration requiring repair. The boy's parent refused traditional wound repair with suturing due to concerns regarding the pain of local anesthesia administration, as well as risks posed by procedural sedation. The wound was repaired using the tissue adhesive 2-octyl cyanoacrylate. The patient tolerated the procedure well and there were no complications in the patient's course. Good cosmetic results were achieved using this method. Conclusions Tongue lacerations and other intraoral lacerations are challenging to repair, especially in pediatric patients. The use of tissue adhesives such as 2-octyl cyanoacrylate is very likely safe and may provide an expedient manner in which to repair such lesions with good cosmetic results.

Although considered a safe modality for monitoring spinal cord function, motor evoked potentials (MEP) may cause tongue laceration in rare cases. Bite blocks are essential in order to prevent tongue and mucosal injury during monitoring with MEP, but there is no consensus on the ideal bite block to use for this purpose. Potential concerns include tongue necrosis from prolonged use of an oral airway as a hard bite block, and TMJ dysfunction caused by occlusal interference when blocks interrupt the normal occlusal surface. We had a case of tongue laceration during MEPs. Bite blocks should be placed prior to the start of monitoring to prevent teeth occlusion. Because rigid bite blocks may cause pressure injury to oropharyngeal structures soft bite blocks are recommended. The bite block needs to be placed in a way to prevent occlusion by both front teeth and molars and to keep the tongue in the middle of the mouth. Ongoing vigilance to bite block placement is strongly recommended.

Lateral tongue biting is associated with seizures. This analysis investigates lateral tongue biting as a lateralizing sing in partial seizures. Of 106 consecutively monitored patients, seven had partial epilepsy and sustained a tongue injury during a seizure. The relationship between the side of tongue injury and the hemisphere of seizure onset in these seven patients was analysed. The tongue injury was ipsilateral to the epileptogenic zone in 5 and contralateral in 2, for a predictive value of 71%. Lateral tongue biting may be a useful adjunctive lateralizing sign in partial seizures.