Lingual Necrosis Research Articles

A non-invasive and simple method of rescuing an entrapped tongue from a glass water bottle for a small state hospital: a case report

If children try to vigorously drink fluid from a glass bottle or play with it, their tongues can be entrapped in the bottle wherein the vacuum is created. The entrapped tongue causes lingual edema, leading to the lingual necrosis and upper airway obstruction. In this case, a 5-year-old boy whose tongue was entrapped in a glass bottle visited the emergency department of a small state hospital, where his tongue was removed non-invasively by applying positive pressure into the bottle.

Tongue Necrosis Secondary to Giant Cell Arteritis

Giant cell arteritis (GCA) is a vasculitis of large and medium sized vessels that commonly affects extracranial branches of the internal and external carotid arteries. It is a diagnosis of the elderly that typically presents temporal tenderness, claudication of the jaw or vision loss. Lingual necrosis is unusual symptom of GCA. We report a case of GCA revealed by a tongue necrosis.

Oral involvement in mucormycosis. A retrospective study of 55 cases

IntroductionMucormycosis with oral involvement (OIM) is a rare opportunistic and lethal mycosis, which has increased in the last decade and is generally associated with uncontrolled diabetes and neutropenia. MethodsA retrospective study of cases with OIM was carried out in a tertiary-care center. Mycological and histological examinations were performed, and the isolated organisms were identified by morphology and molecular biology. ResultsFifty-five OIM patients were included, with a median age of 38 years (61.8% males). The most frequent associated disease was type-2 diabetes mellitus (61%), followed by neutropenia due to acute lymphocytic leukemia (27%). The main presentation was palatal and mandibular ulcers (92.7%) and, to a lesser extent, gingival and lingual necrosis. The diagnosis was established by mycological and histopathological studies. The most frequent fungi isolated was Rhizopus arrhizus (67.2%). ConclusionOIM is a rapidly progressing disease, therefore, an early diagnosis and the proper control of predisposing factors is necessary, and consequently, contributing to improve the outcome of mucormycosis.

Oral involvement in mucormycosis. A retrospective study of 55 cases

IntroductionMucormycosis with oral involvement (OIM) is a rare opportunistic and lethal mycosis, which has increased in the last decade and is generally associated with uncontrolled diabetes and neutropenia. MethodsA retrospective study of cases with OIM was carried out in a tertiary-care center. Mycological and histological examinations were performed, and the isolated organisms were identified by morphology and molecular biology. ResultsFifty-five OIM patients were included, with a median age of 38 years (61.8% males). The most frequent associated disease was type-2 diabetes mellitus (61%), followed by neutropenia due to acute lymphocytic leukemia (27%). The main presentation was palatal and mandibular ulcers (92.7%) and, to a lesser extent, gingival and lingual necrosis. The diagnosis was established by mycological and histopathological studies. The most frequent fungi isolated was Rhizopus arrhizus (67.2%). ConclusionOIM is a rapidly progressing disease, therefore, an early diagnosis and the proper control of predisposing factors is necessary, and consequently, contributing to improve the outcome of mucormycosis.

Necrosis lingual como debut de arteritis de células gigantes: a propósito de un caso. Revisión de la literatura.

Giant cell arteritis (GCA) is the most common vasculitis in our country. Its clinical manifestations are widely well-known. However, atypical forms of this disease are less studied and potentially dangerous. Lingual necrosis is a rare ischemic complication of GCA that can simulate other disorders. The aim of this article is to present a new case of lingual necrosis as debut of GCA and review the described literature about it.

Bilateral lingual artery stenosis: A rare, late complication of chemoradiotherapy

IntroductionCarotid artery stenosis following radiotherapy (RT) is a known risk factor for the development of cerebrovascular disease with a risk of subsequent stroke or transient ischaemic attack. In contrast, small vessel disease in the neck following RT has been more rarely described. Case reportThe authors report the case of a 61-year-old man who developed partial lingual necrosis 4 years after surgery and postoperative chemoradiotherapy for squamous cell carcinoma of the floor of the mouth. Contrast-enhanced CT scan confirmed subtotal to total occlusion of both lingual arteries. Surgical debridement of the necrosis allowed complete cure of the lesions. DiscussionSmall vessel disease is a possible complication in patients treated by RT for head and neck cancer. Although the risk of these complications is not directly related to the total radiation dose, higher doses appear to accelerate the development of vascular lesions. Practitioners must be aware of the possibility of these complications, especially in patients surviving more than 5 years.

A Rare Case of Lingual Necrosis Secondary to Prolonged Endotracheal Intubation

We present a unique case of partial necrosis and cleft of the tongue caused by an endotracheal tube, and highlight the importance of endotracheal tube positioning in patients requiring prolonged intubation. A 53-year-old woman underwent endotracheal intubation secondary to respiratory failure due to altered mental status caused by alcohol intoxication. After extubation, she complained of tongue pain and was found to have cleft tongue and necrosis secondary to prolonged intubation. On follow-up, the patient’s tongue pain improved with oral analgesics and the tongue was well healed on examination. Tongue necrosis due to compression by an endotracheal tube during prolonged intubation is unusual; however, those involved in the care of intubated patients should consider the potential for this complication. This unique case of tongue necrosis highlights the importance of proper endotracheal tube positioning during prolonged intubation. J Med Cases. 2016;7(10):429-431 doi: http://dx.doi.org/10.14740/jmc2616w

A Rare Case of Lingual Necrosis Secondary to Prolonged Endotracheal Intubation

A Rare Case of Lingual Necrosis Secondary to Prolonged Endotracheal Intubation

Tongue necrosis as an initial manifestation of giant cell arteritis: case report and review of the literature.

Giant cell arteritis (GCA) is a systemic vasculitis of medium and large arteries that mainly affects the external carotid artery. It is a diagnosis of the elderly that typically presents as low-grade fever, temporal tenderness, claudication of the jaw, and in some patients vision loss. In cases where GCA presents with atypical manifestations, the diagnosis may be more difficult, causing a delay in both diagnosis and treatment and ultimately leading to irreversible complications. In this paper, we present an atypical presentation of GCA with symptoms of neck swelling and lingual pain in an elderly female. These symptoms progressed to bilateral necrosis and eventual dislodgement of the tongue. Lingual necrosis is a severe potential complication in GCA. In patients presenting with lingual swelling, pain, and discoloration, GCA should be suspected and prompt therapy should be initiated to avoid irreversible complications.

Giant Cell Arteritis Presenting with Intermittent Tongue Ischaemia

Giant Cell Arteritis (GCA) is a vasculitic condition that primarily affects medium and large arteries in the head and neck region. The disease is uncommon in patients under 50 years of age and is more frequently observed in females. GCA classically presents with headache, jaw claudication scalp tenderness and less commonly with visual disturbance. GCA presenting with lingual ischaemia or necrosis is rare. We report a case of GCA that presented with lingual involvement and discuss the diagnosis, investigation and treatment strategies of GCA.

Lingual necrosis caused by mucormycosis in a patient with aplastic anaemia: case report

Mucormycosis is a rare but aggressive fungal infection that predominantly affects immunocompromised patients. We report a case that highlights the importance of knowledge to enable prompt diagnosis and management of an otherwise fatal phenomenon.

Lingual necrosis secondary to mucormycosis

Mucormycosis is a rare fungal infection with a high mortality that affects immunocompromised patients. This is an unusual case of necrosis of the tongue in a patient with pulmonary mucormycosis, diabetes mellitus, and aplastic anaemia.

Lingual necrosis due to mucormycosis

Lingual necrosis due to mucormycosis

Effects of Pine Processionary Caterpillar Thaumetopoea pityocampa Contact in Dogs: 41 Cases (2002–2006)

The pine processionary caterpillar, Thaumetopoea pityocampa, is considered an emerging pine pest in Mediterranean countries, with high medical relevance. In recent years, adverse reactions reports in humans following contact with T. pityocampa have been increasingly reported. Dogs living in pinewood areas are also frequently exposed to the caterpillar. This work consisted on a retrospective study of 41 cases of lepidopterism. All dogs presented drooling, dysphagia, submandibular lymphadenomegaly and clinical signs of pain. The animals were distributed in three groups, according to the time span from exposure to the caterpillar until presentation: up to 2 h (group 1), 2-5 h (group 2) and more than 5 h (group 3). All animals from groups 2 (n = 5) and 3 (n = 9), and eight dogs from group 1 (n = 27) developed lingual necrosis. Lepidopterism coursed through a predictable clinical pattern. The evolution was mainly dependent on the time span between exposure to the caterpillar and medical intervention, which should take place earlier than 2 h from exposure.

Tongue necrosis as an unusual presentation of carotid artery stenosis

A 57-year-old man with premature coronary artery disease presented to the emergency department with left facial pain, numbness, and tongue swelling. The patient was found to have significant tongue necrosis, and subsequent arteriography demonstrated carotid bifurcation stenosis with embolization to the left lingual artery. The patient was successfully treated with debridement of his tongue and left carotid endarterectomy.

Spontane Zungennekrose bei rheumatoidem Hyperviskositätssyndrom. Fallbericht und Literaturübersicht

Because the tongue is an organ known for its excellent blood supply, ischaemic lingual necrosis is extremely rare within clinical everyday life. Acute lingual circulatory disturbances can result from impairment of venous drainage or more often from ischaemic arterial occlusion. Due to permanent function loss of the tongue, apparent lingual necrosis may lead to severe mutilation of the patient. While vasculitis of the lingual arteries in temporal arteritis is said to be the most frequent causation of tongue necrosis, diagnosing the underlying disease of lingual ischaemia may sometimes be challenging for the clinician. We present the first reported case of a spontaneous lingual necrosis in a patient with rheumatoid arthritis, due to polyclonal gammopathy with extensive hyperviscosity syndrome and local vasculitis. Clinical symptoms, diagnosis and therapy of tongue necrosis are presented in a case report. Besides an overview on the disorder of hyperviscosity syndrome, the discussion will illustrate pathogenetic, diagnostic and therapeutic considerations of lingual ischaemia. The international medical literature is reviewed to summarize the causes of tongue necroses that are described up to now. The particular importance of temporal arteritis Horton for the otolaryngologist in general and for the development of lingual necrosis in particular is highlighted. Apart from the presentation of the first reported case of lingual necrosis in rheumatoid hyperviscosity syndrome, the intention of this article is to draw the clinician's attention on the fundamental aspects of lingual ischaemia and of temporal arteritis.

Lingual necrosis as the presenting sign of Wegener's granulomatosis

Conflict of interest: none declared. A 56‐year‐old woman with no past medical history was admitted to the hospital because of acute respiratory failure. Three weeks before, surgical repair of a strangulated inguinal hernia had been successfully performed. Three days before admission, she complained of a painful lesion of the left side of the tongue. On the following day ulcerative cutaneous nodules developed on the abdomen and her temperature was raised at 38 °C. On examination after admission, crackles were heard bilaterally in the lungs, and immediate mechanical ventilation was required. Necrotic lesions of the mouth involving the left side of the tongue and the inner part of the lips were observed (Fig. 1). Necrotic lesions of the abdomen were also found, 10–20 mm in diameter. Infiltrated purpuric lesions were present on the dorsa of the right foot. Scleritis of the right eye was found. Blood cell count showed a haemoglobin level of 9.6 g/dL (normal range 11.5–16.0 g/dL), a leucocyte cell count of 16 × 109/L (normal range 4–10 × 109/L) with 87% neutrophils and 10% lymphocytes, a platelet count of 340 × 109/L (normal range 150–400 × 109/L). Serum creatinine level, urine analysis and liver function tests were normal. Arterial blood gas on room air showed pO2 to be 48 mmHg (normal range 90–100 mmHg), pCO2 33 mmHg (normal range 40–45 mmHg) and SaO2 86% (normal range 95–98%). Chest X‐ray disclosed bilateral and diffuse opacities with an alveolar filling pattern. Bronchoscopy revealed blood throughout the airways of the respiratory tract, search for pathogens remained negative.

Necrosis lingual como inicio de la arteritis temporal

AbstractLingual Necrosis As Debut Of Temporal Arteritis The Horton’s disease is a generalized vascular affectation, characterized by a giant cell arteritis. Medium and small caliber arteries are the most frequently affected, mainly of the craneal vascular territory, in particular the collateral branches of the external carotid, and artery in special the superficial temporal artery. We present a case of lingual necrosis as debut of the Hort o n ’s disease that has been diagnosed and treated in our ENT Dep artment.

Lingual necrosis as the initial symptom of small cell carcinoma

Lingual necrosis as the initial symptom of small cell carcinoma

Lingual necrosis as the initial symptom of small cell carcinoma

Lingual necrosis as the initial symptom of small cell carcinoma