Scully C, Carrozzo M. Oral mucosal disease: lichen planus. Usually, one side of the tongue is affected, and when the person sticks out his or her tongue, it deviates or points toward the side that is damaged. The tongue is used for tasting, swallowing, and chewing food. Contact your healthcare provider if you experience symptoms to diagnose and treat your condition. Share cases and questions with Physicians on Medscape consult. The ulcers themselves may become infected, requiring treatment. Prevalence and risk factors associated with geographic tongue among U.S. adults. These may present with dysarthria or dysphagia. Pallavi Parashar, BDS, DDS, FRCD(C), is a board certified oral pathologist. Case 39-2002 A 35-Year-Old Man with Headache, Deviation of the Tongue Bethesda, MD 20894, Web Policies Provider ID 317924. The appearance of geographic tongue may fluctuate within hours, with lesions presenting for days or months or even longer.6 This condition has a strong association with fissured tongue.4 Although geographic tongue is most often painless, patients can present with discomfort and a burning sensation. 209(2):88-94. Key Diagnostic Features: Hemiatrophy of the tongue, with fatty replacement of the tongue muscles (high signal intensity on T1 and T2 and no enhancement), is one of the most important radiologic features of hypoglossal nerve palsy. FOIA Disclaimer. Belmont Publications, Inc. is an ADA CERP-Recognized Provider. On rare occasions, a biopsy is required to confirm a histologic diagnosis.6 Because the majority of patients are asymptomatic and because geographic tongue is chronic or intermittent no treatment is generally indicated. 2,3 The differential diagnosis for masses of the tongue base includes normal lymphatic tissue, ectopic thyroid tissue, lymphoma, lipoma, hemangioma, schwannoma, granular cell tumors, benign and malignant tumors of minor salivary gland origin, rhabdomyosarcoma, and metastatic disease. Reamy BV, Derby R, Bunt CW. Clipboard, Search History, and several other advanced features are temporarily unavailable. All tongue deviations were associated with supranuclear 7th nerve palsy. sharing sensitive information, make sure youre on a federal The movies are licensed under a Creative Commons Attribution-NonCommerical-ShareAlike 2.5 License. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). 2022 Oct 15;19(20):13301. doi: 10.3390/ijerph192013301.
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