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Prevalence of tongue lesions among Turkish schoolchildren.

OBJECTIVES: To collect data on the prevalence of tongue lesions of Turkish schoolchildren in 3 different population samples in Ankara, and to analyze the relationship between tongue lesions and gender, oral hygiene, and income levels. METHODS: Nine hundred and six schoolchildren aged 6-12 participated in this study between March 2004 and July 2004 in Ankara, Turkey. Of the 906 schoolchildren, 442 were girls and 464 were boys from 3 primary schools. We examined all the children for the presence of the following tongue lesions: 1) ankyloglossia, 2) bifid tongue, 3) fissured tongue, 4) geographic tongue, 5) median rhomboid glossitis, 6) lingual thyroid nodule, 7) atrophic tongue, 8) hairy tongue, 9) crenation tongue, 10) furred tongue, 11) macroglossia, 12) microglossia, and 13) lingual or sublingual varicosities. RESULTS: Of the 906 subjects, we detected 45 subjects with tongue lesions with a prevalence of 4.95%. We found lesions more frequently in boys (6%) than in girls (4.5%). However, these results were statistically insignificant. Oral lesions commonly found were geographic tongue (1.8%), ankyloglossia (1.3%), fissured tongue (0.9%), bifid tongue (0.4%), hairy tongue (0.2%) and macroglossia (0.2%), lingual thyroid nodule (0.1%). We did not find any of the following lesions: median rhomboid glossitis, atrophic tongue, crenation tongue, furred tongue, microglossia, lingual, or sublingual varicosities. CONCLUSION: The tongue has a special importance due to its localization. It can readily affect a patient's social life because of lesions and various symptoms. The localization of tongue may also play important role in diagnosis for systematic, hormonal, and allergic disorders.

Adolescent↗

Tongue abscess mimicking neoplasia.

Tongue abscess is a very rare condition about which only sparse imaging findings have been reported. In 2 patients, a submucosal malignant tumor was suspected because of the presence of a painful hard tongue mass with intact mucosal surface. Differential diagnosis of the tongue abscess or malignancy was difficult on MR imaging or positron emission tomography-CT. In careful retrospective history taking, the symptoms had dated from an episode of eating fish several months before presentation. Plain radiographs and noncontrast CT images of the pharynx revealed a foreign body within the lesion. Thus, we present the imaging findings of 2 cases of malignancy mimicking tongue abscess as a result of impaction of a fish bone.

Abscess↗

[Prevalence of tongue anomalies in children].

The prevalence of grooved tongue, geographic tongue, and ankyloglossia, was investigated in 660 children, 3 to 13 years old, which attended the Out patient Clinic of the University Hospital of Buenos Aires for unrelated complaints. The figures obtained are at variance--by far--from those published by other people engaged in the same line of research. Probably, further studies with a much larger amount of patients are called for.

Adolescent↗

Black hairy tongue.

Black hairy tongue is a benign disorder characterized by hypertrophy of the filiform papillae of the tongue. A brownish-black discoloration of the papillae occurs. The etiology is unclear, but the disorder has been associated with numerous predisposing conditions. Although black hairy tongue is usually cured by removal of these factors, a variety of measures, particularly brushing of the tongue, may aid in resolution.

Adult↗

Magnetic resonance imaging of the tongue and oropharynx.

In general, MRI produces superior soft tissue detail in evaluating the tongue and oropharynx than does CT. MRI is therefore considered the study of choice in this area. Lack of artifact from dental amalgam and beam hardening artifact from the mandible on MRI also eliminates two major shortcomings of CT in the examination of this area. Finally, the ability of MRI to obtain direct coronal and sagittal scan planes is a distinct advantage in recognizing intrinsic tongue musculature and assessing tumor volume and spread for treatment planning.

Carcinoma, Squamous Cell↗

Oral hairy leucoplakia.

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Acquired Immunodeficiency Syndrome↗

Some local and systemic factors related to tongue inflammation.

As part of a larger study aimed at surveying the clinical, histological and immunohistochemical features of filiform atrophy and geographic and fissured tongue, this work presents the clinical findings of three patient groups and controls. 200 individuals were examined; 18 (9%) had atrophic tongue, 15 (7.5%) geographic tongue and 53 (26.5%) fissured tongue; further, 12 (6%) had hyperkeratotic lesions of the tongue and 102 (51%) subjects had no tongue lesions. According to the anamnestic information, patients with atrophic or geographic tongue seemed to have a stronger tendency toward allergy than subjects in other groups, while patients with atrophic tongue had more abnormalities of the heart and circulatory system. These tongue forms did not show any association with smoking or drinking habits, but hyperkeratotic lesions (leukoplakia, lichen planus, hairy tongue) of the tongue were clearly associated with moderate and heavy smoking. Atrophic, geographic and fissured tongue seem to be specific changes of the lingual mucosa; patients with these changes did not have more changes elsewhere on the oral mucosa than the controls. Patients with atrophic tongue had lowered rates of saliva secretion. Histologically, heavy inflammation was noted in fissured tongue. In geographic tongue, inflammation was moderate and in atrophic tongue often only mild. Each tongue form seems to have its own typical histological morphology.

Adult↗

Halitosis and abuse of antibiotics. Report of a case.

A case of halitosis caused by the abuse of antibiotics is presented. The abuse of tetracycline resulted in a black hairy tongue and halitosis in this patient. Periodontal therapy and the withdrawal of tetracycline corrected these problems. This is the first patient with halitosis due to abuse of tetracycline seen in our clinic.

Adult↗

Common oral conditions in the elderly.

As the proportion of elderly persons in the population increases, physicians will more frequently see patients with the oral lesions that commonly occur in this group. Periodontal disease represents the most common cause of tooth loss in the elderly. Dentures can create several problems, including traumatic ulceration, denture stomatitis, inflammatory papillary hyperplasia and epulis fissurata. Erythroplakia, rather than leukoplakia, is the most common precursor of oral carcinoma in elderly persons.

Aged↗