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Results for “TONGUE DISEASES”

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At least 37 records · Page 2Linked to original sources
PubMed2000

[A treatment combined Chinese with Western medicine for microcirculation diseases in tongue].

OBJECTIVE: Glossodynia is a common oral disease. The purpose of the investigation is to analyse the mechanism of microcirculation disorder in glossodynia, and find a new effective treatment. METHODS: 18 cases with microcirculation disorder in tongue were studied by histopathology, hemorrheology and nail microcirculation, treated by intravenous injection of angelica for promoting blood circulation and removing blood stasis. RESULTS: Hyper-viscosity of blood was found in this group of patients. Abnormal micro-vessels were observed in microcirculation examination, though vasculitis wasn't detected in tongue tissue. CONCLUSION: Microcirculation disorder may play an important role in the cause of glossodynia. For elderly patients, cardiovascular and mental diseases should be considered. According to the theory of the blood stasis in chinese medicine, these studies show that a treatment combined chinese with western medicine can be applied for the patients, and injection of angelica can improve microcirculation.

Aged↗
PubMed2000

Madelung's disease involving the tongue.

Madelung's disease or benign symmetric lipomatosis is rare. Symmetric lipomatosis of the tongue as an association of Madelung's disease is very rare; up to now only two cases of this association have been reported. We report the third case of Madelung's disease with involvement of the tongue in the form of macroglossia.

Diagnosis, Differential↗
PubMed2002

Role of planned neck dissection for advanced metastatic disease in tongue base or tonsil squamous cell carcinoma treated with radiotherapy.

OBJECTIVE: At the conclusion of this article, the reader should be able to discuss the need for planned neck dissection for advanced cervical diseases in the tongue base and tonsil cancer after treatment with radiotherapy. BACKGROUND: In the past 5 years, we have treated patients with squamous cell carcinoma of the tonsil and tongue base with radiotherapy as the primary therapeutic modality. A planned complete neck dissection was performed on all patients with N2 or greater cervical disease regardless of response to radiotherapy. Composite resection was performed when there was persistent disease at the primary site. Although the "radiation-first" therapeutic approach for tongue base and tonsil cancer is widely accepted, the planned neck dissection for neck metastases remans controversial. The objective of the study was to determine the validity of planned neck dissection after radiotherapy for N2 disease. METHODS: Medical records of patients with primary squamous cell carcinoma of the tongue base and tonsil with neck metastasis staged N2 or greater were reviewed. Between 1994 and 1999, 36 such patients were treated with curative radiation therapy. Response was assessed 6 to 8 weeks after completion of treatment with clinical examination and CT imaging. All patients underwent planned neck dissection. We reviewed the clinical and radiographic response of neck disease to radiotherapy as it correlated with the histopathologic findings. RESULTS: Of the 36 patients, 17 had clinical and CT evidence of persistent disease. In this group, 65% had pathologically confirmed diseases at surgery. Of the 9 patients with no evidence of disease on clinical examination, negative biopsy at the primary site, and a negative CT scan, 33% (three of nine) still had residual disease in the neck dissection specimen. CONCLUSIONS: Positive findings on clinical examination and CT can predict the presence of malignancy after radiation therapy. However, a negative CT and clinical examination are limited in predicting a complete response. These data lend support to the role of planned neck dissection after radiotherapy of N2 neck disease.

Adult↗
PubMed2004

[Pathologic changes in the tongue as signs of systemic diseases].

The tongue is an organ easy for examination. Pathological changes of the tongue are of local or systemic origin and may accompany many systemic diseases or precede them. The paper shows shortly normal anatomy and function of the tongue and the most common pathological changes in the course of systemic diseases. Also we discussed the aspects of early diagnosis and oncological prophylaxis. The aim of the study was to concentrate on cooperation between different specialists to undertake both local and systemic treatment to provide better care of the patient. The paper was based on literature and our own observations.

Avitaminosis↗
PubMed1986

Sialochemistry in mucosal lesions of the tongue: electrolytes and total protein.

A total of 39 patients with tongue diseases and 17 controls were subjected to chemical analysis of saliva to determine whether tongue lesions are correlated with the composition of the saliva. The salivary flow rate, total protein, phosphate and electrolyte content (Na, K, Ca) were measured in unstimulated and stimulated saliva. The results indicate that disturbed salivary secretion could be revealed in patients with filiform atrophy and those with hairy tongue. The hormonal imbalance might be a factor in the etiology of filiform atrophy and geographic tongue. No significant difference between the sialochemistry of patients with fissured tongue and controls was found.

Adult↗
PubMed2003

Case report: Oral pemphigus vulgaris with multiple oral polyps in a young patient.

A rare case of oral pemphigus vulgaris is presented, which developed initially in a 9-year old Jordanian male. The disease was not well controlled with immunosuppressive therapy and was complicated by the development of multiple oral polyps approximately one year after the onset of symptoms. These lesions were smooth, painless and located particularly on the upper labial gingiva, the labial and buccal mucosae and the tongue. Disease activity continued for approximately nine years until the patient was referred to an oral medicine specialist. Histological examination of the polyps revealed exuberant granulation tissue. Adjustment of the steroid dosage lead to resolution of the oral symptoms and the polyps reduced in number and in size. This case highlights the occurrence of pemphigus vulgaris in young patients, illustrates a rare complication of persistent ulcero-inflammatory disease and emphasises the importance of specialist referral in the management of oral disease.

Adolescent↗