MyMedR

Base of tongue tuberculosis: a case report

Hussaini J, Mutusamy S, Omar R, Rajagopalan R, Narayanan P

Acta Med Iran, 2012;50(2):151-2.

We report a rare case of base of tongue tuberculosis following pulmonary tuberculosis. Patient presented to us with chief complaints of sore throat and pain on swallowing for period of 3 months. On examination with 70 degree telescope, we observed an ulcer on right side of base of tongue. The edges of the ulcer appeared to be undermined with whitish slough at the centre of the ulcer. Examination of neck showed a multiple small palpable middle deep cervical lymph nodes on right side of neck. Biopsy of the ulcer was taken, which showed granulomatous inflammation, suggestive of tuberculosis. Laboratory investigations revealed a raise in erythrocyte sedimentation rate, sputum for acid fast bacilli was strongly positive. Chest X ray was performed for patient showed multiple areas of consolidation. Patient was referred to chest clinic for further management of tuberculosis and was started on anti-tuberculous drugs. In conclusion tuberculosis of oral cavity is rare, but should be considered among one of the differential diagnosis of the oral lesions and biopsy is necessary to confirm the diagnosis.

Matched MeSH terms: Tongue Diseases/diagnosis*

Fulltext Globus sensation in throat, the lymphoid and non-lymphoid origin of tongue base lesions

Irfan M

Med J Malaysia, 2011 Dec;66(5):525.

PMID: 22390121

Matched MeSH terms: Tongue Neoplasms/diagnosis*

Fulltext Evaluation of Bond Strength and Load Deflection Rate of Multi-stranded Fixed Retainer Wires: AnIn-VitroStudy

Samson RS, Varghese E, Uma E, Chandrappa PR

Contemp Clin Dent, 2018 3 31;9(1):10-14.

PMID: 29599576 DOI: 10.4103/ccd.ccd_632_17

Background: Fixed orthodontic retainers must be well retained on the tooth surfaces, allow physiologic movement of teeth and exert minimal forces on the teeth to be retained. Previous studies analyzed the bond strength and amount of deflection caused due to the debonding force but not the magnitude of force needed for unit deformation.

Aims: This study aims to evaluate and compare the bond strength and load deflection rate (LDR) of three different fixed retainer wires.

Materials and Methods: The wires were divided into three Groups: A - three-stranded twisted ligature wire, B - Bond-A-Braid (Reliance Orthodontics), and C - three-stranded twisted lingual retainer wire (3M Unitek). Twenty models were prepared for each group with a passive 15 mm long lingual retainer wire bonded to two lower incisors. An occlusogingival force was applied to the wire until it debonded. For LDR, three-point bending test was done at 0.5 mm deflection. These forces were measured using a Universal Instron Testing Machine.

Statistical Analysis: Mean bond strength/LDR and pairwise comparisons were analyzed with one-way ANOVA and Tukey's honest significant differencepost hoctest, respectively.

Results: Group C exhibited the highest mean bond strength and LDR of 101.17N and 1.84N, respectively. The intergroup comparisons were all statistically significant.

Conclusion: Compared to the other two wire types, Group C might be better retained on the teeth due to its higher bond strength. With its relatively higher LDR value, it may resist deformation from occlusal forces, thereby reducing inadvertent tooth movement and yet remain flexible enough to allow physiologic tooth movements.

Matched MeSH terms: Tongue

The use of facial artery musculomucosal (FAMM) readvancement flap in closure of recurrent oronasal fistula

Ariffuddin I, Arman Zaharil MS, Wan Azman WS, Ahmad Sukari H

Med J Malaysia, 2018 04;73(2):112-113.

PMID: 29703876 MyJurnal

High failure rate for recurrent palatal fistulas closure pose a great challenge to plastic surgeons. Tongue and facial artery musculomucosal (FAMM) flaps are the more commonly used flaps for closure of these recurrent fistulas. We report a case of a formerly inset FAMM flap to effectively close a previously repaired oronasal fistula.

Matched MeSH terms: Tongue

Efficient Deployment of Multi-UAVs in Massively Crowded Events

Sawalmeh A, Othman NS, Shakhatreh H

Sensors (Basel), 2018 Oct 26;18(11).

PMID: 30373204 DOI: 10.3390/s18113640

In this paper, the efficient 3D placement of UAV as an aerial base station in providing wireless coverage for users in a small and large coverage area is investigated. In the case of providing wireless coverage for outdoor and indoor users in a small area, the Particle Swarm Optimization (PSO) and K-means with Ternary Search (KTS) algorithms are invoked to find an efficient 3D location of a single UAV with the objective of minimizing its required transmit power. It was observed that a single UAV at the 3D location found using the PSO algorithm requires less transmit power, by a factor of 1/5 compared to that when using the KTS algorithm. In the case of providing wireless coverage for users in three different shapes of a large coverage area, namely square, rectangle and circular regions, the problems of finding an efficient placement of multiple UAVs equipped with a directional antenna are formulated with the objective to maximize the coverage area and coverage density using the Circle Packing Theory (CPT). Then, the UAV efficient altitude placement is formulated with the objective of minimizing its required transmit power. It is observed that the large number of UAVs does not necessarily result in the maximum coverage density. Based on the simulation results, the deployment of 16, 19 and 26 UAVs is capable of providing the maximum coverage density of 78.5%, 82.5% and 80.3% for the case of a square region with the dimensions of 2 km × 2 km, a rectangle region with the dimensions of 6 km × 1.8 km and a circular region with the radius of 1.125 km, respectively. These observations are obtained when the UAVs are located at the optimum altitude, where the required transmit power for each UAV is reasonably small.

Matched MeSH terms: Tongue Diseases

Fulltext Congenital tongue base lipoblastoma causing neonatal airway compromise

Wan MH, Tengku Nun Ahmad TE, Naicker MS, Abu Bakar MZ

BMJ Case Rep, 2021 Jan 18;14(1).

PMID: 33462056 DOI: 10.1136/bcr-2020-239554

Lipoblastomas are benign tumours of immature fat cells presenting in infancy. A lipoblastoma within the airway lumen causing airway compromise is an extremely rare occurrence. We present a 6 hours of life girl who had airway compromise due to a lobulated mass at the base of the tongue. The mass was excised after emergency endotracheal intubation.

Matched MeSH terms: Tongue Neoplasms/complications*; Tongue Neoplasms/diagnosis*; Tongue Neoplasms/surgery

Fulltext Glossodynia and glossopyrosis - a discussion of the aetiology and management

Yaacob HB, Ling BC

Med J Malaysia, 1981 Sep;36(3):177-80.

PMID: 7329376

Fifty patients with temporomandibular pain dysfunction syndrome were examined. Seventy-eight percent and 32 percent were female and male respectively. The white collar workers were more frequently affected. Emotional stress, dental malocclusion and a history of trauma were the main causes. Treatment consists of reassurance, relaxed jaw movements and exercises, anxiolytic drugs, thermotherapy, biting appliance, occlusal adjustments and restoration of lost dental units.

Matched MeSH terms: Tongue Diseases/complications*; Tongue Neoplasms/complications

Fulltext Disseminated histoplasmosis presenting as a non-healing tongue ulcer

Liam CK, Chua CT, Pathmanathan R

Singapore Med J, 1990 Jun;31(3):286-8.

PMID: 2392708

A 51-year old man presented with a persistent tongue ulcer, fever, cervical lymphadenopathy and hepatomegaly. The diagnosis was initially thought to be tuberculosis. This led to the initiation of antituberculous chemotherapy to which the patient failed to respond. The correct diagnosis of histoplasmosis was made after the detection of Histoplasma capsulatum on further review of the tongue ulcer biopsy specimen. He responded to treatment with amphotericin B.

Matched MeSH terms: Tongue Diseases/complications; Tongue Diseases/diagnosis*; Tongue Diseases/microbiology

Fulltext Lingual tonsillitis post tonsillectomy: a rare cause of odynophagia

Irfan Mohamad, Fard, Kambiz Karimian, Hazama Mohama

Archives of Orofacial Sciences, 2010;5(1):29-30.

MyJurnal

Lingual tonsil is a part of Waldeyer’s ring. It consists of lymphoid follicles and subject to proliferation and hypertrophy. Palatine tonsillitis, by far is the commonest cause of odynophagia originating from oropharyngeal region. Lingual tonsillitis is a rare occurrence. We reported a patient who presented with severe odynophagia after two months of palatine tonsillectomy. Examination revealed the lingual tonsils were inflamed and covered with exudates.

Matched MeSH terms: Tongue

Fulltext Vertical Partial Laryngectomy For Glottic Cancer; Report Of Three Cases.

Ahmad, R., Ishlah, W., Norie A.

International Medical Journal Malaysia, 2006;5(2):1-5.

MyJurnal

The ultimate goal of treatment of glottic malignancy is eradication of the cancer and preservation of maximum function. Ideally this would mean return of normal speech, respiration and deglutition. The foundation of vertical partial laryngectomy (VPL) is based on the knowledge of laryngeal anatomy and an understanding of how cancers invade the larynx. The VPL surgery of the glottic cancer is based on oncological sound principles, which will be further disscussed in this article. For the purpose of description we briefly presented 3 of our cases that underwent vertical partial laryngectomy for glottic cancer.

Matched MeSH terms: Tongue Neoplasms

Fulltext Harmonic scalpel for a bloodless partial glossectomy: a case report

Irfan M, Aliyu YA, Baharudin A, Shahid H

Med J Malaysia, 2011 Jun;66(2):148-9.

PMID: 22106699

Tongue surgery is almost always complicated by intraoperative bleeding. Its rich blood supply especially from the lingual vessels makes the operative field bloody. Electrocautery has been widely used to replace cold scissors in order to achieve better hemostasis. The use of ultrasonic harmonic scalpel for glossectomy is still new in this country. We report a case of partial glossectomy using the harmonic scalpel in a patient who had a squamous cell carcinoma of the lateral border of the tongue.

Matched MeSH terms: Tongue Neoplasms/complications; Tongue Neoplasms/pathology; Tongue Neoplasms/surgery*

Thermal burn of palate in an elderly diabetic patient

Kannan S, Chandrasekaran B, Muthusamy S, Sidhu P, Suresh N

Gerodontology, 2014 Jun;31(2):149-52.

PMID: 24797620 DOI: 10.1111/ger.12010

Burns of the oral mucosa may be caused by thermal, mechanical, chemical, electrical or radiation injury. Clinically, these burns can produce localised or diffuse areas of tissue damage depending on the severity and extent of the insult. Most oral thermal burns produce erosions or ulcers on the palate or tongue.

Matched MeSH terms: Tongue

Cryptococcocis: a rare fungal infection of the tongue

Mohamad I, Abdullah B, Salim R, Rajet KA, Naik VR

Southeast Asian J Trop Med Public Health, 2010 Sep;41(5):1188-91.

PMID: 21073040

Fungal infection in the oral cavity is not uncommon. The site involved is usually species related. Cryptococcus rarely infects the oral cavity. We report an elderly patient who presented with a central lesion on the dorsum of the tongue. Biopsy revealed a fungal infection. Special stains confirmed cryptococcus. Being a rare location for cryptococcal infection, clinical suspicion should be correlated with histopathological examination. Once confirmed, the patient should be treated with an antifungal medication.

Matched MeSH terms: Tongue Diseases/diagnosis; Tongue Diseases/drug therapy; Tongue Diseases/microbiology*

The prevalence of tongue lesions in Malaysian dental outpatients from the Klang Valley area

Koay CL, Lim JA, Siar CH

Oral Dis, 2011 Mar;17(2):210-6.

PMID: 20796228 DOI: 10.1111/j.1601-0825.2010.01724.x

OBJECTIVES: To determine the prevalence of tongue lesions in Malaysian dental outpatients from the Klang Valley area.
SUBJECTS AND METHODS: A cross sectional study was conducted on 600 Malaysian outpatients (257 men, 343 women, mean age, 37.7 years) attending the Primary Dental Care Unit at the Faculty of Dentistry, University of Malaya. Demographic and medical data were recorded for all respondents.
RESULTS: One hundred eighty-one patients (30.2%) (81 men, 100 women, mean age 42.0 years) were diagnosed with at least one tongue lesion (n = 207) at the time of examination. Of these, 24 patients (4%) had two or more tongue lesions present synchronously. Seven different lesions were diagnosed: fissured tongue (13.8%), crenated tongue (7.8%), pigmented tongue (6.2%), geographic tongue (2.2%), ankyloglossia (1.7%), hairy tongue (1.0%) and median rhomboid glossitis (0.2%). Their racial prevalences were Malays (n = 65, 10.8%), Indians (n = 62, 10.3%), Chinese (n = 53, 8.8%) and other race (n = 1, 0.2%). A significant relationship was observed between crenated tongue and race; between four types of tongue lesions (fissured tongue, geographic tongue, crenated tongue and pigmented tongue) and age; and between fissured tongue and gender (P

Matched MeSH terms: Tongue/abnormalities; Tongue Diseases/ethnology; Tongue Diseases/epidemiology*; Tongue, Fissured/epidemiology; Tongue, Hairy/epidemiology

Fulltext Rare presentation of bilobed posterior tongue in Goldenhar syndrome

Rajendran T, Ramalinggam G, Kamaru Ambu V

BMJ Case Rep, 2017 Aug 01;2017.

PMID: 28765181 DOI: 10.1136/bcr-2017-219726

A bilobed posterior tongue is a rare malformation with few reported cases in the literature. This anomaly has not been demonstrated in patients with Goldenhar syndrome. We report a case of a 5-month-old child with the classic signs of Goldenhar syndrome and laryngomalacia with an incidental finding of a bilobed posterior tongue. Careful assessment and monitoring are crucial, especially in syndromic babies.

Matched MeSH terms: Tongue/abnormalities*

Fulltext Lingual thyroid--a lesson to learn

Ramzisham ARM, Somasundaram S, Nasir ZM

Med J Malaysia, 2004 Oct;59(4):533-4.

PMID: 15779588

We present a case of a middle-aged woman with a mass in the posterior third of the tongue which was diagnosed as a tongue haemangioma. The tumour was successfully excised via a midline mandibular osteotomy and tongue splitting approach. The histopathology examination, however, revealed the 5x4 cms mass to be a lingual thyroid. The salient features of this unusual presentation of a thyroid enlargement will be discussed.
Comment in: Ng CS, Mohd MS. Lingual thyroid--a lesson to learn. Med J Malaysia. 2005
Mar;60(1):115

Matched MeSH terms: Tongue Neoplasms/diagnosis

Hereditary Hemorrhagic Telangiectasia

Leung AKC, Leong KF, Barankin B

J Pediatr, 2019 07;210:232.

PMID: 31003749 DOI: 10.1016/j.jpeds.2019.03.013

Matched MeSH terms: Tongue/pathology

miRNA for the assessment of lymph node metastasis in patients with oral squamous cell carcinoma: Systematic review and metanalysis

Jadhav KB, Nagraj SK, Arora S

J Oral Pathol Med, 2020 Nov 21.

PMID: 33220092 DOI: 10.1111/jop.13134

BACKGROUND: miRNA is one of the advanced epigenetic molecular markers correlating with lymph node metastasis in patients with Oral squamous cell carcinoma (OSCC). Numerous published papers are showing correlation of miRNA with metastasis. There is a need to analyze and validate such correlation.

METHOD: English language literature in major databases from the last 20 years was searched using controlled vocabulary and keywords. Strict inclusion and exclusion criteria were followed for selection of studies. The quality assessment was done as per the QUADAS tool 2 by three independent reviewers. The metanalysis was performed by using random effect model. Standardized mean difference (SMD) was considered as the effect measure. Statistical software used was STATA version 13.1.

RESULTS: With all inclusion and exclusion criteria, eight studies could qualify for metanalysis. The pooled estimate is found to be 0.13 (-0.35, 0.62), P = .585, which is statistically not significant. This indicates that there is a no significant difference in the fold change between metastasis and no metastasis groups. P-value of chi-square statistic for heterogeneity is

Matched MeSH terms: Tongue; Tongue Neoplasms

Fulltext Cystic hygroma: anaesthetic considerations and review

Sharma S, Aminuldin AG, Azlan W

Singapore Med J, 1994 Oct;35(5):529-31.

PMID: 7701380

A 3-day-old child presented with a gross swelling on the right side of the neck extending beyond the midline and inability to swallow. It was diagnosed to be cystic hygroma and decision was made to excise the swelling as an emergency operation to enable the child to swallow and thrive better. During the gaseous induction, difficulty was encountered in maintaining the airway and subsequently to intubate the patient. Intraoperatively the surgeon was not able to excise the tumour completely. Postoperatively it was decided to ventilate the child electively because of the intubation difficulties encountered and not so firm floor of the mouth because of surgical excision. The stay in the neonatal ICU was marked with infection and facial nerve palsy.

Matched MeSH terms: Tongue Neoplasms/surgery*

Fulltext Erupted teeth in the newborn

Meon R, Woon KC

Med J Malaysia, 1982 Dec;37(4):306-7.

PMID: 7167080

Incidence, aetiology, morphology, histology and symptoms of natal or neonatal teeth are presented. The commonly used terminology natal and neonatal teeth is adopted in this article. A case of an 8-week old girl with natal tooth and sublingual ulceration of the tip of the tongue is described.

Matched MeSH terms: Tongue Diseases/etiology

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