Delayed diagnosis of a foreign body in the tongue

Costa, Nuno Ribeiro; Duarte, Delfim; Lopes, Gustavo

doi:10.1136/bcr-2016-218137

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…A foreign body in the tongue which is not removed can cause persistent hypersalivation, swelling of the tongue, anorexia, dysphagia, dehydration, and fever, and potentially can lead to tongue abscessation, actinomycosis, tongue necrosis, sepsis, starvation and death (Fielding et al 2008; Costa et al . 2016). Continued migration of the foreign body also can occur (Elicora and Güven 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Complications that can occur during the healing of an injury of the tongue include the development of necrotic parts of the tongue (Costa et al . 2016), which in rare cases might possibly necessitate partial tongue resection. Incomplete removal of a foreign body is also possible, especially when the material of the foreign body is not visible on radiographs, such as a piece of wood, or when a foreign body may break (Ober et al 2008; Wabnitz et al .…”

Section: Discussionmentioning

confidence: 99%

“…In children, it was reported that tongue lacerations actually needed more time to heal after wound suturing and had more complications compared to lacerations left to heal by second intention (Seiler et al 2018). Complications that can occur during the healing of an injury of the tongue include the development of necrotic parts of the tongue (Costa et al 2016), which in rare cases might possibly necessitate partial tongue resection. Incomplete removal of a foreign body is also possible, especially when the material of the foreign body is not visible on radiographs, such as a piece of…”

Section: Discussionmentioning

confidence: 99%

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Removal of a metallic foreign body from the tongue of three horses

Blatter¹,

Thunig²,

Kretschmar³

et al. 2020

Equine Veterinary Education

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Summary The objective of this case report is to describe the diagnostic and surgical techniques for removal of a metallic foreign body in the tongue of three adult horses. The three horses were presented for evaluation and treatment of dysphagia and marked hypersalivation of 3–5 days duration. Radiographs of the head revealed the presence of a metallic foreign body in the tongue of each horse. The foreign bodies could be precisely localised under general anaesthesia using palpation and lingual ultrasonography and/or lingual radiography in combination with a forceps as a marker. The foreign bodies were successfully removed using laparoscopic instruments creating minimal soft tissue trauma. The use of long (43 cm) small laparoscopic (5 mm) instruments enabled good visualisation of the surgical field, providing optimal conditions for successful minimally invasive surgical treatment of horses with foreign bodies in the tongue. The three horses made uneventful recoveries and 12 months after surgery were eating normally and could be ridden with a bit as per usual routine. It was concluded that using long laparoscopic instruments in combination with palpation, ultrasonography and/or radiography allowed removal of the foreign body creating minimal soft tissue trauma and allowing optimal conditions for a fast recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%