Lacerated Tongue Injury in Children

Abstract

Abstract:Other than in patients suffering from epilepsy, tongue lacerations are rare. Most commonly, these injuries occur when the tongue is between the teeth and a fall or blow occurs. They cause parents to panic and the child to cry uncontrollably with blood, tooth and soft tissue debris in the mouth. The presenting characteristics of the patient and injury as well as the treatment rendered and its outcomes are described.

Traumatic partial amputation of the tongue. Case report and literature review

“…In the setting of partial tongue sections the most common location of the lacerated tongue is the anterior dorsum, the median dorsum and the anterior ventrum. The frequency reduces from anterior to posterior on both surfaces [4] . In deep lacerations the muscular planes must be closed with absorbable sutures to prevent hematoma formation and muscle integrity.…”

“…[11] address to suture the wounds of more than 2 cm or when bleeding is important. English ensures that there is no need of suture with small lacerations and when wound margins are in proper proximity [4] , [12] , [13] .In addition to the previous recommendations Lamell and Fraone et al. recommend that in the setting of deep lacerations the repair must be done before excessive edema happens approximately within 8 h of injury, since delaying treatment past 24 hours would adversely affect the outcome [13] .…”

“…In children, loss of lateral portions or tip of the tongue usually does not produce permanent deficit since tongue hypertrophy is established in a period of six months [4] .…”

“…With venous compromise massive swelling can predispose oropharynx obstruction with potential threat to the respiratory tract by itself. Prompt recognition with rapid nasotracheal intubation or surgical airway management must be attempted [2] , [3] , [4] , [5] Orotracheal intubation with direct laryngoscopy is an ill-adviced choice in lesions located in the base of the tongue due to the possibility of clot dislodgment with life-threatening risks of aspiration and iatrogenic injury to the respiratory tract with the inability to visualize the laryngeal aditus. In our patient we decided to use nasotracheal intubation.…”

Traumatic bifid tongue: A rare presentation in a child. Case report

“…Tongue injuries range in severity from minor lacerations to complete amputation. The most common injury location is the anterior dorsum often as a result of falls, seizures, encephalitis, schizophrenia, self-mutilation, sports injuries, electroconvulsive therapy, or child abuse [ [1] , [2] , [3] , [4] ]. Young children (age 3–4 years) are particularly prone to such injuries after falls [ 3 , 4 ].…”