Severe tongue injury in an adolescent with epilepsy: A case report

Cerqueira, Daniella Ferraz; Vieira, Áurea Simone Barrôso; Maia, Lucianne Cople; Sweet, Eric

doi:10.1111/j.1754-4505.2007.tb00339.x

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…The possibility of tongue bite is higher unless ES is controlled. Cerqueira et al showed that the silicone bite guard protected the tongue from recurrent bites due to ES 9 . It was difficult in the present cases to obtain impressions for dental models and to apply the bite guard because of intellectual disability.…”

Section: Discussionmentioning

confidence: 67%

“…Roberge et al stated that injuries from tongue bites due to ES are mostly 1.5 cm or smaller, and do not represent a complication requiring any form of immediate response 5 . However, recurrent tongue bites caused by ES incur severe tongue injuries that lead to scarring, bleeding, and dysfunction in patients with mental retardation and refractory epilepsy 9 …”

Section: Introductionmentioning

confidence: 99%

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Reactive bite‐related tongue lesions in cognitively impaired epilepsy patients: A report of two cases

Fukumoto

Miyama

Tanei

et al. 2020

Special Care in Dentistry

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Aim: Tongue bites frequently occur during seizures in epilepsy patients. We report two cases of cognitively impaired Lennox-Gastaut syndrome patients with reactive lesions on the tongues. Case presentations:Case 1 was a 30-year-old man whose chief complaint was mouth pain. Local finding was a small bean-sized pedunculated mass on the tongue, histopathologically diagnosed as inflammatory fibrous hyperplasia. Case 2 was a 45-year-old man whose chief complaint was bleeding from the mouth. His clinical finding was blood loss anemia. Local finding was a 20-mm-diameter pedunculated mass on the tongue, histopathologically diagnosed as pyogenic granuloma. Conclusion:These mass lesions were believed to be reactive, caused by repetitive minor damage involving reparative fibrous tissue response. Therefore, the two cases may have involved reparative responses to mucosal injury incurred by accidental bites during epileptic seizures. Intellectual disability made medical treatment difficult and had allowed the massive lesions to form. It is necessary for cognitively impaired epilepsy patients to undergo regular dental examinations in order to get used to dental checks and to increase the number of intraoral observations in the context of close cooperation between dentists and epilepsy therapists. K E Y W O R D S epileptic seizure, oral reactive lesion, tongue biteThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Reactive bite‐related tongue lesions in cognitively impaired epilepsy patients: A report of two cases

Fukumoto

Miyama

Tanei

et al. 2020

Special Care in Dentistry

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“…Tongue lacerations, like scalp lacerations, are extremely vascular, tend to gape and can lead to significant blood loss . Although repair is usually straightforward, it must be closed with heavier suture material (3‐O) to prevent later dehiscence because of muscular action .…”

Section: Dentoalveolar Injuriesmentioning

confidence: 99%

“…9,10,23 Tongue lacerations, like scalp lacerations, are extremely vascular, tend to gape and can lead to significant blood loss. [24][25][26] Although repair is usually straightforward, it must be closed with heavier suture material (3-O) to prevent later dehiscence because of muscular action. 25 Intubation might be required to protect the airway and prevent further injury in unconscious patients who repeatedly bite their tongue.…”

Section: Soft Tissue Injuriesmentioning

confidence: 99%

Review article: Maxillofacial emergencies: Dentoalveolar and temporomandibular joint trauma

DeAngelis

Barrowman

Harrod

et al. 2014

Emerg Medicine Australasia

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Dentoalveolar trauma and dislocations of the temporomandibular joint are common reasons for patients to present to EDs in Australia. The majority of medical practitioners receive very little formal training in the management of these injuries and might not have ready access to dental services out of hours for advice. This article focuses on the emergency assessment, triage and non-specialist management of dentoalveolar trauma and injuries to the temporomandibular joint.

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Investigating the Usability of Voice Assistant-Based CBT for Age-Related Depression

Striegl

Gotthardt

Loitsch

et al. 2022

Lecture Notes in Computer Science

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To combat the global shortage of mental health services, new solutions - such as computerized therapy options - have to be found. While research in this field has been ongoing for several decades and approaches such as chatbot-based cognitive behavioral therapy (CBT) have already shown to be effective in reducing symptoms of depression for younger adults, voice assistant-based (VA-based) approaches have thus far not been investigated deeply. However, especially for elderly people with depression VA-based systems could yield benefits - such as the avoidance of physical accessibility issues. Therefore, we propose the design of a VA-based system capable of delivering selected methods from CBT to elderly users with depression in order to investigate its usability. To assess the usability of the conceptualized system in comparison to a chatbot-based approach we conducted a randomized controlled A/B testing experiment with 14 participants. Results indicate a good usability and acceptance of the designed system and a preference for the delivery of CBT-methods via voice assistant rather than via chatbot, especially among elderly participants.

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Severe tongue injury in an adolescent with epilepsy: A case report

Cited by 5 publications

References 13 publications

Reactive bite‐related tongue lesions in cognitively impaired epilepsy patients: A report of two cases

Reactive bite‐related tongue lesions in cognitively impaired epilepsy patients: A report of two cases

Review article: Maxillofacial emergencies: Dentoalveolar and temporomandibular joint trauma

Investigating the Usability of Voice Assistant-Based CBT for Age-Related Depression

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