Replantation of an Amputated Tongue

Davis, Charles R.; Armstrong, Jim

doi:10.1097/00006534-200110000-00060

Cited by 7 publications

(6 citation statements)

References 4 publications

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“…Replantation of an amputated tongue portion is challenging, since the tongue is essentially a muscular organ. Another report has described necrosis after replantation of an amputated tongue portion that had remained ischemic for a long time [31]. Our patient (Case 1) brought the dry, necrotic amputated part of the tongue when she presented at the hospital.…”

Section: Discussionmentioning

confidence: 76%

Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue

Moriya

Sato

Takeda

et al. 2020

Case Reports in Dentistry

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The prevalence of nonsuicidal self-injury (NSSI) in adults is lower than that in adolescents and it is more prevalent in patients with psychiatric disorders. Sleep disturbances such as nightmares are associated with NSSI after accounting for depression; thus, persons with major NSSI sometimes present at medical institutions during the night seeking emergency treatment. Gingival tissues comprise the most frequent target of self-injury of the oral cavity using oral hygiene tools. Most NSSI in the oral cavity is minor because such tools are blunt. Major NSSI such as autoamputation of the tongue is rare. We describe two patients who partially autoamputated the apex of their own tongues using edged tools. Case 1 was a 55-year-old female with depression who had defaulted from psychiatric intervention. She had cut off her tongue using a Japanese kitchen knife and presented with the dry, necrotic amputated portion and blood oozing from the remainder of her tongue. We debrided and sutured the remainder of the tongue without reattaching the amputated portion. Her postoperative course was uneventful, and she was free of adverse events such as functional disability and wound infection. Case 2 was a 69-year-old female with schizophrenia who had defaulted from psychiatric intervention and had cut off her tongue using scissors. The amputated portion of the tongue was lost and the remainder, which was oozing blood, was debrided and sutured. She defaulted on a follow-up appointment. Neither of these patients had suicidal intent. The prevalence of NSSI across all age groups has recently increased, and the risk that self-injury will become normalized has become a concern. Thus, dentists as well as oral and maxillofacial surgeons should be aware of the possibility that patients will present with major NSSI requiring emergency treatment.

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Section: Discussionmentioning

confidence: 76%

Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue

Moriya

Sato

Takeda

et al. 2020

Case Reports in Dentistry

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“…Necrosis of the replant was noted on the fifth postoperative day. 5 Egozi et al reported replantation of an incomplete tongue amputation related to a motorcycle injury. Vessel diameter was less than 1 mm, and the left lingual artery and right lingual vein were used for the anastomoses.…”

Section: Discussionmentioning

confidence: 99%

Successful Tongue Replantation Following Segmental Autoamputation Using Supermicrosurgical Technique

Seitz

Pavone

Schechter

2017

J Reconstr Microsurg Open

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“…Buntic and Buncke reported the first successful tongue replantation in 1998, with microsurgical reconnection of lingual artery, and a venous autologous graft [3] . Besides, the delayed microvascular reconstruction with heterotopic grafts using rectus abdominis , latissimus dorsi, and serratus anterior muscles have been described with poor functional results [2] , [18] , [19] .…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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

Hernández-Méndez

Rodríguez-Luna

Guarneros-Zárate

et al. 2016

Annals of Medicine &Amp; Surgery

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IntroductionThe traumatic injuries to the tongue can go form section to partial or complete amputation, the latter being a rare presentation in the setting of facial trauma or even in patients with mental illness.Case reportWe present 25-year-old patient with traumatic partial amputation of the tongue who presented to the emergency department with successful surgical repair with good functional and esthetic outcome.DiscussionThe tongue can suffer a broad type of traumatic injuries, in the setting of active bleeding, the muscular planes must be closed with absorbable sutures to stop the hemorrhage and prevent hematoma formation. Tongue surgical repair in the setting of a total section requires integrity of arterial and venous flow, so anastomosis must be executed.ConclusionAmputation of the tongue can put the patient's life at risk and its management needs to be mastered by the surgeons treating polytraumatized patients.

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Replantation of an Amputated Tongue

Cited by 7 publications

References 4 publications

Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue

Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue

Successful Tongue Replantation Following Segmental Autoamputation Using Supermicrosurgical Technique

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

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