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

Abstract

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.

Extensive tissue necrosis of the tongue in a methamphetamine user: A case report

“…30 Both the general state of health of patients with oral self-mutilation and the characteristics of the specific lesions are variable, and it is difficult to differentiate between the two modes; therefore, both neurological and psychiatric evaluations are necessary. 31 In cases of partial amputation, the tongue should be sutured in layers using resorbable sutures, 32,33 and the repair must be completed before excessive edema develops (within approximately 8 hours of injury) because delaying treatment beyond 24 hours adversely affects the outcome. 32 The extensive tissue necrosis experienced by this patient could have been prevented if medical treatment had been sought soon after the injury.…”

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

“…The severity of tongue injuries ranges from minor lacerations to complete amputation. The short-term sequela may include pain, inability to speak, bleeding [ 1 ], disfigurement, loss of function, infection, swelling, and airway compromise [ 2 , 4 ]. Significant trauma at the tongue base may injure the Hypoglossal nerve affecting long-term function [ 2 ] including impaired speech [ 3 ].…”

“…The technical aspects of the operation largely determine the postoperative functional and cosmetic recovery. The suture technique must close the muscular planes with absorbable sutures to stop the hemorrhage and prevent hematoma formation [ 1 ] with buried absorbable sutures to relieve tension [ 2 ]. Post-repair recommendation is a liquid diet with rapid progression, oral hygiene, and early mobility [ 2 ].…”

“…The tongue is a complex muscular organ essential for speech, taste, chewing and swallowing [ 1 ]. Tongue injuries range in severity from minor lacerations to complete amputation.…”

“…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 ].…”