What Are Tongue Lesions?

Tongue diseases are several diseases that mainly occur in the tongue and are mainly caused by inflammatory damage. The common tongues are map tongue, groove tongue, hairy tongue, papillary tongue, atrophic glossitis, and burning mouth syndrome.

Tongue disease

Tongue disease is

Tongue diseases are several diseases that are mainly caused by inflammatory damage in the tongue. The common ones are

Map tongue, hairy tongue, groove tongue, median rhombic glossitis, tongue papillitis, atrophic glossitis can all have vascular congestion, lymphocytes, plasma cell infiltration and other pathological changes can be included in the category of glossitis.

The map of the tongue is a flaky exfoliation of the tongue nipples, similar to a map. Patients generally have no subjective symptoms, and there is no special method for treatment. If there is irritating pain, corresponding treatment can be made. The grooved tongue is also known as the cracked tongue and generally does not require treatment. Care should be taken to keep the mouth clean. For those who are in pain, clean the furrows first, and then treat them accordingly.

Hairy tongue is a non-specific chronic inflammation. Because the keratinized epithelium of the filamentous nipple on the back of the tongue is delayed to fall off, the proliferated filamentous nipples form a fuzziness and are named. Mostly caused by the long-term application of food, drugs, antibiotics, smoking and other changes in the oral environment. It is more common in the back 2/3 of the back of the tongue or in the middle of the tongue. It can be dyed to form red hairy tongues and black hairy tongues, like wheat waves lodging. The hair is longer than 1mm. If it is too long, it can stimulate the soft palate, itching or nausea; The central part is darker and the surroundings are lighter. The patient had no obvious discomfort, the tongue was normal, and she could fall off within a few weeks. No special treatment. Find out the cause as much as possible, treat it symptomatically, pay attention to keep your mouth clean, quit smoking, or apply mycotin solution locally.

Median rhomboid glossitis occurs in the rhombic or diamond-like, round or oval nipple-free lesions in front of the blind hole of the tongue, in the midline area of the dorsal tongue (in front of the herringbone sulcus). The diameter is about 1 cm and the color is reddish. There is a clear boundary with the surrounding tissues; sometimes it is nodular in part and harder to touch, but the base is softer and does not require treatment. You can use chlorhexidine solution to gargle.

Tongue nipples include filamentous nipples, fungal nipples, contour nipples, and foliate nipples. Filamentous papillitis is atrophic glossitis. The fungal nipples are located in front of the tongue and the tip of the tongue. During inflammation, the fungal nipples are congested, red and swollen, and the enlarged nipples have a burning sensation, especially when eating overheated and spicy foods. The irritating pain is obvious. The cause is unknown, and the vitamin B family lacks, Anemia and local irritation caused by mouthwash, food, physical and chemical. Contour papillitis occurs occasionally, and the nipples are enlarged and red, with local discomfort. Leaflet nipples have been degraded in humans, and are wrinkled on both sides of the tongue, close to the pharynx. Inflammation occurs under the influence of pharyngeal inflammation and sharp tooth tips. At this time, the leaflet nipples are deepened, reddened, and the tongue moves Pain may be irritating and burning, and care should be taken to distinguish it from malignant tumors that occur here. To remove local irritation in the treatment of phyllothelitis, it can be injected with a prednisolone suspension.

The causes of tongue pain are various and can be caused by systemic diseases, such as anemia, diabetes, liver disease, scleroderma, malnutrition, vitamin deficiency, chronic alcoholism, and tumors. Local factors such as sharp edges of teeth, poor restorations, self-examination of prolonged tongue extension, microbial infection, and toothpaste, drugs and other irritating factors. In addition, neuropsychological factors, such as the trigeminal tongue branch, and tongue pain caused by glossopharyngeal neuralgia. Also complained of tongue pain without objective examination indicators

Examples include tongue pain in the Costen syndrome, and common tongue pain in menopausal women.

In addition to systemic symptoms of tongue pain caused by systemic systemic diseases, some symptoms can be seen locally, such as dry red tongue, atrophy of the tongue papilla, thinning and reddening of the epithelium, or exfoliation of the epithelium. Caused by local factors, more common in some parts of the tongue, showing congestion and edema. Erosion and inflammation. The neurogenic index may have paroxysmal and severe pain, and actions such as speaking and eating can stimulate pain. The medical history is long, and the diagnosis can be confirmed by local anesthesia. Tongue pain caused by temporomandibular joint dysfunction and chewing dysfunction can be confirmed from clinical tests, x-ray pictures, electromyography, etc. Mental factors, tongue pain, are more common in menopausal women, but there are no abnormalities in the tongue. Burning, dull or stinging, transient or persistent. The attack time and location may or may not be fixed, and most do not affect eating and sleep. There is no tenderness or abnormal taste in the tongue, the tongue can move freely, and there are no local irritation factors. There may be increased excitability or emotional depression throughout the body, insomnia and fear of cancer. In severe cases, there may be strange paresthesia and wandering tongue pain. It is often stubborn to think that there is a serious physical illness that affects normal life.

(1) Go to the supine position, the head is biased to the healthy side, and the neck is braked to prevent pulling the pectoralis major vascular pedicle. After 24 hours, the patient can be placed in a semi-recumbent position, patted his back, and turned over frequently to prevent fallout pneumonia and bedsores. Keep the room temperature at 22-25 ° C.

(2) Observe closely the changes of vital signs, especially breathing. Keep the airway open. If there is a tracheotomy, pay attention to sputum promptly to prevent suffocation caused by obstruction. Take care of tracheal sleeves and give alpha chymotrypsin + chloramphenicol Droplet tube q2h.

(3) Observe the postoperative nursing of tongue cancer to make sure the flow tube is unobstructed, and prevent the drainage tube from falling off, twisting and leaking. Record the color, quality and quantity of the drainage fluid, and report it to the doctor if there is any abnormality.

(4) After the skin flap is observed for survival, the temperature can be measured with a skin thermometer. For example, after 72 hours after the operation, the skin flap was pale, and the skin temperature was lower than 2 to 3 degrees, which is insufficient arterial blood supply. If the flap was dark red, the skin temperature was lower than 3 to 5 degrees, and most of them were venous reflux disorders.