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Oral traumatic ulcer

November 22, 2011  |  Lester D.R. Thompson, MD

Unilateral macroglossia as sole presenting manifestation of internal carotid artery dissection

September 21, 2011  |  Joerg-Patrick Stübgen, MD


A patient presented with acute-onset, painless, unilateral enlargement of the tongue. Steroid treatment for angio-edema was ineffective, and a biopsy of an apparent mass of the tongue base showed normal tissue. Subsequent magnetic resonance imaging showed enlargement,...

Clear cell adenocarcinoma of the base of the tongue: A case report and review of the literature

May 1, 2011  |  Augusto Pietro Casani, MD, Manuela Marchetti, MD, Veronica Seccia, MD, Gabriella Fontanini, MD, Maria Elena Filice, MD, and Luca Muscatello, MD


Clear cell adenocarcinoma is an extremely rare tumor of the head and neck region. We report a case of a 75-year-old Caucasian woman with a 10-day history of hemoptysis but with no pain or other significant symptoms. A head and neck computed tomography scan with contrast medium...

Warfarin-induced sublingual hematoma mimicking Ludwig angina: Conservative management of a potentially life-threatening condition

February 1, 2011  |  Emma Cashman, MD, MRCSI, Munish Shandilya, MD, FRCSI(ORL), Mohammed Amin, MD, FRCSI(ORL), Joe Hughes, MD, FRCSI(ORL), and Michael Walsh, MD, FRCSI(ORL)


Sublingual hematoma secondary to excessive anticoagulation is a rare, life-threatening condition. Reports in the literature have emphasized the importance of a prompt reversal of the causative coagulopathy by intravenous administration of vitamin K and fresh frozen plasma. In...

Isolated neurofibroma of the tongue presenting as a papilloangiomatous mass

February 1, 2011  |  Mainak Dutta, MBBS and Soumya Ghatak, MS

Intraglossal impaction of ingested fish bones: A case series

August 1, 2010  |  Shirish Johari, BSc, MBBS, DLO, DOHNS(Edin.), MRCSEd; and Kevin Yaw-Khian Chong, MBBS, FRCS(Ed), M Med(ORL-Singapore), FAMS(ORL), FAAOHNS(USA), EAONO, AINO(Italy)


Although foreign body ingestion and impaction in the pharynx or hypopharynx are quite commonly encountered at our institution, foreign body impaction in tongue tissue is rare. Six cases of foreign bodies embedded in the tongue were identified in a retrospective review spanning...

Extramedullary plasmacytoma of the tongue base: A case report and clinical review of head and neck plasmacytoma

August 1, 2010  |  Haidar Alwan, BSc, MBChB, James W. Moor, MRCS, David Wright, MBChB;, Anastasios N. Kanatas, MRCS, PhD, and Helen E. Cruickshank, FRCS


Plasmacytomas of the head and neck are rare tumors characterized by a monoclonal proliferation of plasma cells. Very few cases of plasmacytoma of the tongue base have been reported. We present a new case of extramedullary plasmacytoma of the tongue base, we discuss its...

Double bilobed radial forearm free flap for anterior tongue and floor-of-mouth reconstruction

April 1, 2010  |  Alvin B. Ko, MD, Pierre Lavertu, MD, FRCS, FACS, and Rod P. Rezaee, MD


We describe what is, to the best of our knowledge, the first use of a double bilobed radial forearm free flap in reconstructive surgery of the tongue and floor of the mouth following bilateral tumor resection. Our patient was a 78-year-old man who had experienced tumor...

Alveolar soft-part sarcoma of the tongue in a 17-month-old

October 1, 2009  |  Shahab Hillyer, MD, Jose C. Vicens, DMD, Howard Levinson, MD, Rajendra Bhayani, MD, Lilia Mesea, MD, Rashid Chaudhry, MD, Edgar Fayans, DDS, and Richard Fogler, MD


Alveolar soft-part sarcoma (ASPS) is a rare and often fatal tumor. Overall survival rates have been reported to be 62% after 5 years, 42% after 10 years, and 18% after 20 years. ASPS accounts for 5% of all pediatric soft-tissue sarcomas other than rhabdomyosarcomas. In children...

Ehlers-Danlos syndrome presenting as dysphonia and manifesting as tongue hypermobility: Report of 2 cases

February 1, 2009  |  Jeremy D. Richmon, MD, Jessica Wang-Rodriguez, MD, and Apurva A. Thekdi, MD


Ehlers-Danlos syndrome (EDS) comprises a group of related hereditary connective tissue diseases. EDS manifests as joint hypermobility, tissue elasticity, and easy bruising. Although affected patients typically present to primary care physicians, orthopedists, and...

Chondroid metaplasia mimicking recurrent squamous cell carcinoma of the head and neck

January 1, 2009  |  Shane K. Kohl, MD, Roger J. Simpson, MD, and James Wisecarver, MD, PhD


A 65-year-old woman presented with a “sore bump” on her tongue. She had a history of squamous cell carcinoma of the head and neck that had been treated with surgery and radiotherapy 11 years earlier. The tongue lesion was excised, and pathologic examination identified a...

Surgical management of iatrogenic hypoglossal nerve injury

December 1, 2008  |  Sofia Avitia, MD and Ryan F. Osborne, MD, FACS


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