Retrospective clinical study of 296 patients with mass lesions of the tongue

Yusuke Miyake, Keiji Shinozuka, Kosuke Ueki, Jun Teraoka, Manabu Zama, Shouhei Ogisawa, Yasuhisa Shinozaki, Junya Aoki, Keiichi Yanagawa, Osamu Shimizu, Tadayoshi Kaneko, Morio Tonogi, Hidero Ohki

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

To better understand the clinical features of mass lesions of the tongue, we retrospectively evaluated frequency, recurrence rate, and complications in 296 patients who had undergone surgery for such lesions. The diagnoses were fibroma (43.6%), mucous cyst (14.2%), papilloma (11.8%), hemangioma (7.8%), granuloma (6.4%), lipoma (1.4%), schwannoma (1.0%), ectopic tonsil (0.7%), and other (13.2%). Recurrence was noted in two patients (0.7%). Twenty-two patients (7.4%) developed surgical complications, including lingual nerve paralysis (6.4%), glossodynia (0.6%), and postoperative infection (0.3%). Lingual nerve paralysis was observed in the ventral portion (42.1%) of the tongue, apex (36.8%), lateral border (10.5%), and dorsum (10.5%). When all sites were considered together, there was no significant difference in the number of patients presenting with lingual nerve paralysis (P = 0.075). However, there were significant differences in lingual nerve paralysis at the lateral border (P < 0.05), apex (P < 0.05), and dorsum (P < 0.001) but not at the ventral portion (P > 0.05) in the size of the patients with versus without it which suggests that the risk of lingual nerve paralysis is higher at the ventral tongue, regardless of tumor size. These results shed light on the clinical features of mass lesions of the tongue.

Original languageEnglish
Pages (from-to)574-578
Number of pages5
JournalJournal of Oral Science
Volume60
Issue number4
DOIs
Publication statusPublished - Dec 2018

Keywords

  • Benign tumor
  • Clinical study
  • Fibromalingual nerve paralysis
  • Tongue

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