JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2019 Month : March Volume : 6 Issue : 13 Page : 1071-1073

TONGUE LESIONS - A CLINICAL STUDY

K. S. Raghu Chanakya1, Narmada Vatti2, Nirupama V3, S. Surya Prakasa Rao4

Corresponding Author:
Dr. Narmada Vatti,
Postgraduate, Department of ENT,
Andhra Medical College,
Visakhapatnam, Andhra Pradesh.
E-mail: narmada9vatti@gmail.com
DOI: 10.18410/jebmh/2019/223

ABSTRACT
BACKGROUND
Tongue lesions are one of the commonest problems in the population seen by an ENT Surgeon in the Out Patient Department. Most of them are treated by medical line of management except trauma patients, benign tumours and malignant lesions which need surgical intervention. Tongue lesions are more prevalent due to the increased usage of beetle nut and products like Pan Parag and Khaini day by day. Reverse smoking of cigars, particularly in North Coastal Andhra and Orissa the will further add to the problem. We wanted to study the incidence of tongue lesions with regard to gender, age & type of lesion. We also wanted to identify the common lesions, develop gadgets necessary in pathology and in the operation theatre for improving management.

METHODS
This study was conducted in Government ENT Hospital of Andhra Medical College in Visakhapatnam, which is a tertiary referral hospital, from October 2017 to September 2018 for a period of 12 months. The total number of patients who attended ENT OPD was 9600, out of which 288 presented with tongue lesions.

RESULTS
In this study, incidence was more in males 165 (57.3%) compared to that in females 123 (42.7%) with a male and female ratio of 1.34:1. 41-50 years was the commonest age group affected with 65 patients (22.56%). The least common age group involved was 61-70 years with 8 patients (2.77%). Aphthous ulcers aroused as the most common lesion in 72 patients (25%), followed by carcinoma tongue in 62 patients (21.52%). The least common disease reported was tongue abscess in 2 patients (0.69%).

CONCLUSION
In this study of tongue lesions, male and female ratio was 1.34:1 with male preponderance. In children the commonest lesion found was tongue tie, which is a congenital defect, and next was the retention cyst in the inferior aspect of tongue. Aphthous ulcers were found in 72 patients (25%), which occurred in both children and adults. In adults, carcinoma tongue was seen in 62 patients (21.52%).