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Utilization of a modified bite guard for preventing traumatic macroglossia.

Banu Karayazgan-Saracoglu1, Defne Kecik

  • 1Departments of Prosthodontics, Baskent University, Istanbul, Turkey. bkyazgan@gmail.com

The Journal of Craniofacial Surgery
|January 15, 2011
PubMed
Summary

A custom bite guard successfully treated traumatic macroglossia caused by a craniocervical schwannoma. This intervention prevented further tongue injury, allowing the patient to eat comfortably.

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Area of Science:

  • Neurology
  • Oral Surgery
  • Biomedical Engineering

Background:

  • Schwannomas in the craniocervical region can lead to traumatic macroglossia.
  • Enlarged tongue (macroglossia) poses risks to vital functions, including mastication and speech.
  • Chronic tongue biting can result from macroglossia, causing significant patient discomfort and potential complications.

Observation:

  • A patient presented with traumatic macroglossia secondary to a craniocervical schwannoma.
  • The macroglossia resulted in frequent and painful tongue biting during mastication.
  • Conventional treatments were not detailed, necessitating an innovative approach.

Findings:

  • A novel bite guard, adapted from a habit breaker design, was fabricated for the patient.

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  • The appliance effectively prevented the patient from biting their tongue during mastication.
  • Significant healing of the tongue injury was observed following the use of the bite guard.

    • Implications:

    • This case demonstrates the efficacy of a custom-designed bite guard in managing traumatic macroglossia.
    • The intervention highlights a conservative and effective approach to prevent chronic tongue trauma.
    • This method offers a potential solution for patients experiencing similar complications from enlarged tongues due to various causes.