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Tongue Abnormalities - Macroglossia

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Macroglossia

This is a much more common condition than microglossia, where the tongue is highly enlarged. An enlarged tongue may be congenital, when it is associated with generalized muscular hypertrophy or hemi hypertrophy. Secondary macroglossia is that condition that occurs in conjunction with some other conditions like a tumor of the tongue, hemangioma and acromegaly. Acromegaly is a hormonal disturbance where growth hormone is secreted in excess of the requirements of the body. The reason behind the enlargement of the tongue in this case is related to the relaxation of the muscles that support the lower jaw, and there is no support to keep the tongue in position.

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As a rule, macroglossia causes disturbances in the teeth as well. Due to the continuous pressure exerted by the heavy tongue, teeth begin to move away and the tongue occupies these spaces between the teeth, giving it a scalloped appearance.

Macroglossia is a prominent feature in Beckwith's hypoglycemic syndrome, where neonatal hypoglycemic predominates along with umbilical hernia and post-natal gigantism. The treatment of macroglossia involves the removal of the cause that gives rise to this condition. At times, surgical stripping of the tongue to reduce the heavy musculature is also warranted.

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Dr. Anjan Venkatesh
Dr. Anjan  Venkatesh
Bachelor of Dental Surgery
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Dr. Safia Mohammed
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Comments

Tunji65

My daughter is just 4months old but i notice that from birth she is used to putting her tongue between her mouth.She is still doing it up till now.WHAT could be the cause and what can be done to correct it.

siva_

my tongue has more black dots,is anything problem

margot

i was looking up stuff for a friend and happened to notice that symptom. It was a thyroid condition, I think it was lingual thyroid.

lou14

My 5 year old daughter appears to have another small tongue growing at the back of her throat. It is quite bizarre and i have never seen anything like it. It is right at the back and can only be seen when checking for a sore throat and opens her mouth very wide. Is it really a phenomenon as there is so little on the web.

guest

Can I please ask if you ever had any outcome from this as my daughter has the same thing. We took her to the doctors toay and he also said he has never seen anything like it and has referred us to a specialist but it is driving me crazy

guest

I have just noticed the same exact think on my son. He is about the same age, four-and-a-half. I was checking his throat when I noticed it; I have never noticed it before now, nor have I seen or heard of anything like this. Does anyone know what this is??

guest

I recently asked the kids' doctor and she told me it was his epiglottis I was seeing. She told me most people can't stick their tongues out that far and that's why I hadn't noticed it before; nothing abnormal after all. Hope this helps some of you!

margot

i was looking up stuff for a friend and happened to notice that symptom. It was a thyroid condition, I think it was lingual thyroid. It's on wiki. here's another link: http://www.ghorayeb.com/LingualThyroid.html

morussell1

I have had a swollen and white smooth tongue (occasionally sore) for about six months - any clues please?

guest

hi, it may be a cause of a yeast infection, babies usually get this when they are born. If it's sore, and has been there for about 6 months, you may want to visit your doctor and get a blood test done. It could also be signs of HIV.

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