Abscess of tongue - inflammatory process with formation of abscess

Language abscess is an inflammatory process leading to the formation of an ulcer in the thickness of its tissues.

In this case, there is an increase in body temperature, the presence of general weakness, as well as the appearance of difficulties during meals and with the pronunciation of words due to severe pain syndrome.

Etiological factors

The main cause of formation of an abscess in the tissues of the tongue are bacteria. In most cases, staphylococci and streptococci are identified. A pathological focus of inflammation can form in the wound area, which is the result of injuries caused by:

• fish bone;
• with sharp edges of teeth;
• incorrectly selected dentures.

The abscess of the tongue can be the result of other inflammatory diseases of the oral cavity:

• periodontitis;
• glossitis;
• stomatitis;
• tonsillitis.

Features of

symptomatology The development of pathology is rather fleeting. Regardless of the localization of the abscess, it can cause irreparable harm to the health of the patient. With a superficial location of the focus of inflammation, there is a sharp pain during chewing and swallowing, which can give to the ear from the side of the lesion. For this reason, in some cases, the tongue abscess is confused with ear inflammation.

In addition, the following general symptoms are noted:

• weakness;
• apathy;
• decreased appetite;
• increased salivation;
• temperature increase;
• heart palpitations;
• breathing disorder.

The development of an abscess may be indicated by a discoloration of the mucous membrane of the tongue, the affected area and adjacent tissues acquire a cyanotic color, and white coatings, abscesses, phlegmon and wounds appear on their surface. From the mouth begins to smell unpleasant, despite the hygiene of the oral cavity.

White plaque should alert the

The prognosis depends on the timing of the initiation of therapy. The earlier it starts, the more favorable the forecast. In the absence of adequate treatment, the language significantly increases in size, which creates difficulty in breathing. The degree of severity of the violation of the function of external respiration depends on the severity of the course of the abscess of the tongue - from dyspnea to choking.

Abscess is accompanied by severe inflammatory changes in the tissue of the tongue, which can lead to the death of its tissues. It all starts with a fever, the appearance of pain in the tongue, which is supplemented by difficulty in eating and dyspnoea.

At the appearance of the first symptoms of pathology, it is not necessary to engage in self-medication, but it is better to immediately consult a specialist, in order to avoid the development of serious complications.

The course of this pathology is quite rapid. In this case, the symptomatology at the initial stage is indistinguishable from other infectious diseases with a predominant oropharyngeal lesion: weakness, soreness, fever and anorexia. Locally, the abscess is manifested by hyperemia of the mucosa, swelling and impaired functioning of the organ.

Possible localization of abscess

The abscess can be formed in the body, from the side or at the root of the tongue, more rarely in the hyoid area. The severity of the course of the pathology is determined by the depth of the lesion and the size of the painful area. Sores can be superficial or deep.

With a superficially located abscess, it is located immediately below the mucosa, so during the examination it is possible to clearly consider the area of ​​the lesion with clear boundaries.

When performing palpation, tissue tightening and pain in the area of ​​inflammation are determined. Due to the superficial location in such cases, they are often opened independently, after which the patients notice a significant improvement in the condition.

With a deep abscess location, the course of the disease is more severe than with a superficial one. At objective survey the doctor defines the expressed increase in language in the sizes. There is a pronounced pain syndrome in combination with fever, in which the body temperature rises to 40 ° C.

Diagnosis methods

The diagnosis is based on the available complaints, a history of the disease. To determine the degree of severity, an additional examination of the patient is prescribed:

• a general blood test;
• microbiological examination of the contents of the abscess;
• X-ray examination.

During the study of the findings, the doctor needs to differentiate the abscess from the language with other diseases. And after the diagnosis is made, select the optimal treatment regimen.

Medical care

Depending on the location, the treatment tactics are also changing. With a superficial abscess of the tongue, it is sufficient to carry out medical therapy in combination with rinsing the mouth with antiseptics and antibiotics, with a deep location of the abscess in the root area, the best solution will be to carry out an operative intervention.

Conservative treatment

In conservative treatment, the drugs are selected in such a way as to solve the following problems:

• decrease in the severity of the pain syndrome;
• elimination of the inflammatory process;
• reduction in swelling of tissues.

In case of pain, Novocaine and Lidocaine may be prescribed. Puffiness and inflammation are eliminated by rinsing the mouth with antibacterial solutions in combination with oral antibiotics. For rinses, Chlorhexidine and Furacilin may be prescribed.

Surgical intervention

With a deep location of the ulcer, surgical treatment is necessary to alleviate the general condition. With this type of therapy, the doctor performs an abscess dissection by dissecting along the tongue.

When the abscess is located in the root area of ​​the tongue, the region under the chin is considered the best access.

Thanks to the operation, the pus is removed and the cavity is sanitized with an antiseptic solution, this facilitates the general condition of the patient. Before applying suturing stitches to the cavity, drainage must be installed in order to prevent a recurrence of pathology.

At the end of the operation, it is necessary to prescribe medication: antibacterial drugs, rinses and irrigation of the mouth with antiseptics.

Traditional medicine

Methods of traditional medicine help to alleviate the condition of the patient, but only in combination with drug therapy. Otherwise, this self-medication can worsen the course of the pathology and lead to the development of severe complications.

For rinses you can use saline solutions and decoctions based on medicinal herbs: calendula, chamomile or linden. Or juices of carrots, limes and aira.

The use of such solutions helps to accelerate the healing of wounds.

What is the danger?

Running abscess of the tongue in the absence of adequate treatment can be complicated:

• phlegmon neck;
• with phlegmonous glossitis;
• by mediastinitis;
• sepsis.

Preventive measures

Preventive measures include:

• compliance with oral hygiene;
• timely treatment of oral pathologies;
• in the formation of malfunctions of the mucosa it is necessary to rinse the mouth with an antiseptic, and monitor the healing of the wound;
• strengthening of immunity.

The best prevention is the timely access to doctors at the appearance of the first signs of the development of the disease, only the correctly selected treatment regimen will allow in a short time to recover and prevent the development of life-threatening patient complications.