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Indian Journal of Surgery, Vol. 69, No. 1, January-February, 2007, pp. 31-32 Images in Surgery A rare anomaly: An accessory tongue Tewari Mallika, Shukla HS Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP Code Number: is07010 We present a case of a young girl, 18 years of age, with a rare congenital anomaly of her tongue: an accessory tongue [Figure - 1],[Figure - 2]. The anomaly was evident at birth. It didn't bother her much except for its unsightly appearance and difficulty in speaking clearly. Examination revealed a 6 cm x 2.5 cm muscular lesion arising from the dorsal surface of the posterior half of the anterior 2/3rd of the tongue. It was quite similar in gross appearance to the normal tongue underneath it. It moved freely with the tongue although no separate active movement of this accessory tongue was possible. There was no other associated congenital anomaly like oro-maxillary and limb disorders. Fine needle aspiration cytology had been attempted outside our institute and it revealed fibro-fatty tissue. The accessory tongue was excised under general anesthesia and the defect repaired with vicryl stitches. Recovery was fast and she was discharged the next morning. Histopathology showed muscle tissue akin to normal tongue musculature. Malformations of the tongue are rare.[1] A pubmed search revealed no such report from English literature. However, there are 3 case reports on accessory tongue in other languages.[2],[3].[4] The tongue develops from the first three or four branchial arches when the embryo is about 4 weeks old. Errors in development lead to variety of malformations. The common anomalies include aglossia, microglossia, macroglossia, hemi-glossia and bifid tongue. These are often associated with syndromes like Moebius, Down's, Hunter's and hypoglossia-hypodactyly syndrome.[5] Fortunately, no other anomaly was present in our patient and she was thus cured by a simple surgical procedure. References
Copyright 2007 - Indian Journal of Surgery The following images related to this document are available:Photo images[is07010f2.jpg] [is07010f1.jpg] |
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