Otolaryngology Book


Fissured Tongue

Aka: Fissured Tongue, Dorsal Fissuring of Tongue, Congenital Furrows of Tongue, Scrotal Tongue
  1. Epidemiology
    1. Inherited Tongue fissuring increases with age
  2. Pathophysiology
    1. Normal benign Tongue variation increases with age
  3. Symptoms (related to food trapping in fissures)
    1. Halitosis
    2. Altered Tongue coloration
  4. Signs: Deep fissures, grooves and folds of Tongue
    1. Deep median sulcus
    2. Deep transverse furrows across Tongue dorsum
  5. Associated conditions
    1. Down Syndrome
    2. Sjogren Syndrome
    3. Geographic Tongue
    4. Melkersson-Rosenthal Syndrome (rare)
      1. Triad of Fissured Tongue, relapsing facial edema, Facial Nerve Palsy
  6. Differential Diagnosis
    1. Syphilitic Glossitis causes longitudinal Tongue furrows
  7. Management
    1. Stroke Tongue 15x with Tooth Brush after meals, bedtime
  8. Complications
    1. Food debris accumulates in crevices and can irritate

Fissured tongue (C0040412)

Concepts Disease or Syndrome (T047)
MSH D014063
ICD9 529.5
ICD10 K14.5
SnomedCT 52368004, 204627005
English Fissured Tongue, Fissured Tongues, Furrowed Tongues, Tongue, Fissured, Tongue, Furrowed, Tongues, Fissured, Tongues, Furrowed, Furrowed Tongue, TONGUE FISSURE, LINGUA PLICATA, SCROTAL TONGUE, fissure of tongue, fissure of tongue (diagnosis), plicated tongue (diagnosis), plicated tongue, Fissured tongue, Tongue, Fissured [Disease/Finding], furrowed tongue, lingua plicata, fissured tongue, fissuring tongue, tongue scrotal, fissure tongue, tongue fissured, fissures tongue, scrotal tongue, tongue fissure, Scrotal tongue, Lingua plicata, Furrowed tongue, Plicated tongue, Plicated tongue (disorder), fissure; tongue, furrowed; tongue, lingua; plicata, plicata; lingua, scrotum; tongue, tongue; fissure, tongue; furrowed, tongue; scrotal, Fissure of tongue
Italian Lingua plicata, Lingua fissurata
Swedish Tunga, fissurerad
Japanese ヒダゼツ, 陰嚢舌, 有溝舌, ひだ舌, 亀裂舌, 溝状舌, 舌-有溝, 陰嚢様舌, 舌-ひだ, 舌-亀裂, 舌-溝状
Czech jazyk rýhovaný, Zřasený jazyk
Portuguese Língua Fendida, Língua Bífida, Língua Fissurata, Língua Plicata, Língua Escrotal, Língua escrotal, Língua Fissurada
Spanish Fissure of tongue, Lengua Hendida, Lengua Escrotal, Lengua Bífida, Lengua Fissurata, Lengua Bifida, Lengua Plicata, lengua agrietada, lengua escrotal (trastorno), lengua escrotal, lengua fisurada, lengua surcada, lingua plegada, Lengua plegada, Lengua Fisurada
Finnish Uurrekieli
Korean 주름잡힌 혀
Polish Język pofałdowany, Język mosznowy
Hungarian Nyelv plicált
Dutch fissuur; tong, gegroefd; tong, lingua; plicata, lingua; scrotalis, plicata; lingua, scrotalis; lingua, tong; fissuur, tong; gegroefd, lingua plicata, Fissuurtong, Lingua fissurata, Lingua plicata
French Langue scrotale, Langue plicaturée, Langue cérébriforme, Langue fissurée
German Faltenzunge, Lingua plicata, Zunge, Falten-
Derived from the NIH UMLS (Unified Medical Language System)

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