Electrocautery treatment for the black hairy tongue

Yıl 2019, Cilt: 2 Sayı: 3, 80 - 82, 29.09.2019

Alper Yazici , İsmail Aytac

https://doi.org/10.33204/mucosa.602787

Cited By: 1

Öz

Black hairy tongue is the hairy appearance of the dorsal part of the tongue. This clinical condition results from the hypertrophy of filiform papillae and the desquamation of the tongue. It is commonly seen in old individuals and heavy smokers. Initial treatment is generally based on the behavioural changes like cessation of smoking and maintenance of oral hygiene. If the prior therapies did not succeed, oral or topical therapies are commonly the second options. Chemical or electrocautery therapies that we can call ‘’abrasion therapies’’ could be the last choice in the contemporary treatment of black hairy tongue.

Anahtar Kelimeler

black hairy tongue, electrocautery

Siyah tüysü dilde elektrokoter uygulaması

Öz

Siyah tüysü dil, dilin dorsal kısmında saça benzer tüysü bir görünüm oluşmasıdır. Bu klinik durum, filiform papillaların hipertrofisi ve dilde skuamoz epitel kaybı ile oluşur. Özellikle, yaşlı, diş kaybı olan ve/veya aşırı derecede sigara içen erkek hastalarda gözlenir. İlk tedavi seçenekleri sigaranın bırakılması ve ağız hijyeninin sağlanmasıdır. İlk tedavi yöntemleri ile istenilen başarı sağlanamaz ise oral veya topikal tedaviler ikincil tedavi yöntemi olarak denenebilir. Abrasyon tedavisi olarak adlandırabileceğimiz kimyasal veya elektrokoter yöntemleri, güncel siyah tüysü dil tedavisinde en son tedavi basamağı olarak yer almaktadır.

Anahtar Kelimeler

siyah tüysü dil, elektrokoter

Kaynakça

• 1. Schlager E, St. Claire C, Ashack K, et al. Black hairy tongue: Predisposing factors, diagnosis, and treatment. Am J Clin Dermatol 2017;18:563-9.
• 2. Avcu N, Kanli A. The prevalence of tongue lesions in 5150 Turkish dental outpatients. Oral Dis 2003;9:188-95.
• 3. Gurvits GE, Tan A. Black hairy tongue syndrome. World J Gastroenterol 2014;20:10845-50.
• 4. Andrade SA, Ribeiro MM, Pratavieira S, et al. Hairy tongue: Differential diagnosis by use of widefield optical fluorescence. Braz Dent J 2019;30:191-6.
• 5. Thompson DF, Kessler TL. Drug-Induced black hairy tongue. Pharmacotherapy 2010;30:585-93.
• 6. Braggio C, Bocchialini G, Ventura L, et al. Linezolid-induced black hairy tongue. Acta Biomed 2018;89:408-10.
• 7. Hamad Y, Warren DK. Black hairy tongue. N Engl J Med 2018;379:e16.
• 8. McGregor JM, Hay RJ. Oral retinoids to treat black hairy tongue. Clin Exp Dermatol 1993;18:291.
• 9. Zinder DJ. Common myths about electrosurgery. Otolaryngol Head Neck Surg 2000;123:450-5.
• 10. Smith TL, Smith JM. Electrosurgery in otolaryngology-head and neck surgery: Principles, advances, and complications. Laryngoscope 2001;111:769-80.
• 11. McGrath EE, Bardsley P, Basran G. Black hairy tongue: What is your call? CMAJ 2008;178:7-8.
• 12. Jahanbani J, Sandvik L, Lyberg T, et al. Evaluation of oral mucosal lesions in 598 referred Iranian patients. Open Dent J 2009;3:42-7.