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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Glossopyrosis and glossodynia may occur from local or systemic factors or from any irritation along the course of the lingual nerve. Although cylindroma is relatively rare, it must be considered along with other malignant lesions when neurologic symptoms of burning and pain of the tongue persist. Examination of the lesion is best carried out as multiple needle biopsies rather than as open biopsy, in order to avoid seeding of the skin and lymphatics of the neck. Recurrences are frequent and, because of the slow growth, there must be a long follow-up period. Metastases to the lung and brain, although late, occur in large numbers of patients. Best results are obtained by a combination of radiation therapy and operation because the infiltration is so extensive that operation alone may not eliminate the tumor completely.
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PMID:Glossopyrosis due to adenoid cystic carcinoma. 19 78

The term glossodynia refers to all conditions with pain and dysaesthesia of the tongue and entire oral mucosa manifesting themselves in burning, prickling, itching, stinging, and other frequently bizarre sensations as well as subjective xerostomia and bad taste. In most cases psychiatric diseases are the cause of the complex of complaints whereas local and general disorders are of only minor importance. Menopausal women with atypical depression are most often affected. Schizophrenia and abnormal personality development are far less frequent in glossodynia. After exclusion or therapy of organic disorders antidepressants are the treatment of choice in glossodynia. Thereapeutic difficulties may arise in patients suffering from marked xerostomia whose complaints may intensify during therapy because of the anticholinergic effect of most antidepressants, and in neurotic persons.
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PMID:[Psychological aspects of glossodynia (author's transl)]. 67 25

This study only concerns classical glossodynia with few symptoms and not related to general, tumoral or local syndromes. Lingual pain is caused in the majority of cases by apraxic movements of the tongue. These movements, related to the anguish, can by a regressive process be related to the "searching" lingual movements of the child in psychological distress. The patient suffering from glossodynia (usually a woman) is enclosed in a viscious circle : anguish, apraxic movements, lingual pain, of which the beginning is often contemporary with a cancer in the area. Therapy should be addressed first of all at the distress, by looking very closely at the patient, by examining her very carefully, by absolutely gaining her confidence and by asserting the absence of cancer while admitting the reality of her disease. It should then be addressed to the lingual movements, by immobilization exercises giving rise to consciousness of movements up to then unconscious. Relaxation exercises can be combined. Failure of this therapy : frequent in men, in those who speak a lot (teachers), in hysterics "pithiatics", senile, and those persons whose intellectual evolution is slight. The author emphasizes the therapist's availability ; success in this treatment being related to what he can give of himself to these patients.
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PMID:[Etiology and treatment of glossodynias]. 105 41

An elongated styloid process may be a source of craniofacial and cervical pain. The syndrome is characterized by a variety of symptoms including difficulty in swallowing, sore throat, glossodynia, headache and hemifacial pain. Sometimes, the pain is localized or radiates to the jaw and ear and may simulate pain of dental origin. Diagnosis is readily made by radiographic examination and palpating the tonsillar fossa. The only effective treatment is surgical shortening of the styloid process. Three patients, two women and a man, underwent surgery in our department for symptomatic elongation of the styloid process. The surgical procedures were conducted under general anaesthesia via a cervical approach in one patient and intraoral approach in two patients. All patients were completely relieved after styloid process resection and did not have any postoperative complications, except for cervical numbness in one case.
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PMID:[Elongated styloid process syndrome]. 179 17

Subjective oral symptoms of a burning sensation and pain in the tongue may exist in the absence of any pathological changes in the oral mucosa. Owing to different treatment approaches and the lack of any specific therapy, it appeared potentially useful to identify these subjective symptoms by means of a test for an improved therapy evaluation. In this study, we have attempted to develop a method for the objective assessment of oral symptoms of glossodynia and glossopyrosis, by recording the local temperature. The temperature of the tongue was determined using a DT-1 electron thermoesthesiometer, that was highly sensitive to temperatures between 36 degrees C and 38 degrees C. Measurements were performed in topographic areas recommended by the World Health Organization in 1980. The study sample consisted of a group of 50 patients with glossopyrosis and glossodynia, without any clinically manifest pathological changes in the oral cavity, who were compared with a group of 50 age- and sex-matched subjects free of these oral symptoms and with normal oral mucosa. Statistically significant temperature differences were observed between the patients and the controls, as measured in seven different areas. The lowest temperatures (33 degrees C) were measured in the apex linguae area. The minimum temperature was significantly lower in the study group. Significant differences in temperature were also observed between the sexes. It was concluded that glossodynia and glossopyrosis, both inflammation and diminished circulation without any visible clinical signs, can be diagnosed using the thermoesthesiometry test. Such an objective test allows appropriate therapeutic treatment to be selected for patients with the above-mentioned symptoms.
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PMID:Clinical oral test for the assessment of oral symptoms of glossodynia and glossopyrosis. 223 Nov 65

From a group of consecutive patients referred for diagnosis and treatment of functional disturbances of the masticatory system, two groups, a young group (16-30 years, 113 subjects) and an older group (55-80 years, sixty-three subjects) were selected for a follow-up study. A self-administered questionnaire was mailed to them 4 years after the start of treatment. They had answered a similar questionnaire at the first visit. Of the selected patients, 148 (84%) participated. If explainable losses are excluded, the response rate was 89%. Most of the pain and dysfunction symptoms had diminished significantly in frequency while 'peripheral' symptoms such as tinnitus, vertigo, tongue pain and swallowing difficulties had the same prevalence on both occasions. Two-thirds of the patients reported a positive effect of treatment, without any significant difference between the younger and the older group. The remaining symptoms differed, however. The older group reported pain in the face and jaws, vertigo, tinnitus, tongue pain and TMJ crepitation more often than the younger group, while the opposite was found for TMJ clicking and tooth grinding. Only one variable from the original questionnaire (duration of initial symptoms), with none from the first clinical examination, was significantly correlated to the retrospective assessment of treatment outcome. This shows that it is difficult to predict the long-term outcome of treatment from data collected at the first examination of a patient with TMJ pain and dysfunction, but that a long duration of symptoms may have a negative influence on the prognosis.
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PMID:A four-year follow-up, by means of a questionnaire, of patients with functional disturbances of the masticatory system. 345 30

Glossodynia is characterized by burning, pain and/or other dysaesthesias of the tongue and oral mucosa. Usually, pathological alterations of the oral mucosa are lacking. Latent depressions are the major cause, however other psychic disturbances may also occur. Local changes and systemic diseases are extremely rare causes of glossodynia. Treatment must be aetiological. Non-indicated substitution therapy of suspected but unproved deficiency states must be avoided.
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PMID:[Glossodynia]. 710 34

Glossodynia affects primarily middle-aged women. Although many possible etiologies have been proposed for the syndrome, most have not been substantiated. In the present study 56 glossodynia patients were evaluated for their psychopathologic profile as reflected by the SCL-90 questionnaire. The data show that glossodynia patients present a relatively high psychopathologic profile, especially on the scales of somatization and depression. Significant correlations were found between the intensity of pain experienced by the patients and some of the SCL-90 scales (somatization, depression, anxiety, GSI and PSDI). No correlations were found between SCL-90 scores and duration of symptoms, prevalence of symptoms per day and patient's condition during the past year. Patients living alone were found to differ significantly from those living with a significant other (overall group effect significant at the 0.01 level). The data suggest that psychopathologic trends may be associated with glossodynia.
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PMID:Detection of psychopathologic trends in glossodynia patients. 780 37

34 patients with glossalgia were examined. Tongue's pain zones electrostimulation was performed with the aid of "Elektronika - 2M" device. The current of 45 mkA was applied during 10-20 min (current's power was regulated by patients themselves which had being tried to get the slight pricking sensation). The treatment session consisted of 10-12 exposures. The treatment results were compared with generally accepted methods (novocaine blockade, analgetic, etc.) which were used in control group (30 cases). The high TCES efficiency was demonstrated, exactly the improvement was observed just after the first exposure, the significance decrease of pain syndrome was observed after treatment in all patients, (100% cases as compared with 74% in control group) with remissions more than year in 20 observations and from 3 months to 1 year in 14 individuals.
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PMID:[The use of transcutaneous electric nerve stimulation in the combined treatment of glossalgia]. 858 69

The "dynias" are a group of chronic, focal pain syndromes with a predilection for the orocervical and urogenital regions. They include glossodynia, carotidynia, vulvodynia, orchidynia, prostatodynia, coccygodynia, and proctodynia. In some cases, the dynias occur secondarily, but more often, despite an exhaustive evaluation, no etiology is found and in these remaining cases, the cause of the pain remains enigmatic. The controversy that surrounds this group of disorders, which ranges from questioning their existence to suggesting that they are purely psychosomatic, is counterbalanced by an extensive literature attesting to their organicity. The approach to the patient begins with acknowledging that the symptom is well described, searching for a secondary cause, and performing a careful psychologic assessment. Treatment is empirical and patients can often be helped with medications used to treat neuropathic pain, all the while providing psychologic support and exercising caution toward invasive and irreversible therapeutic procedures.
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PMID:The dynias. 887 59


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