舌痛症50例の臨床的検討

  • 瀬川 清
    岩手医科大学歯学部口腔外科学第一講座
  • 石岡 隆弘
    岩手医科大学歯学部口腔外科学第一講座
  • 関 克典
    岩手医科大学歯学部口腔外科学第一講座
  • 工藤 啓吾
    岩手医科大学歯学部口腔外科学第一講座

書誌事項

タイトル別名
  • Clinical study of 50 patients with glossodynia.

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説明

Glossodynia is a clinical condition chiefly characterized by a painful tongue. It is reportedly associated with psychosomatic medical factors but patients with this condition are likely to visit departments of dentistry and oral surgery.<BR>The subjects of this study were 50 patients who were clinically diagnosed as having glossodynia at our department during a 4 -year period from March 1993 to February 1997.<BR>The patients ranged in age from 29 to 82 years (mean age 56.5 years), with those in their 50s and 60s accounting for 66% of the study population. The study population consisted of 5 males and 45 females, showing female predominance as reported by other authors (maleto-female ratio 1: 9). Of the 50 patients, 19 (38%) had been referred to our department: 16 by dentists, 2 by internists, and 1 by a neurosurgeon. Smarting was the most frequently reported kind of pain. The pain was located in the lateral margin of the tongue in 18 patients (36%), dorsum in 12 (24%), and tip in 8 (16%). Systemic factors that may predispose a patient to glossodynia include nutritional imbalance, such as iron or vitamin deficiency, and hormonal imbalance. 16 patients (32%) had cancerophobia and 13 of 20 female cases (65%) had experienced gynecological surgery under general anesthesia in the past, so psychological factors, such as anxiety and cancerophobias, may have played a significant role. Many patients were treated by psychotherapy and medication. Remarkable responses and changes were observed in 29 out of 50 patients.

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