Bommarito Silvana, Zanato Luciana Escanoela, Vieira Marilena Manno, Angelieri Fernanda
Speach Therapy Department, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Human Health Department, Universidade Nove de Julho, São Paulo, São Paulo, Brazil.
Int Arch Otorhinolaryngol. 2016 Jan;20(1):87-92. doi: 10.1055/s-0034-1544116. Epub 2015 Jan 30.
Introduction Aglossia is a rare condition caused by failure of the tongue embryogenesis process (in the fourth to eighth weeks of gestation). The tongue is an organ used in different activities such as sucking, swallowing, chewing, and talking. It is also responsible for shaping palate dental arches (in its absence, they become atrophic). There are few similar cases reported in the literature. Objective To describe a rare case of aglossia and the multidisciplinary professionals working together for 5 years to treat the patient. Resumed Report An 8-year-old girl with aglossia had an assessment comprising: (1) clinical assessment of the stomatognathic system related to resting posture, tonus, and mobility; (2) orthodontic assessment; (3) surface electromyography of the chewing muscles; (4) swallowing videofluoroscopy. Conclusion The authors confirmed the need of multidisciplinary cooperation to improve the patient's quality of life, because agenesia implicates many activities/functions that depend on the tongue to fully work. Multiprofessional cooperation helps the patient learn compensation mechanisms.
引言 无舌畸形是一种由舌胚胎发育过程失败（在妊娠第四至八周）引起的罕见病症。舌头是一个用于吸吮、吞咽、咀嚼和说话等不同活动的器官。它还负责塑造腭牙弓（在其缺失时，牙弓会萎缩）。文献中报道的类似病例很少。目的 描述一例罕见的无舌畸形病例以及多学科专业人员共同治疗该患者达5年的情况。病例报告摘要 一名8岁的无舌畸形女孩接受了如下评估：（1）对与静息姿势、张力和活动度相关的口颌系统进行临床评估；（2）正畸评估；（3）咀嚼肌表面肌电图检查；（4）吞咽电视透视检查。结论 作者证实需要多学科合作来提高患者的生活质量，因为先天性缺失涉及许多依赖舌头才能充分发挥作用的活动/功能。多专业合作有助于患者学习代偿机制。
