GlossitisK14.00

Acute or chronic, possibly phlegmonous or gangrenous inflammation of the tongue. A distinction is made between glossitis profunda (involvement of the deeper layers of the tongue, oral mucosa and palate) and glossitis superficialis (inflammation of the mucous membrane of the tongue).

Exanthematous infectious diseases or co-infections in non-infectious exanthematous skin and mucosal diseases (e.g., erythema multiforme, drug exanthema), in injuries (dental prosthesis), incorrect bite height.

Deficiency of vitamin B6 or vitamin B12 can also cause glossitis (so-called Hunter glossitis), as can iron deficiency(see Plummer-Vinson syndrome).

I. Acute glossitis profunda: Acute ENT therapy, inpatient admission. Immediate therapy with broad-spectrum antibiotics i.v. to prevent the spread and constriction of the airways, e.g. amoxicillin + clavulanic acid (e.g. Augmentan), dosage: 2.2 g i.v. 3 times/day, Augmentan Filmtbl. 3 times/day 1 Tbl. p.o. As soon as possible, antibiotic treatment after antibiogram. In case of shortness of breath 250-500 mg prednisolone i.v. (e.g. Solu-Decortin H), if necessary intubation or criotomy/tracheotomy. Surgical removal and drainage if necessary, especially in the case of oral phlegmon.

II Acute glossitis superficialis: Irrigation with antiseptic and anti-inflammatory solutions such as 0.1-0.2% chlorhexidine solutions R045, 5% dexpanthenol solution R066, tormentil astringent R255 or ratanhia-myrrh astringent R210. Possibly anesthetic solutions before meals (e.g. Dolo-Dobendan solution, Acoin solution, periodontal ointment).

III Chronic Glossitis: Research for the cause. Collaboration with ENT colleagues and dentist if necessary. Irrigation with antiseptic and anti-inflammatory solutions/gel (e.g. Dequonal, Chlorhexamed, R045, R255 ). If necessary, internal antibiotic therapy with broad-spectrum antibiotics.