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Rehabilitation52 papers

Paralysis of tongue

Last edited: 4/15/2026

Overview

Tongue paralysis results in significant dysarthria and dysphagia due to impaired tongue movement, coordination, and pressure distribution. When irreversible neurological causes are absent, functional deficits can persist despite conventional therapies 1.

Diagnosis

  • Clinical assessment focusing on motor function, speech clarity, and swallowing ability.
  • Neurological examination to rule out reversible causes.
  • Imaging studies (e.g., MRI) may be considered to identify structural abnormalities 1.

    • Management

  • First-line treatments:
    • - Speech therapy aimed at compensatory strategies and functional improvement 1.
  • Adjunctive treatments:
    • - Intralingual injection of particulate fascia (e.g., 80 mg of 0.5 mm preserved particulate fascia) for hemiatrophy, demonstrating potential improvement in lingual symmetry and control 1.

    Special Populations

  • No specific recommendations provided for pregnancy, pediatrics, elderly, or comorbidities in the given abstracts 1.

    • Key Recommendations

  • Consider speech therapy as the primary intervention for managing dysarthria and dysphagia associated with tongue paralysis 1 (Evidence: Moderate).
  • For persistent deficits unresponsive to conventional therapy, intralingual injection of particulate fascia may be explored as an adjunctive treatment option 1 (Evidence: Weak).
  • Thorough neurological evaluation is essential to exclude reversible causes before pursuing advanced interventions 1 (Evidence: Expert opinion).

    • References

    1 Burres S. Intralingual injection of particulate fascia for tongue paralysis. The Laryngoscope 2004. link

    Original source

    1. [1]
      Intralingual injection of particulate fascia for tongue paralysis. — Burres S The Laryngoscope (2004)
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