Overview
Sarcoidosis involving the oral cavity presents as granulomatous lesions affecting structures such as the tongue, lips, and palate, leading to functional impairments including swallowing and speech difficulties 24.Diagnosis
Clinical examination revealing granulomatous lesions
Biopsy confirming non-caseating granulomas 24
Imaging (e.g., CT, MRI) to assess extent and involvement of surrounding structures 4
Exclusion of other granulomatous diseases through serological tests and histopathological evaluation 4Management
Surgical excision for localized lesions 4
Speech and swallowing rehabilitation post-surgery to improve functional outcomes 34
Prosthetic devices to aid in speech and swallowing when necessary 2
Multidisciplinary team approach including surgeons, speech pathologists, dietitians, and social workers 4Special Populations
Elderly: Requires careful patient selection and preoperative preparation for surgical interventions due to potential comorbidities and reduced rehabilitation capacity 4
Comorbidities: Management must consider concurrent health issues impacting surgical risk and rehabilitation success 4Key Recommendations
Select patients for surgical intervention based on careful preoperative assessment to optimize rehabilitation outcomes (Evidence: Moderate 4)
Implement comprehensive multidisciplinary rehabilitation programs post-surgery to enhance speech and swallowing functions (Evidence: Moderate 34)
Utilize prosthetic aids as needed to support functional recovery in patients with significant oral cavity involvement (Evidence: Expert opinion 2)References
1 Zarek A, Halczy-Kowalik L, Rzewuska A, Posio V, Stecewicz M. Psychological characteristics versus swallowing and speech rehabilitation efficiency in patients after oral cavity cancer excision. Pomeranian journal of life sciences 2016. link
2 Tainmont J. Sigmund Freud's physicians and "the monster". B-ENT 2007. link
3 Dworkin JP. Glossectomy: a case report. Archives of physical medicine and rehabilitation 1982. link
4 Effron MZ, Johnson JT, Myers EN, Curtin H, Beery Q, Sigler B. Advanced carcinoma of the tongue. Management by total glossectomy without laryngectomy. Archives of otolaryngology (Chicago, Ill. : 1960) 1981. link