Cunnilingus tongue

Cunnilingus tongue
Classification and external resources

Cunnilingus tongue[1][2] (sometimes termed cunnilingus syndrome)[3] is a medical term used to describe the appearance of traumatic lesions on the ventral surface (undersurface) of the tongue, especially the lingual frenulum, caused by repeated friction between the tongue and the mandibular incisor teeth during cunnilingus and other oral sexual activity such as anilingus.[4][5]

Signs and symptoms

There is pain and soreness on the undersurface of the tongue,[6] and sometimes the throat.[3] The ulceration of the lingual frenum caused by cunnilingus is typically orientated horizontally, the lesion corresponding to the contact of the ventral tongue with the incisal edge of the mandibular incisor teeth when the tongue is in its most forward position and the lingual frenulum is stretched.[4] The ulceration has an nonspecific appearance, and is covered with a fibrinous exudate and surrounded by an erythematous (red) "halo".[6][7] Chronic ulceration at this site can cause linear fibrous hyperplasia (irritation fibroma).[4][6]

Diagnosis

The differential diagnosis is with other causes of oral ulceration such as aphthous stomatitis, secondary herpetic lesions, syphilis, etc.[7]

Management

Topical anesthetic may be used to relieve symptoms while the lesion heals.[6] Fibrous lesions may require surgical excision.[6] The incisal edges of the mandibular teeth can be smoothed to minimize the chance of trauma.[4]

Prognosis

This type of lesion usually resolves in 7–10 days, but may recur with repeated performances.[4]

Epidemiology

The condition is seen particularly in males.[7]

References

  1. ↑ Crispian Scully, Stephen Flint, Stephen R. Porter, Kursheed Moos, Jose Bagan (2010). Oral and maxillofacial diseases: an illustrated guide to diagnosis and management of diseases of the oral mucosa, gingivae, teeth, salivary glands, jaw bones and joints (4th ed.). London: Informa Healthcare. p. 221. ISBN 9781841847511.
  2. ↑ Scully C (2004). Oral and maxillofacial diseases (3rd ed.). London [u.a.]: Taylor & Francis. ISBN 9781841843384.
  3. ↑ 3.0 3.1 Benrubi, Guy I (2010). Handbook of obstetric and gynecologic emergencies (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. p. 345. ISBN 9781605476667.
  4. ↑ 4.0 4.1 4.2 4.3 4.4 BW Neville, DD Damm, CM Allen, JE Bouquot (2002). Oral & maxillofacial pathology (2nd ed.). Philadelphia: W.B. Saunders. pp. 253–284. ISBN 0-7216-9003-3.
  5. ↑ Stark, Margaret M (2011). Clinical forensic medicine a physician's guide (3rd ed.). New York: Humana Press. p. 96. ISBN 9781617792588.
  6. ↑ 6.0 6.1 6.2 6.3 6.4 Ravikiran Ongole; Praveen BN (10 Feb 2014). Textbook of Oral Medicine, Oral Diagnosis and Oral Radiology. Elsevier Health Sciences. p. 1245. ISBN 9788131237991.
  7. ↑ 7.0 7.1 7.2 Laskaris, George (2003). Color atlas of oral diseases (3rd ed.). Stuttgart [u.a.]: Thieme. p. 58. ISBN 9781588901385.