Macroglossia of the tongue: causes and methods of treatment

The diagnosis of macroglossia is made if the tongue becomes excessively enlarged and thickened. With macroglossia, this muscular organ is pathologically changed or has some anomalies in its structure. This usually occurs due to developmental disorders of the fetus or is a consequence of some pathological process in the body. With this disease, the tongue becomes covered with folds, which further interfere with its proper dynamics. More often the disease occurs in childhood.

If the normal weight of the tongue is from 60 to 80 grams, then with this pathology it “grows” to 120 grams or more.

Both the entire organ and its individual parts (lateral surfaces, back or tip) can increase in size. Because of this, teeth marks may be imprinted on it. Often the tongue may not fit in the mouth and protrude outward.

Causes

Macroglossia can be either a local (local) manifestation or have a generalized nature. This disease can occur in many pathologies of the human body. As an independent disease, macroglossia can occur when:

inflammation involving the lingual area (low glossitis of the tongue):
rhinoscleroma with spread to the upper respiratory tract;
open bite;
acute angioedema;
with the accumulation of pus due to an abscess in the oral cavity;
a progressive cyst or tumor with damage to blood vessels (lymphatic or circulatory);
hemorrhages accompanied by a rush of blood to the lingual tissue;
“neurologically flaccid” tongue syndrome;
impaired venous or lymphatic drainage in the lingual tissue;
oral candidiasis.

However, macroglossia often occurs with such serious congenital damage to the body as:

cretinism or other organic brain abnormalities;
genetic disorders (Down syndrome, etc.);
hypofunction of the thyroid gland and the development of myxedema;
acromegaly.

Also, increased sizes of tongue tissue can accompany metabolic diseases such as:

amyloidosis (deposition of amyloid in the tongue, when it becomes waxy, dense, with smoothed papillae);
glycogenosis;
pellagra (tongue red and ulcerated).

Often, forward displacement of the tongue can be observed in children as a consequence of their bad habit of tongue sucking.

Macroglossia is sometimes misdiagnosed in people with a small lower jaw.

The disease is often called “constitutional”, as it is common in obese men who have an increased love for food.

Macroglossia also occurs in severe infectious diseases such as tuberculosis or syphilis.

Classic rules for tongue movement when kissing

The tongue should not be tense, but also not very sluggish, so that all movements are clearly felt by the partner. Your desire to kiss is transmitted through the efforts of your tongue, so use it completely: from the tip to the sublingual part
Naturalness when kissing is very important, which means that the pressure and speed of your movements must match the movements of your partner, you need to adapt to each other. If you are not satisfied with something, then it would be better to stop and try to start again.
Do not hide your tongue behind your cheeks or press it to the upper palate. The partner will evaluate such actions as not wanting to kiss.
Kissing with tongue is a paired kiss and involves two partners at the same time. There is no need to wait until he wanders his tongue in your mouth and only then proceed to action: everything should be at the same time.
Control your salivation and never force your tongue back into your mouth.
Don’t roll your tongue into a tube and don’t try to stick it as deep as possible into your partner’s mouth. This will not bring additional pleasure to either you or him.
Movements of the tongue should be smooth and in several planes. Don’t use monotonous movements like a pendulum: left-right, back-and-forth.
When caressing your partner's tongue, the movements of your tongue should be flexible, like a cat rubbing and wriggling around its legs. There is no need to try to lick the guy’s tongue and teeth completely.
Remember your teeth. It is very easy to bite your tongue in a fit of passion, and it is also possible to clash your teeth with your partner and cut the tip of your tongue on his teeth. Such moments are quite common, so be careful and gentle.
When kissing, remember all the rules and give in to your feelings, trust your partner. Respond to every caress, touch and enjoy it.

The use of the tongue in a kiss plays the role of a barrier to the beginning of a new stage in a relationship. This means that you trust each other, that you are close, that you are one at the moment. They say that a kiss can be more intimate than sex, and in some cultures it is precisely this that is cheating on a partner. To some extent this is true. No one even knows how to kiss “just like that,” since any kiss expresses something, and we give a person a piece of ourselves, our inner world. The touch of lips and the gentle meeting of the tips of the tongues is a sweet moment of a kiss, which should be long-awaited, desired and sure to bring pleasure to both.

Symptoms

Macroglossia can be true or false. Sometimes abnormal development of the jaw arch is mistaken for an increase in lingual tissue. In case of recession or congenital narrowness of the jaw, this ailment is considered false. With true macroglossia, the tongue is enlarged by one and a half to two times. However, this form of the disease occurs rarely.

Macroglossia in newborns

It is important to identify this disease in a timely manner, as this will greatly affect the success of its treatment and the likelihood of it becoming chronic.

Therefore, it is especially important to identify such pathology during the neonatal period.

When examining a newborn, it is important not to miss such manifestations of the disease as:

enlargement of the tongue when it protrudes beyond the mouth;
“varnished” or dried surface;
tuberosity, enlarged papillae;
blocking of the larynx by the root of the tongue, which forces the baby to refuse food;
slightly open mouth;
labored breathing;
excessive salivation;
frequent attacks of asphyxia (breathing problems);
frequent infection and increased body temperature;
deterioration of general condition.

Very often, children in the first year of life experience a local form of the disease. Often tongue pathology occurs in the fetus for the following reasons:

improper development;
idiopathic diseases with symptoms of hypertrophy of the lingual muscles;
the formation of cysts or cavities during the formation of the tongue muscles;
with adverse factors affecting the pregnant woman’s body (intoxication, radiation, infections).

When is tongue appropriate in a kiss?

The difference between a kiss with a tongue and a kiss without a tongue lies in the degree of intimacy and closeness of the partners. Many people love to kiss and have even mastered several techniques of this fascinating process, but not everyone can apply them correctly, and most importantly, in the right place. You shouldn’t be the first to rush into battle, expose your feelings in passionate kisses. Your man may be both offended and frightened by such determination. It’s better to use feminine tricks and explain to your partner with hints that you haven’t been against a more intimate kiss for a long time. But in some cases, you can skillfully use the sweetness of a tongue kiss. Feel free to kiss him with your tongue first if:

He expects determination from you. Your boyfriend is older than you and is afraid to put pressure on you once again, or he is not entirely sure of the sincerity of your feelings and simply does not feel the desire from you. He puts your relationship in your hands in advance, and you must take all the steps first. Since a kiss with the tongue is perceived by many as a hint of something larger and lasting, the male sex often leaves the choice to the lady, whether she wants it or not.

Solution : A light kiss with the tongue and maybe even some awkwardness and accident in the kiss will work into your favor. You will let him understand openly that he can express himself and open up completely in a kiss.

He doesn't know how to kiss. There is also an option when you go crazy about him and the only thing you can think about is his touch. But he turns out to be inexperienced, and after the first kiss with the tongue everything blows away like the wind. Unpleasant sensations and his mistakes when kissing cannot compensate even for your skillful movements. A fiasco like this is disappointing, but you can fix it.

Solution: Always kiss him first and be persistent in the kiss. With his technique and slight manipulation of movements, after a while he will begin to completely adapt to you. His kisses will get better and better, and you will be able to get a double portion of satisfaction: from kisses and from your teaching abilities.

You want to express something to him without words. You are waiting for him to take a decisive step in the relationship, or you are simply in a playful mood today, or even you have a small request - so why not spice it all up with a passionate kiss, of course, with the tongue. To prove, show, insist, demand or ask - everything can be expressed through the movements of the tongue. Such a kiss can convey feelings and be something like a golden key to your soul mate.

Solution: The 100% way to use your lovemaking skills for personal gain is to show that you can, tease, and stop. A tongue kiss is just perfect for this. The main thing is to be confident in yourself, know your partner well, his preferences and know how to kiss.

Manifestations of chronic macroglossia

Often, tongue enlargement that is not cured in time leads to a severe chronic course of the disease. In this case, in an adult, the following manifestations of this pathology can be identified:

the volume of the tongue is significantly increased, its movements are limited;
the mouth is constantly slightly open;
the lingual surface is rough, often with cracks or blue bloody blisters, with increased bleeding;
copious amounts of saliva;
permanent injury to the tongue tissue from dental crowns;
speech is slurred, unclear, pronouncing words with difficulty.

Rules for the perfect tongue kiss

“Calf tenderness,” which refers to kisses devoid of passion, and especially the participation of the tongue, is practically not liked by guys, and many girls too. But tongue in a kiss does not always evoke passion and causticity in an intimate process, and sometimes its rough and “dry” use can vulgarize even the most romantic moment. Tongue movements can add heat to the fire of a kiss, but they cannot be a spark at the right moment. Both the correct and timely use of the tongue in a kiss can ruin all impressions of a partner, and correct the situation with a failed connection. Kissing stages:

Lips. A gentle touch of still dry lips. Light mutual pinching of the upper and lower lips of the partners, a soft touch that should not be tightened too much.
Eyes. Moving away from your partner and looking deep into his eyes is considered no less intimate than the penetration of your tongue into your mouth. This step should not be skipped, especially for the first time. If you are timid, you can hug your partner or touch his cheeks with your palms.
Wet lips. Lick your lips, take a deep breath and close your eyes as soon as he touches you. With such a kiss, the tongue will automatically reach for his lips - and this is quite natural. At this moment it is worth showing all your tongue kissing skills.
Penetration of language. Everyone does it differently, but there are some standards for the movement of the tongue that determine a beautiful “French kiss”. The meeting of two tongues should not lead to embarrassment or stopping, and all caresses should proceed at an increasing pace to the peak of bliss.
Ending the kiss. After the most passionate kiss, nothing can be more beautiful than breathing together, in unison, with their foreheads touching.

Kissing technique with the tongue : The entire “French kiss” technique is based on the movements of the tongue, on the mutual caress of the tips of the lips with the tongue and on the rhythm of the kiss itself. Anyone can learn to kiss in French after several attempts, and preferably after joint training. The main thing is to remember that all common advice should be taken only as recommendations, and not clear rules of action with impeccable implementation. Any kiss should be unique, and improvisation is always welcomed as a burst of sincerity of feelings.

Carrying out diagnostics

It is best to diagnose macroglossia in utero. Currently, with ultrasound of the fetus, norms for the size of any of its organs at various stages of pregnancy have been developed. There are optimal sizes for the length and width of the tongue. Often, during intrauterine examination, protrusion of the tongue outside the mouth is noticeable.

The final conclusion is given by specialists after several ultrasound examinations over 1 – 2 months.

More often, a full diagnosis can be established only by the 30th week of pregnancy.

After the birth of a baby with this pathology, he will need a number of consultations with an ENT doctor, an infectious disease specialist, a geneticist, an endocrinologist, and an oncologist.

And only after a detailed examination (using clinical analysis and instrumental methods) is a treatment plan for the disease developed.

Photo and video

Surely, you have paid attention and have repeatedly experienced a slight degree of arousal when a woman sticks her tongue out at a man in porn in various ways.
In fact, this gesture helps to increase arousal and precedes some types of caresses during intimacy, primarily oral. That is, non-verbally, a woman is ready to accept her partner completely and in different ways, not only in the classical way. But this is in porn to enhance the effect. Hence this degree of frankness. The same goes for photographs of porn models who clearly pay attention to their mouth: lips and tongue. They bite it, show it, reach it to different depths to reflect how deep she can take you. They put various objects and fingers in the mouth, lick with their tongue. And all this reminds me of oral sex, and there’s no getting away from it. Accordingly, in real life, if a woman sticks her tongue out at a man, it means she perceives him as a potential sexual partner.

On social networks, the female half and in the portfolios of modern models also often encounter a situation where a girl sticks out her tongue.

This is how she reflects her mood and readiness for a relationship, in essence, courage and audacity. And sometimes sexuality, which immediately speaks of openness and a high level of accessibility, which you can use and write with confidence if you are also interested in sex.

Often, when communicating more closely through social networks and instant messengers, girls also stick their tongues out at guys.
As a rule, when sex happens on a webcam. Being at a distance from you and not being able to touch, she unconsciously tries to cause increased arousal in you and participation in subsequent actions. Sign up for my trainings

Consequences of macroglossia

Sometimes patients do not perceive macroglossia as a serious pathology and do not contact specialists in a timely manner. However, such a defect in the body as a large tongue can cause a person a lot of inconvenience and serious complications. First of all, the condition of the patient’s dentition is seriously disturbed. The tongue itself suffers from excessive dryness and is often injured and inflamed.

Also, an enlarged tongue interferes with the normal socialization of children, being a cosmetic defect. Most patients acquire psychological complexes.

After all, not all of their peers are ready to be friends with children whose tongues stick out, their speech is slurred, and there is also a constant flow of saliva from their mouths.

However, this is not all. With a long course, the disease often leads to the following pathologies of the body:

breathing problems and the habit of breathing through the mouth;
problems with diction (especially pronouncing hissing sounds);
violation of the formation of the dentofacial apparatus with pathologies of the formation of dentition;
digestive problems (the appearance of ulcers, colitis and gastritis) due to difficulties in chewing food.

In addition, an untreated disease causes pain and constant discomfort in the mouth. The tongue is inflamed, enlarged, stiff, and even subject to constant biting.

Don't miss the chance

It depends on how you treat the girl. Do you like it, do you want it? - Then act. No - ignore it. In cases where she sticks her tongue out at you and clearly hints at sexual attraction to you, follow simple rules of behavior:

Smile and look her in the eyes during the conversation (show confidence and interest in what is happening).
Examine her from head to toe periodically, as if you were appraising her or showing her attractiveness.
You can copy her pose to get closer to her by playing this way.
If there are pauses in the dialogue, you can safely flirt in different ways. Don't give up on this.
Gradually move closer physically. Sometimes abrupt transitions to kissing and more are acceptable.

As I said above, the more clearly a girl or woman demonstrates any actions with her lips and shows her tongue, the more ready she is now to move to a closer stage in terms of sex. Therefore, it is worth taking a chance here if you are so lucky that she demonstratively shows that she wants you.

If the course of events is favorable, you will notice far more than just showing the tongue and manipulating them.
Certain poses, smooth movements somewhat reminiscent of dancing, exposure of any parts of the body, playing with hair - all these factors will also reflect her desire and its degree. In fact, they are all interconnected and work together.

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Treatment

Treatment of macroglossia should be carried out taking into account the causes and factors that provoked the development of this disease. Specialists also take into account all changes (morphological or functional) that occurred during the course of the disease.

If an enlarged tongue is one of the manifestations of any disease, then paramount importance is given to the treatment of this “root cause” of the disease.

Drug treatment

If the disease occurs only locally (in the mouth), then drug treatment consists of local sanitation of the oral cavity and elimination of the cause of this disease.

If necessary, use general or local antibiotics, antiseptic and anti-inflammatory agents in the form of rinses or irrigations. Also, medications are necessarily used after surgery on the tongue to treat the wound and prevent secondary infection.

In addition, the drugs are also used for general diseases, when macroglossia is one of their symptoms. In this case, with the right treatment, the tongue shrinks on its own.

Surgical treatment

In severe cases of macroglossia, surgical treatment is more often used to correct the size of the tongue.

For such a radical method, there must be the following serious changes in the body:

breathing problems;
difficulty chewing and swallowing;
serious aesthetic deviations in the facial area;
open bite with the impossibility of using orthodontic treatment methods;
constant drooling;
speech therapy disorders (difficulty speaking and pronouncing sounds) that cannot be treated by a speech therapist.

During the operation, to normalize the size of the tongue, its wedge-shaped part is removed. In this case, the required part of the tongue is excised by a surgeon under general anesthesia, returning the organ to its normal size.

With an open bite, a prosthesis is usually installed to prevent the tongue from falling out of the mouth.

In cases of congenital form of the disease, children are often treated by ligation of the lingual arteries. This method slows down the growth of the tongue and allows you to restore optimal proportions.

In such cases, the prognosis for treating the disease is most often positive.

In case of tumor processes, treatment must be comprehensive, using surgical and chemotherapy methods, as well as drug and radiation therapy.

If you are diagnosed with macroglossia, you should not brush aside medical help and let everything take its course.

Indeed, in addition to constant discomfort in the mouth, people with a changed and enlarged tongue experience difficulties in communication, seriously worsening their own socialization. It is especially important to treat the disease as early as possible in children, preventing the occurrence of disorders in the dental apparatus and the formation of persistent psychological complexes in the child.

Sources used:

Scully C, Porter S (July 2000). ABC of oral health. Swellings and red, white, and pigmented lesions"
Perkins, J. A. (December 2009). "Overview of macroglossia and its treatment". Current Opinion in Otolaryngology & Head and Neck Surgery.
"Therapeutic dentistry. Textbook" (Borovsky E. V.)
“Diseases of the mucous membrane of the oral cavity and lips” (Bork K.)

Why the mouth area?

Interest in what it means if a girl or woman sticks her tongue out at a man is not surprising. After all, it is the area of the mouth that is considered one of the most sexy and promising potential caresses. Therefore, lips and tongue are directly related to the process of arousal in both sexes. Hence the conclusion that with such behavior the girl wants to influence precisely this area of yours. Moreover, she can do this both consciously and unconsciously. You should already recognize this, based on her character traits and personality.

Many women, with age, learn to use their mouths competently, and, accordingly, the tongue plays an important role here, with which you can gently caress your lips, slightly exposing your teeth. You can start licking something.. But simpler options can be exciting and flirting signs:

applying lipstick or lip gloss;
stroking the mouth with a finger;
slow and demonstrative sipping of liquid through a tube;
slowly eating elongated objects: banana, cucumber, ice cream;
licking to varying degrees.

The meaning of the gesture when a woman shows her tongue is directly related to sexual desires.
Therefore, if she showed it and at the same time smiles and chuckles, she is flirting with you and testing your reaction. As a rule, in this case, you can suddenly pull her towards you and kiss her. After all, she herself calls and attracts. Sometimes young girls stick out their tongues and run away, as if dragging you along with them and checking whether you will follow her.

If you're interested in her, then why not? She plays with you and you play with her. This way you will come closer to each other even faster.