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Case Reports in Dentistry
Volume 2015 (2015), Article ID 352463, 6 pages
http://dx.doi.org/10.1155/2015/352463
Case Report

Unusual Occurrence of Tongue Sensorial Disorder after Conservative Surgical Treatment of Lymphoepithelial Cyst

1Department of Morphology, Federal University of Ceará, Rua Delmiro de Farias, s/n, 60416-030 Fortaleza, CE, Brazil
2Department of Clinical Dentistry, Federal University of Ceará, Rua Alexandre Baraúna 949, 60430-160 Fortaleza, CE, Brazil
3Division of Oral Pathology and Stomatology, Federal University of Ceará, Campus Sobral, Rua Coronel Estanislau Frota, s/n, 62010-560 Sobral, CE, Brazil
4Department of Oral and Maxillofacial Surgery, Walter Cantídio University Hospital, Federal University of Ceará, Rua Alexandre Baraúna 949, 60430-160 Fortaleza, CE, Brazil

Received 12 January 2015; Revised 2 April 2015; Accepted 23 April 2015

Academic Editor: Pablo I. Varela-Centelles

Copyright © 2015 Luane Macêdo de Sousa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Lymphoepithelial cyst is a rare lesion of the oral cavity, with the mouth floor being the most common site of occurrence. The therapeutic approach of choice is the surgical treatment, which has rare cases of postoperative complications. The aim of this study is to report the case of a 53-year-old patient who came to Dental Service in the Federal University of Ceará complaining of a small nodular lesion (0.5 cm) located in the ventral tongue. Excisional biopsy was performed and the surgical specimen was submitted for anatomopathological analysis, which found that there was an oral lymphoepithelial cyst. The patient returned after seven days for suture removal and reported loss of sensitivity around the ventral tongue. We prescribed Citoneurin for ten days; however, there was not any significant improvement of the sensitivity. Low frequency laser therapy sessions were applied. The only postoperative symptom was dysesthesia, where there is only a sensitivity decrease. Currently, the patient has a postoperative period of 1 year without recurrence of the lesion. Although previous reports have no described tongue sensorineural disorders associated with this lesion, the occurrence of this event may be related to an unexpected anatomical variation of the lingual nerve.