Tongue Injury

Question: When does a tongue injury need stitches?

Explanation: The tongue bleeds heavily when cut, which frightens patients disproportionately. Many small tongue lacerations heal well without suturing. Suturing is indicated when the wound gapes widely, involves the tongue edge or tip, is larger than roughly one centimetre, is a flap that impedes function, or continues bleeding despite pressure. Deep wounds risk damaging the lingual artery or nerve. Because the tongue moves constantly, absorbable sutures placed deeply are used. Children usually require sedation or general anaesthetic. Follow-up checks for infection are advisable given the constant bacterial exposure.

Related Questions:

How do I stop a bleeding tongue?

Apply firm direct pressure by wrapping the tongue in clean gauze and squeezing between finger and thumb for a full ten minutes without releasing. Sit upright and lean forward so blood does not run into the airway. If bleeding persists after 15 minutes of pressure, attend an emergency department.

Will a cut tongue heal on its own?

Small, non-gaping lacerations usually heal within a week, aided by an exceptional blood supply and saliva’s antimicrobial properties. Wounds that gape, involve the tip, or split the tongue into a flap should be closed to prevent a permanently notched or bifid appearance.

Can a tongue injury cause permanent numbness?

Deep lacerations to the lateral border can damage the lingual nerve, causing altered sensation or taste on that side. Most partial injuries recover over months. Complete transection may leave permanent deficit. Any persistent numbness after a tongue injury should be reported promptly.