Necrosis of the Tongue Secondary to Bilateral Carotid Thrombosis After Radiotherapy

Necrosis of the tongue is an atypical process because of the high degree of irrigation provided by the right and left lingual arteries. But there isn’t good anastomosis between these both arteries except in the tip and the tongue base. We focus on an exceptional case report about a patient that presented a great necrotic lesion in the middle of the tongue due to a bilateral external carotid thrombosis, because of a radiation therapy some years before.

La necrosis de la lengua es un proceso excepcional porque está altamente vascularizada gracias a las arterias linguales izquierda y derecha. Sin embargo, no existe una marcada anastomosis entre ambas linguales salvo en la punta y la base linguales.

Se presenta el caso de un paciente con una gran lesión necrótica en el dorso lingual por una trombosis carotídea externa bilateral, consecuencia de una radioterapia años antes.