2015 Volume 29 Issue 1 Pages 13-16
A 25-year-old male who had been diagnosed with schizophrenia amputated his tongue by himself with scissors. His tongue was amputated at the proglossis and the posterior part of the tongue had descended to the pharynx at arrival. Active bleeding was observed from the stump of the tongue. The bleeding was effectively controlled by grasping the stump of his tongue with Satinsky's blood vessel clamp, and this technique also enabled the tongue's stump to be lifted up into the oral cavity. Stump plasty operation was performed. He was transferred to another hospital on the 8th day and could swallow, manducate and talk.
There is no adequate tool for apocoptic tongue. Emergency physicians are sometimes required to modify tools in the emergency room. Satinsky's clamp was effectively used for hemostasis and grasping the tongue without causing other injury.
