Although it may be asymptomatic, symptoms usually are more likely to be present and more severe with larger tongue enlargements. Signs and symptoms include: * Dyspnea - difficult, noisy breathing, obstructive sleep apnea or airway obstruction * Dysphagia - difficulty swallowing and eating * Dysphonia - disrupted speech, possibly manifest as lisping * Sialorrhea - drooling * Angular cheilitis - sores at the corners of the mouth * Crenated tongue - indentations on the lateral borders of the tongue caused by pressure from teeth ("pie crust tongue") * Open bite malocclusion - a type of malocclusion of the teeth * Mandibular prognathism - enlarged mandible * Mouth breathing * Orthodontic abnormalities - including diastema and tooth spacing A tongue that constantly protrudes from the mouth is vulnerable to drying out, ulceration, infection or even necrosis.
Macroglossia
Macrodontia 
Hypoglossia
Macrognathism
Asymmetric crying facies
Ankyloglossia
Elfin facies
Spotted lunulae