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Surgical management of macroglossia: discussion of 7 cases.

Abstract

OBJECTIVE

We present an overview of international literature concerning macroglossia-related etiology, clinical and instrumental diagnoses, surgical treatments, complications, and recurrences. Moreover, we present a series of cases of patients affected by macroglossia who have been treated surgically at the Department of Maxillofacial Surgery of the University of Rome "La Sapienza".

METHODS

Between 1990 and 1999, only after attempts to solve this pathologic condition with medical and orthodontic treatment, we treated surgically a total of 7 patients (4 male and 3 female). The surgical techniques used were Köle glossectomy and Dingman and Grabb glossectomy. We analyzed the clinical and instrumental study and the surgical treatment, including possible complications and recurrences.

RESULTS

After follow-up of a period from 2 to 9 years, macroglossia recurrences were absent, showing that the Köle and the Dingman and Grabb glossectomies are viable surgical options for treatment of macroglossia.

CONCLUSION

The best therapy for each case macroglossia must be carefully evaluated, with the right medical therapy and orthodontic therapy attempted first and surgical treatment performed only when the first and second therapy fail. Moreover, surgical techniques must be chosen in accordance with the functional results that one wants to achieve and must be the most conservative technique to preserve the vascular-nerve bundle.

Authors+Show Affiliations

Department of Maxillofacial Surgery, University of Rome "La Sapienza", Rome, Italy. giuliogasparini@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12424449

Citation

Gasparini, Giulio, et al. "Surgical Management of Macroglossia: Discussion of 7 Cases." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, vol. 94, no. 5, 2002, pp. 566-71.
Gasparini G, Saltarel A, Carboni A, et al. Surgical management of macroglossia: discussion of 7 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94(5):566-71.
Gasparini, G., Saltarel, A., Carboni, A., Maggiulli, F., & Becelli, R. (2002). Surgical management of macroglossia: discussion of 7 cases. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 94(5), 566-71.
Gasparini G, et al. Surgical Management of Macroglossia: Discussion of 7 Cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94(5):566-71. PubMed PMID: 12424449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of macroglossia: discussion of 7 cases. AU - Gasparini,Giulio, AU - Saltarel,Andrea, AU - Carboni,Andrea, AU - Maggiulli,Federica, AU - Becelli,Roberto, PY - 2002/11/9/pubmed PY - 2003/2/13/medline PY - 2002/11/9/entrez SP - 566 EP - 71 JF - Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics JO - Oral Surg Oral Med Oral Pathol Oral Radiol Endod VL - 94 IS - 5 N2 - OBJECTIVE: We present an overview of international literature concerning macroglossia-related etiology, clinical and instrumental diagnoses, surgical treatments, complications, and recurrences. Moreover, we present a series of cases of patients affected by macroglossia who have been treated surgically at the Department of Maxillofacial Surgery of the University of Rome "La Sapienza". METHODS: Between 1990 and 1999, only after attempts to solve this pathologic condition with medical and orthodontic treatment, we treated surgically a total of 7 patients (4 male and 3 female). The surgical techniques used were Köle glossectomy and Dingman and Grabb glossectomy. We analyzed the clinical and instrumental study and the surgical treatment, including possible complications and recurrences. RESULTS: After follow-up of a period from 2 to 9 years, macroglossia recurrences were absent, showing that the Köle and the Dingman and Grabb glossectomies are viable surgical options for treatment of macroglossia. CONCLUSION: The best therapy for each case macroglossia must be carefully evaluated, with the right medical therapy and orthodontic therapy attempted first and surgical treatment performed only when the first and second therapy fail. Moreover, surgical techniques must be chosen in accordance with the functional results that one wants to achieve and must be the most conservative technique to preserve the vascular-nerve bundle. SN - 1079-2104 UR - https://www.unboundmedicine.com/medline/citation/12424449/Surgical_management_of_macroglossia:_discussion_of_7_cases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1079210402003013 DB - PRIME DP - Unbound Medicine ER -