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Long-term outcomes of surgical tongue reduction in Beckwith-Wiedemann syndrome.
Plast Reconstr Surg. 2007 Mar; 119(3):992-1002.PR

Abstract

BACKGROUND

Surgical tongue reduction is often performed in Beckwith-Wiedemann syndrome when macroglossia results in abnormal tongue function or cosmesis; however, no published studies have examined the long-term outcomes of this procedure.

METHODS

Patients older than 18 years with Beckwith-Wiedemann syndrome who had previously undergone surgical tongue reduction at the Royal Children's Hospital in Melbourne underwent assessment of speech and tongue function, mobility, sensation, and cosmesis. These assessments were performed by questionnaire on 11 subjects and by formal medical and speech pathology review in four of these 11 subjects.

RESULTS

Eleven patients aged 19 to 31 years completed responses by means of questionnaire. The most common self-reported abnormalities were continued disproportionate tongue bulk (91 percent), abnormal tongue appearance (82 percent), specific speech sound errors (73 percent), and a short tongue tip (55 percent). Formal assessments investigated speech, swallowing, taste, and tongue mobility in four quite different subjects. One of these four subjects had no detectable deficits in tongue function. All 11 patients were of normal intelligence and did not report significant difficulties in their day-to-day life that were attributable to their macroglossia or tongue reduction surgery.

CONCLUSIONS

Pediatric patients with symptomatic macroglossia requiring surgical tongue reduction may not achieve complete normality in tongue function and appearance in adulthood. It is important that surgical tongue reduction addresses the global nature of the macroglossia and aims to retain a tapered tongue tip with length sufficient to permit normal tongue movements.

Authors+Show Affiliations

Department of Plastic and Maxillofacial Surgery, Royal Children's Hospital, Parkville, Victoria 3052, Australia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17312506

Citation

Tomlinson, Jillian K., et al. "Long-term Outcomes of Surgical Tongue Reduction in Beckwith-Wiedemann Syndrome." Plastic and Reconstructive Surgery, vol. 119, no. 3, 2007, pp. 992-1002.
Tomlinson JK, Morse SA, Bernard SP, et al. Long-term outcomes of surgical tongue reduction in Beckwith-Wiedemann syndrome. Plast Reconstr Surg. 2007;119(3):992-1002.
Tomlinson, J. K., Morse, S. A., Bernard, S. P., Greensmith, A. L., & Meara, J. G. (2007). Long-term outcomes of surgical tongue reduction in Beckwith-Wiedemann syndrome. Plastic and Reconstructive Surgery, 119(3), 992-1002.
Tomlinson JK, et al. Long-term Outcomes of Surgical Tongue Reduction in Beckwith-Wiedemann Syndrome. Plast Reconstr Surg. 2007;119(3):992-1002. PubMed PMID: 17312506.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term outcomes of surgical tongue reduction in Beckwith-Wiedemann syndrome. AU - Tomlinson,Jillian K, AU - Morse,Sue A, AU - Bernard,Simon P L, AU - Greensmith,Andrew L, AU - Meara,John G, PY - 2007/2/22/pubmed PY - 2007/3/28/medline PY - 2007/2/22/entrez SP - 992 EP - 1002 JF - Plastic and reconstructive surgery JO - Plast Reconstr Surg VL - 119 IS - 3 N2 - BACKGROUND: Surgical tongue reduction is often performed in Beckwith-Wiedemann syndrome when macroglossia results in abnormal tongue function or cosmesis; however, no published studies have examined the long-term outcomes of this procedure. METHODS: Patients older than 18 years with Beckwith-Wiedemann syndrome who had previously undergone surgical tongue reduction at the Royal Children's Hospital in Melbourne underwent assessment of speech and tongue function, mobility, sensation, and cosmesis. These assessments were performed by questionnaire on 11 subjects and by formal medical and speech pathology review in four of these 11 subjects. RESULTS: Eleven patients aged 19 to 31 years completed responses by means of questionnaire. The most common self-reported abnormalities were continued disproportionate tongue bulk (91 percent), abnormal tongue appearance (82 percent), specific speech sound errors (73 percent), and a short tongue tip (55 percent). Formal assessments investigated speech, swallowing, taste, and tongue mobility in four quite different subjects. One of these four subjects had no detectable deficits in tongue function. All 11 patients were of normal intelligence and did not report significant difficulties in their day-to-day life that were attributable to their macroglossia or tongue reduction surgery. CONCLUSIONS: Pediatric patients with symptomatic macroglossia requiring surgical tongue reduction may not achieve complete normality in tongue function and appearance in adulthood. It is important that surgical tongue reduction addresses the global nature of the macroglossia and aims to retain a tapered tongue tip with length sufficient to permit normal tongue movements. SN - 1529-4242 UR - https://www.unboundmedicine.com/medline/citation/17312506/Long_term_outcomes_of_surgical_tongue_reduction_in_Beckwith_Wiedemann_syndrome_ L2 - https://Insights.ovid.com/pubmed?pmid=17312506 DB - PRIME DP - Unbound Medicine ER -