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Anterior tongue reduction surgery for paediatric macroglossia.
J Laryngol Otol. 2011 Dec; 125(12):1247-50.JL

Abstract

OBJECTIVE

Anterior tongue reduction is indicated when macroglossia causes problems with oral hygiene, airway compromise, deglutition, articulation or orthognathic complications. Causes of macroglossia include hypothyroidism, mucopolysaccharide and lipid storage disease, lymphangioma, haemangioma, neurofibroma, and muscular macroglossia. This paper presents an 11-year experience of anterior tongue reduction at Great Ormond Street Hospital.

METHOD

Retrospective study of patient medical records identified from the hospital ENT database. Anterior wedge resection was the preferred technique.

RESULTS

Anterior tongue reduction was performed on 18 patients, due to cystic hygroma with tongue involvement (nine patients), Beckwith-Wiedemann syndrome (eight) and Down's syndrome (one). Anterior wedge resection was preferred, using electrocautery in the majority, except for four cases involving CO2 laser. All but one patient had a good surgical outcome (i.e. tongue in mouth at rest). One patient subsequently required multiple laser procedures for recurrent macroglossia.

CONCLUSION

Anterior tongue reduction can be a safe procedure, with limited post-operative morbidity, consistently resulting in good surgical outcomes and improvement in macroglossia symptoms. Speech development does not appear to be adversely affected.

Authors+Show Affiliations

Great Ormond Street Hospital, London, UK. hanychau@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21914247

Citation

Chau, H, et al. "Anterior Tongue Reduction Surgery for Paediatric Macroglossia." The Journal of Laryngology and Otology, vol. 125, no. 12, 2011, pp. 1247-50.
Chau H, Soma M, Massey S, et al. Anterior tongue reduction surgery for paediatric macroglossia. J Laryngol Otol. 2011;125(12):1247-50.
Chau, H., Soma, M., Massey, S., Hewitt, R., & Hartley, B. (2011). Anterior tongue reduction surgery for paediatric macroglossia. The Journal of Laryngology and Otology, 125(12), 1247-50. https://doi.org/10.1017/S0022215111002015
Chau H, et al. Anterior Tongue Reduction Surgery for Paediatric Macroglossia. J Laryngol Otol. 2011;125(12):1247-50. PubMed PMID: 21914247.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anterior tongue reduction surgery for paediatric macroglossia. AU - Chau,H, AU - Soma,M, AU - Massey,S, AU - Hewitt,R, AU - Hartley,B, Y1 - 2011/09/14/ PY - 2011/9/15/entrez PY - 2011/9/15/pubmed PY - 2012/1/26/medline SP - 1247 EP - 50 JF - The Journal of laryngology and otology JO - J Laryngol Otol VL - 125 IS - 12 N2 - OBJECTIVE: Anterior tongue reduction is indicated when macroglossia causes problems with oral hygiene, airway compromise, deglutition, articulation or orthognathic complications. Causes of macroglossia include hypothyroidism, mucopolysaccharide and lipid storage disease, lymphangioma, haemangioma, neurofibroma, and muscular macroglossia. This paper presents an 11-year experience of anterior tongue reduction at Great Ormond Street Hospital. METHOD: Retrospective study of patient medical records identified from the hospital ENT database. Anterior wedge resection was the preferred technique. RESULTS: Anterior tongue reduction was performed on 18 patients, due to cystic hygroma with tongue involvement (nine patients), Beckwith-Wiedemann syndrome (eight) and Down's syndrome (one). Anterior wedge resection was preferred, using electrocautery in the majority, except for four cases involving CO2 laser. All but one patient had a good surgical outcome (i.e. tongue in mouth at rest). One patient subsequently required multiple laser procedures for recurrent macroglossia. CONCLUSION: Anterior tongue reduction can be a safe procedure, with limited post-operative morbidity, consistently resulting in good surgical outcomes and improvement in macroglossia symptoms. Speech development does not appear to be adversely affected. SN - 1748-5460 UR - https://www.unboundmedicine.com/medline/citation/21914247/Anterior_tongue_reduction_surgery_for_paediatric_macroglossia_ DB - PRIME DP - Unbound Medicine ER -