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Congenital macroglossia treated by 2-stage partial glossectomy.
J Craniofac Surg. 2013 Mar; 24(2):554-6.JC

Abstract

Persistent macroglossia affects speech, swallowing, and the dentofacial skeleton. A range of tongue reduction methods have been proposed to preserve the mobility and sensation of the tongue. However, recent reports have shown that speech or esthetic problems still exists, even after a comprehensive glossectomy in early childhood. Because a large volume reduction of the anterior tongue in young growing children might result in a short tongue tip with functional difficulties, it is important to select the appropriate tongue reduction method considering the growth of the tongue.In the current report, a staged tongue reduction was planned to minimize the functional and esthetic problems after surgery. A 3-year-old girl visited our clinic because of congenital macroglossia, phonation problems, and prognathic appearance of the mandible. The tongue was first reduced by a central glossectomy. The speech intelligibility, tongue movement, and skeletal growth pattern were improved after the first surgery. The secondary peripheral tongue reduction was performed 6 years later to achieve an esthetically pleasing tongue appearance.This 2-stage partial glossectomy, central tongue reduction first followed later by a peripheral tongue reduction, ensures functional integrity of the tongue and can provide an esthetically pleasing result in growing children. The results demonstrated that this strategic combination of a staged tongue reduction can be a successful treatment option for macroglossia.

Authors+Show Affiliations

Department of Oral and Maxillofacial Surgery, Center for Orthognathic Surgery, School of Dentistry, Kyungpook National University, Daegu, Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23524740

Citation

Choi, Jin-Wook, et al. "Congenital Macroglossia Treated By 2-stage Partial Glossectomy." The Journal of Craniofacial Surgery, vol. 24, no. 2, 2013, pp. 554-6.
Choi JW, Kim HJ, Park HS, et al. Congenital macroglossia treated by 2-stage partial glossectomy. J Craniofac Surg. 2013;24(2):554-6.
Choi, J. W., Kim, H. J., Park, H. S., & Kwon, T. G. (2013). Congenital macroglossia treated by 2-stage partial glossectomy. The Journal of Craniofacial Surgery, 24(2), 554-6. https://doi.org/10.1097/SCS.0b013e31826cff10
Choi JW, et al. Congenital Macroglossia Treated By 2-stage Partial Glossectomy. J Craniofac Surg. 2013;24(2):554-6. PubMed PMID: 23524740.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Congenital macroglossia treated by 2-stage partial glossectomy. AU - Choi,Jin-Wook, AU - Kim,Hyun-Jung, AU - Park,Hyo-Sang, AU - Kwon,Tae-Geon, PY - 2013/3/26/entrez PY - 2013/3/26/pubmed PY - 2014/4/25/medline SP - 554 EP - 6 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 24 IS - 2 N2 - Persistent macroglossia affects speech, swallowing, and the dentofacial skeleton. A range of tongue reduction methods have been proposed to preserve the mobility and sensation of the tongue. However, recent reports have shown that speech or esthetic problems still exists, even after a comprehensive glossectomy in early childhood. Because a large volume reduction of the anterior tongue in young growing children might result in a short tongue tip with functional difficulties, it is important to select the appropriate tongue reduction method considering the growth of the tongue.In the current report, a staged tongue reduction was planned to minimize the functional and esthetic problems after surgery. A 3-year-old girl visited our clinic because of congenital macroglossia, phonation problems, and prognathic appearance of the mandible. The tongue was first reduced by a central glossectomy. The speech intelligibility, tongue movement, and skeletal growth pattern were improved after the first surgery. The secondary peripheral tongue reduction was performed 6 years later to achieve an esthetically pleasing tongue appearance.This 2-stage partial glossectomy, central tongue reduction first followed later by a peripheral tongue reduction, ensures functional integrity of the tongue and can provide an esthetically pleasing result in growing children. The results demonstrated that this strategic combination of a staged tongue reduction can be a successful treatment option for macroglossia. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/23524740/Congenital_macroglossia_treated_by_2_stage_partial_glossectomy_ L2 - https://doi.org/10.1097/SCS.0b013e31826cff10 DB - PRIME DP - Unbound Medicine ER -