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Reduction glossectomy for large tongues.

Balaji SM - Ann Maxillofac Surg (2013)

Bottom Line: Pathological enlargement of tongue is caused by several conditions and diseases.In several instances, surgery remains the only viable option for complete cure.The tongue is a muscular organ, whose complex neuroanatomy is being unraveled slowly.

View Article: PubMed Central - PubMed

Affiliation: Director, Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, Tamil Nadu, India.

ABSTRACT
Pathological enlargement of tongue is caused by several conditions and diseases. In several instances, surgery remains the only viable option for complete cure. Persistent bleeding, compromised neuro-motor-sensory functions during the postoperative period are the most common complaints encountered after macroglossia correction. The tongue is a muscular organ, whose complex neuroanatomy is being unraveled slowly. Various types of macroglossia resections in unique clinical situations have been proposed by several clinicians till date. There has never been unanimously accepted resection for the treatment of macroglossia. This review article attempts to preview the cosmetic and functional components for resection designs.

No MeSH data available.


Related in: MedlinePlus

Incision pattern for Anterior 2/3rd Macroglossia. (a) Modified key-hole, (b) Pless, (c) Modification of Mixter, (d) Rheinwald, (e) Kole, (f) Gupta, (g) Deplange, (h) Dingman and Grab, (i) Magee, (j) Egyedi and Obwegeser, (k) Stellate- Anterior wedge, (l) Butlin-Handley[1011121314151617181920]
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Figure 2: Incision pattern for Anterior 2/3rd Macroglossia. (a) Modified key-hole, (b) Pless, (c) Modification of Mixter, (d) Rheinwald, (e) Kole, (f) Gupta, (g) Deplange, (h) Dingman and Grab, (i) Magee, (j) Egyedi and Obwegeser, (k) Stellate- Anterior wedge, (l) Butlin-Handley[1011121314151617181920]

Mentions: The main stay of surgical treatment of macroglossia is to provide a tongue that can function in the most efficient aspect in terms of form and function. The primitive surgical designs were to reduce the extensions of the tongue in terms of length and width. Peripheral trimming and reduction techniques such as those of Butlin, Ensin, Harris, Blair, Hendrick, Edgerton, Dingman, Grabb, and Gupta were aimed at reducing the length and the width of the tongue. The modifications of Krunchinsky, Mixter, and Harda were designed to preserve the tip of the tongue, a vital area for taste sensation and speech. Then the advanced key-hole procedures such as those of the modification of Kole's incision, Davalbhatka, and Heggies were aimed at preserving the function at the same time reducing the bulk of the tongue in all the three dimensions [Table 2, Figures 1 and 2].[810111213141516171819]


Reduction glossectomy for large tongues.

Balaji SM - Ann Maxillofac Surg (2013)

Incision pattern for Anterior 2/3rd Macroglossia. (a) Modified key-hole, (b) Pless, (c) Modification of Mixter, (d) Rheinwald, (e) Kole, (f) Gupta, (g) Deplange, (h) Dingman and Grab, (i) Magee, (j) Egyedi and Obwegeser, (k) Stellate- Anterior wedge, (l) Butlin-Handley[1011121314151617181920]
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814666&req=5

Figure 2: Incision pattern for Anterior 2/3rd Macroglossia. (a) Modified key-hole, (b) Pless, (c) Modification of Mixter, (d) Rheinwald, (e) Kole, (f) Gupta, (g) Deplange, (h) Dingman and Grab, (i) Magee, (j) Egyedi and Obwegeser, (k) Stellate- Anterior wedge, (l) Butlin-Handley[1011121314151617181920]
Mentions: The main stay of surgical treatment of macroglossia is to provide a tongue that can function in the most efficient aspect in terms of form and function. The primitive surgical designs were to reduce the extensions of the tongue in terms of length and width. Peripheral trimming and reduction techniques such as those of Butlin, Ensin, Harris, Blair, Hendrick, Edgerton, Dingman, Grabb, and Gupta were aimed at reducing the length and the width of the tongue. The modifications of Krunchinsky, Mixter, and Harda were designed to preserve the tip of the tongue, a vital area for taste sensation and speech. Then the advanced key-hole procedures such as those of the modification of Kole's incision, Davalbhatka, and Heggies were aimed at preserving the function at the same time reducing the bulk of the tongue in all the three dimensions [Table 2, Figures 1 and 2].[810111213141516171819]

Bottom Line: Pathological enlargement of tongue is caused by several conditions and diseases.In several instances, surgery remains the only viable option for complete cure.The tongue is a muscular organ, whose complex neuroanatomy is being unraveled slowly.

View Article: PubMed Central - PubMed

Affiliation: Director, Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, Tamil Nadu, India.

ABSTRACT
Pathological enlargement of tongue is caused by several conditions and diseases. In several instances, surgery remains the only viable option for complete cure. Persistent bleeding, compromised neuro-motor-sensory functions during the postoperative period are the most common complaints encountered after macroglossia correction. The tongue is a muscular organ, whose complex neuroanatomy is being unraveled slowly. Various types of macroglossia resections in unique clinical situations have been proposed by several clinicians till date. There has never been unanimously accepted resection for the treatment of macroglossia. This review article attempts to preview the cosmetic and functional components for resection designs.

No MeSH data available.


Related in: MedlinePlus