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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

Clinical images of case 1 (a) Note the increased dimension of length and width preoperatively, (b) Postoperative facial profile, (c) Resection design, (d) Resected area, (e) Resected specimen, (f) Sutures placed
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Figure 3: Clinical images of case 1 (a) Note the increased dimension of length and width preoperatively, (b) Postoperative facial profile, (c) Resection design, (d) Resected area, (e) Resected specimen, (f) Sutures placed

Mentions: Case 1, depicted in Figure 3, is a typical presentation of a nonsyndromic, tongue enlargement, with normal tissues involving its length and width. A modified resection design incorporating the Pichler's central reduction, modified key-hole, and Kole's approach were incorporated to form a rough clover shaped design. The anterior portion of the design was approximated along the midline. This helped to reduce the width of the tongue. The posterior margin was approximated at the midline. The approximation at the posterior margin helped to reduce the length of the tongue. As the bulk was adequate, no trimming was performed. Tip preservation was achieved by this choice of design.


Reduction glossectomy for large tongues.

Balaji SM - Ann Maxillofac Surg (2013)

Clinical images of case 1 (a) Note the increased dimension of length and width preoperatively, (b) Postoperative facial profile, (c) Resection design, (d) Resected area, (e) Resected specimen, (f) Sutures placed
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Clinical images of case 1 (a) Note the increased dimension of length and width preoperatively, (b) Postoperative facial profile, (c) Resection design, (d) Resected area, (e) Resected specimen, (f) Sutures placed
Mentions: Case 1, depicted in Figure 3, is a typical presentation of a nonsyndromic, tongue enlargement, with normal tissues involving its length and width. A modified resection design incorporating the Pichler's central reduction, modified key-hole, and Kole's approach were incorporated to form a rough clover shaped design. The anterior portion of the design was approximated along the midline. This helped to reduce the width of the tongue. The posterior margin was approximated at the midline. The approximation at the posterior margin helped to reduce the length of the tongue. As the bulk was adequate, no trimming was performed. Tip preservation was achieved by this choice of design.

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