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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 2 (a) Preoperative view, (b) Marking for incision, (c) Intraoperative photograph, (d) Suturing done, (e) Resected specimen, (f) Postoperative view
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Figure 4: Clinical images of case 2 (a) Preoperative view, (b) Marking for incision, (c) Intraoperative photograph, (d) Suturing done, (e) Resected specimen, (f) Postoperative view

Mentions: Case 2, shown, is a typical case of congenital storage abnormality. The patient shown here is affected with congenital Beckwith–Wiedemann syndrome [Figure 4]. The baby had protruded tongue that was hindering masticatory function as well as the airway. Debulking in all the dimensions was planned. A modified version of the Butlin and Ensign design was employed. Tip sacrifice with AWR was planned considering the age and growth potential. The Butlin and Ensign design resection was carried along with central debulking, a design very similar to that of Higgie AA. The resected tongue was sutured along the midline. This design spared lingual vessels and taste sensation and ensuring debulking in all the dimensions. Tip resection had to be carried out owing to the extraordinary length of the tongue, which was protruding even when normal. Owing to this the taste sensation was compromised as well as the form and function.


Reduction glossectomy for large tongues.

Balaji SM - Ann Maxillofac Surg (2013)

Clinical images of case 2 (a) Preoperative view, (b) Marking for incision, (c) Intraoperative photograph, (d) Suturing done, (e) Resected specimen, (f) Postoperative view
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Clinical images of case 2 (a) Preoperative view, (b) Marking for incision, (c) Intraoperative photograph, (d) Suturing done, (e) Resected specimen, (f) Postoperative view
Mentions: Case 2, shown, is a typical case of congenital storage abnormality. The patient shown here is affected with congenital Beckwith–Wiedemann syndrome [Figure 4]. The baby had protruded tongue that was hindering masticatory function as well as the airway. Debulking in all the dimensions was planned. A modified version of the Butlin and Ensign design was employed. Tip sacrifice with AWR was planned considering the age and growth potential. The Butlin and Ensign design resection was carried along with central debulking, a design very similar to that of Higgie AA. The resected tongue was sutured along the midline. This design spared lingual vessels and taste sensation and ensuring debulking in all the dimensions. Tip resection had to be carried out owing to the extraordinary length of the tongue, which was protruding even when normal. Owing to this the taste sensation was compromised as well as the form and function.

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