CENTRAL TONGUE REDUCTION FOR MACROGLOSSIA Il-Hyuk Chung, Seung-Il

거대설 치료를 위한 혀 중앙부 절제술 : 증례보고

  • Chung, Il-Hyuk (Department of Dentistry/Oral and Maxillofacial Surgery, Seoul City Boramae Hospital) ;
  • Song, Seung-Il (Departmenet of Oral and Maxillofacial Surgery, Pundang Jaesaeng Hospital, Dejin Medical Center) ;
  • Kim, Eun-Seok (Department of Dentistry/Oral and Maxillofacial Surgery Chungnam National University Hospital)
  • 정일혁 (서울시립 보라매병원 치과/구강악안면외과) ;
  • 송승일 (대진의료재단 분당제생병원 구강악안면외과) ;
  • 김은석 (충남대학교병원 치과/구강악안면외과)
  • Published : 2003.06.30

Abstract

Macroglossia can cause dentomusculoskeletal deformities, instability of orthodontic and orthognathic surgical treatment, and create masticatory, speech and airway management problems. To determine whether a reduction glossectomy is necessary, it will important to identify the signs and symptoms of macroglossia. Development of dentoskeletal changes directly related with tongue size, such as an anterior open bite or a Angle Class III malocclusion tendency, would indicate that reduction glossectomy may be beneficial. For reduction glossectomy, several techniques have been reported. However, in most techniques the tip of tongue is removed. So its excision causes the loss of most mobile and sensitive portion of the tongue, and creates ankylosed, globular tongue. To avoid such problems, central tongue reduction technique have been proposed. This article will introduce central tongue reduction for anterior openbite case associated with macroglossia.

Keywords

References

  1. Wolford LM, Cottrell DA: Diagnosis of macroglossia and indications for reduction glossectomy. Am J Orthod Dentofac Orthop. 1996; 110:170-177. https://doi.org/10.1016/S0889-5406(96)70105-1
  2. Fujita S, Woodson BT, Clark JL, Wittig R: Laser midline glossectomy as a treatment for obstructive sleep apnea. Laryngoscope 1991; 101:805-809.
  3. Proffit WR, Mason RM: Myofunctional therapy for tongue-thrusting: background and recommendations. J Am Dent Assoc 1975;90:403-411. https://doi.org/10.14219/jada.archive.1975.0075
  4. Edgetron M: The management of macroglossia when associated with prognathism. J Plast Surg 1960;3:117-120. https://doi.org/10.1016/S0007-1226(50)80018-8
  5. Dingman R, Grabb W: Lymphangioma of the tongue. Plast Reconstr Surg 1961;27:214-217. https://doi.org/10.1097/00006534-196102000-00008
  6. Koele H: Results, experience, and problems in the operative treatment of anomalies with reverse overbite (mandibular protrusion). Oral Surg Oral Med Oral Pathol 1965;19:427-430. https://doi.org/10.1016/0030-4220(65)90002-2
  7. Mixter RC, Ewanowski SJ, Carson LV: Central tongue reduction for macroglossia. Plast Reconstr Surg. 1993;91:1159-1162. https://doi.org/10.1097/00006534-199305000-00031
  8. Harada K, Enomoto S: A new method of tongue reduction for macroglossia. J Oral Maxillofac Surg. 1995;53:91-92. https://doi.org/10.1016/0278-2391(95)90513-8
  9. Hotokezaka H, Matsuo T, Nakagawa M, Mizuno A, Kobayashi K: Severe dental open bite malocclusion with tongue reduction after orthodontic treatment. Angle Orthod. 2001;71:228-36.
  10. Mardinger O, Rotenberg L, Chaushu G, Taicher S. Surgical management of macroglossia due to primary amyloidosis. Int J Oral Maxillofac Surg. 1999;28:129-31.
  11. Menard RM, Delaire J, Schendel SA. Treatment of the craniofacial complications of Beckwith-Wiedemann syndrome. Plast Reconstr Surg. 1995;96:27-33. https://doi.org/10.1097/00006534-199507000-00004
  12. Giancotti A, Romanini G, Di Girolma R, Arcur C. A less-invasive approach with orthodontic treatment with Beckwith-Wiedemann patients. Orthod Craniofac Res 2002;5:59-63. https://doi.org/10.1034/j.1600-0544.2002.01165.x
  13. Medeiros PJ, Camargo ES, Vitral R, Rocha R: Orthodontic-surgical approach in a case of severe open-bite associated with functional macroglossia. Am J Orthod Dentofacial Orthop. 2000;118:347-351. https://doi.org/10.1067/mod.2000.102390