Síndrome de Beckwith-Wiedmann: relato de caso da intervenção fonoaudiológica

Lavra-Pinto, Bárbara de; Luz, Maria Júlia; Motta, Ligia; Gomes, Erissandra

doi:10.1590/s1516-18462010005000013

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…10,11 Treatment is usually interdisciplinary, involving various health specialties including pediatrics, orthopedics, cardiology, otolaryngology, dentistry, and/or speech therapy. 12 The present report describes findings before and after lingual frenectomy in a patient with BWS.…”

Section: Introductionmentioning

confidence: 79%

Assessment of the tongue frenulum in Beckwith‐Wiedemann syndrome: Pre‐ and post‐frenectomy findings

César

Torres

Andrade

et al. 2021

Special Care in Dentistry

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Aim: To report the pre‐ and post‐frenectomy findings of a patient with Beckwith‐Wiedemann syndrome. Methods and Results: Clinical case report of a patient with a confirmed genetic‐molecular diagnosis of the referred syndrome. The minor was evaluated and reassessed by the protocol for the evaluation of the tongue's frenulum for babies in two moments: pre‐surgical and 2 months after the frenectomy. The surgical procedure was performed using the traditional technique and, after the procedure, the minor was breastfed and received photobiomodulation with a red laser. The minor obtained 16 points in the neonatal tongue screening test, indicating the need for a frenectomy. Thus, she was referred to a dentist for surgery. After the surgical procedure, macroglossia was observed as a maternal complaint (previously not mentioned). The wound healing was satisfactory, and the total score obtained in the reapplication of the protocol (five points) showed functional results of improvements in sucking and tongue mobility, justifying the importance of the frenectomy. Conclusion: Frenectomy, despite showing macroglossia related to the Beckwith‐Wiedemann syndrome, allowed anatomical and functional advances of the tongue in the present clinical case.

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Section: Introductionmentioning

confidence: 79%

Assessment of the tongue frenulum in Beckwith‐Wiedemann syndrome: Pre‐ and post‐frenectomy findings

César

Torres

Andrade

et al. 2021

Special Care in Dentistry

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Interdisciplinary approach in the treatment of macroglossia in Beckwith-Wiedemann syndrome: case report

Aleixo

Gomes

Ferreira

et al. 2023

Audiol., Commun. Res.

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This study aims to report the interdisciplinary management of macroglossia in a Beckwith-Wiedemann syndrome patient during ten years. Clinical follow-up started by the Oral and Maxillofacial Surgery team, followed by Speech Therapy due to feeding difficulties. After clinical and instrumental evaluation, at 8 months old, the speech therapy intervention was indicated, focusing on oropharyngeal dysphagia and orofacial myofunctional therapy. At 1 year and 11 months, no signs of swallowing alteration in the pharyngeal phase and improvement in the posture of the lips and tongue were found. At the age of 3, stimulation to remove oral habits and train masticatory function were initiated. Orthodontic treatment to correct anterior open bite and unilateral posterior crossbite started at age 6. At 7 years and 5 months, there was stability in the nasal breathing mode and adequacy of resting posture of lips and tongue. At the age of 9, due to relapse of the occlusal alterations, surgical reduction of the tongue was indicated, followed by orofacial myofunctional therapy, restarted at the age of 9 years and 3 months. The result was the correction of the posture of the tongue during swallowing and speech adequacy. The association of treatments involving Speech Therapy, Orthodontics and Oral and Maxillofacial Surgery was considered effective in the management of the macroglossia. It resulted in the adequacy and equilibrium of orofacial functions.

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Abordagem interdisciplinar no tratamento da macroglossia na síndrome de Beckwith-Wiedemann: relato de caso

Aleixo

Gomes

Ferreira

et al. 2023

Audiol., Commun. Res.

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RESUMO O objetivo deste estudo foi relatar a abordagem interdisciplinar no manejo da macroglossia em um caso de paciente com síndrome de Beckwith-Wiedemann, no período de dez anos. O acompanhamento iniciou pela equipe de Cirurgia Bucomaxilofacial, seguido da Fonoaudiologia, em função de dificuldades alimentares. Após avaliação clínica e instrumental, aos 8 meses de idade, iniciou-se a intervenção fonoaudiológica com foco na disfagia orofaríngea e na terapia miofuncional orofacial. Foi verificado, com 1 ano e 11 meses, ausência de sinais de alteração de deglutição em fase faríngea e melhora na postura de lábios e língua. Aos 3 anos, foram iniciados estímulos para retirada dos hábitos orais e o treino da função mastigatória. O tratamento ortodôntico para correção de mordida aberta anterior e mordida cruzada posterior unilateral iniciou-se aos 6 anos. Aos 7 anos e 5 meses de idade, constatou-se estabilidade do modo respiratório nasal e adequação da postura de repouso de lábios e língua. Aos 9 anos, em função de recidiva das alterações oclusais, optou-se pela redução cirúrgica da língua seguida de terapia miofuncional orofacial, retomada aos 9 anos e 3 meses. O resultado foi a correção da postura da língua na deglutição e a adequação da fala. A associação dos tratamentos, envolvendo Fonoaudiologia, Ortodontia e Cirurgia Bucomaxilofacial foi considerada efetiva no manejo da macroglossia, resultando na adequação e equilíbrio das funções orofaciais.

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Síndrome de Beckwith-Wiedmann: relato de caso da intervenção fonoaudiológica

Cited by 3 publications

References 10 publications

Assessment of the tongue frenulum in Beckwith‐Wiedemann syndrome: Pre‐ and post‐frenectomy findings

Assessment of the tongue frenulum in Beckwith‐Wiedemann syndrome: Pre‐ and post‐frenectomy findings

Interdisciplinary approach in the treatment of macroglossia in Beckwith-Wiedemann syndrome: case report

Abordagem interdisciplinar no tratamento da macroglossia na síndrome de Beckwith-Wiedemann: relato de caso

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