13 Partial Glossectomy for Macroglossia

Reduction glossectomy for macroglossia in children

“…The more muscle removed from the anterior tongue, the less upward mobility the tongue will retain. Taste sensation appears to be unaltered after glossectomy [18]. Even though the primary taste buds for sweetness are located in the anterior tongue, the other taste buds (sourness, bitterness, saltiness) seem to be stimulated sufficiently, by sweets, to provide the appropriate sensation [19].…”

“…With the glossectomy procedures, mobility of the tongue will not be significantly decreased [18]. The lateral, downward, and protrusive movements will usually remain unchanged, although movement of the tongue cephalad may be somewhat restricted.…”

Algorithm for the Differential Diagnosis of Posterior Open Bites: Two Illustrative Cases

“…30 Another issue that should not be overlooked is an enlarged tongue or macroglos- sia, which may necessitate a partial glossectomy, depending on the severity of macroglossia. 30,31 If a condylar hyperplasia or neoplasm is suspected, cone beam computed tomography (CBCT) may be used as a primary examination of the temporomandibular joint (TMJ) to aid in visualizing the condyles and condylar necks. 32 In addition, a technetium 99 bone scan single-photon emission computed tomographic (SPECT) analysis of the TMJs bilaterally 33-37 may serve as a supplemental tool in confirming or rejecting a diagnosis of condylar hyperplasia.…”

Oral vibrotactile stimulation: A method for monitoring change in lingual sensitivity as a function of time

“…Partial glossectomy has been used successfully as a surgical adjunct in selected patients with macroglossia, apertognathia, tongue thrust, lisping, and combinations of these (Allison, Miller, Troiana, & Wallace, 1971). The degree of articulatory impairment following glossectomy depends on the amount of tissue removed and its location (Messengill, Maxwall, & Pickrell, 1970).…”