Diagnosis of macroglossia and indications for reduction glossectomy

Wolford, Larry M.; Cottrell, David A.

doi:10.1016/s0889-5406(96)70105-1

Cited by 114 publications

(97 citation statements)

References 17 publications

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“…Tongue volume reduction is a valuable approach for treating symptomatic macroglossia and some related functional disorders (Deguchi 1993 ;Davalbhakta and Lamberty 2000 ;Wolford and Cottrell 1996 ;Ruff 1985 ;Herren et al . 1981 ;Li et al .…”

Section: Mass Reduction and Tongue Kinematicsmentioning

confidence: 99%

Tongue Muscle Response to Neuromuscular Diseases and Specific Pathologies

Liu

2012

Craniofacial Muscles

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The tongue is the only muscular organ in the craniofacial region and plays fundamental roles in almost all oral motor functions, including drinking, ingestion, chewing, swallowing, respiration, and speech. A number of neuromuscular diseases, such as epilepsy, multiple sclerosis, cerebral palsy, muscular dystrophy, Parkinson's and Huntington's diseases, and myasthenia gravis, signi fi cantly affect tongue motor functions. These negative impacts include reduced or complete loss of control in moving the tongue (tongue displacement) and/or changing the shape of the tongue (tongue deformation), tongue spasm or convulsion, muscle dystonia, and ankyloglossia. Several sensational disorders may also occur due to these neuromuscular diseases, including burning tongue, loss of taste function (ageusia), decreased ability to taste (hypogeusia), and changes in taste (dysgeusia). In recent decades, extensive studies have demonstrated that tongue size, volume, position, and neuromuscular activity, especially in the tongue base, are signi fi cantly implicated in obstructive sleep apnea (OSA), a potential life-threatening disorder of breathing, which affects 2-4% of the adult population (Schwab 2003 ;Schwab et al . 2003 ) .In addition to the complex network of interwoven fi bers and fi ber bundles from four intrinsic and four extrinsic tongue muscles which facilitate complicated and delicate tongue kinematics, the tongue also has a large network of subdividing nerve branches and blood supply. Studies have shown that the hypoglossal nerve alone has more than 50 primary branches innervating tongue musculature (Mu and Sanders 1999 ) . Unlike other body motor organs, the tongue is composed almost entirely of

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Section: Mass Reduction and Tongue Kinematicsmentioning

confidence: 99%

Tongue Muscle Response to Neuromuscular Diseases and Specific Pathologies

Liu

2012

Craniofacial Muscles

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“…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].…”

Section: Introductionmentioning

confidence: 99%

Reduction glossectomy for macroglossia in children

Elhalaby¹,

Hassan²,

Almetaher³

2015

Annals of Pediatric Surgery

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“…As the tongue base is not touched, tongue mobility is not Treatment of macroglossia in a child 963 affected. This minimizes the risks of motor dysfunction (due to hypoglossal nerve injury), loss of taste, paralysis of the tongue and salivary duct injury, which are usually cited among the potential complications associated with partial glossectomy 41 . Radiofrequency surgery applied in reduction glossectomy can be beneficial.…”

Section: Discussionmentioning

confidence: 99%