Do facial morphology, posture and function change following glossectomy? A systematic review

Awadhi, Tariq M Al; Kaklamanos, Eleftherios G.; Athanasiou, Athanasios E.

doi:10.4103/jos.jos_97_18

Cited by 2 publications

(1 citation statement)

References 40 publications

(47 reference statements)

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“…A recently published systematic review on the subject found no significant differences in the medium term regarding the adaptation of dentofacial structures and language function after glossectomy. 10 Still, supporting speech therapy is essential after orthognathic surgery and glossectomy. 11 It aims to help reestablish normal tongue mobility and word articulation, ef- fectively improving speech intelligibility in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Macroglossia associated with dentofacial deformity treated by orthognathic surgery and simultaneous partial glossectomy: Case report

Carvalho,

Figueiredo,

Santana

et al. 2023

j.rpemd

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Macroglossia is the abnormally large tongue volume, which, among other causes, may result from increased growth, leading to a size bigger than the oral cavity allows for functional balance. This alteration may be associated with dento-musculoskeletal deformities and instability of orthodontic-surgical treatment, besides favoring the appearance of chewing, speech, and breathing disorders. Surgical tongue reduction is an uncommon procedure indicated for functional or aesthetic correction. This case report involves a patient with relative macroglossia and dentofacial deformity with Angle Class III malocclusion who was also diagnosed with obstructive sleep apnea syndrome. In a single surgical procedure, orthognathic surgery was performed to correct dentofacial deformity using maxillary advancement and expansion, along with advancement genioplasty with basilar horizontal osteotomy and partial glossectomy using the Egyedi-Obwegeser technique. The techniques used were satisfactory for correcting the alterations and restoring function and aesthetics.

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Section: Discussionmentioning

confidence: 99%

Macroglossia associated with dentofacial deformity treated by orthognathic surgery and simultaneous partial glossectomy: Case report

Carvalho,

Figueiredo,

Santana

et al. 2023

j.rpemd

View full text Add to dashboard Cite

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Anterior “W” Tongue Reduction for Macroglossia in Beckwith-Wiedemann Syndrome

Ainuz

Geisler

Hallac

et al. 2021

The Cleft Palate Craniofacial Journal

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Introduction Macroglossia occurs in 80% to 99% of patients with Beckwith-Wiedemann syndrome (BWS) and a variety of surgical techniques for tongue reduction are offered by surgeons. The purpose of this study is to evaluate the postoperative outcomes of the anterior “W” tongue reduction technique in patients with BWS. Methods A retrospective review was conducted of all patients diagnosed with BWS that underwent an anterior “W” tongue reduction for macroglossia in the past 7 years, performed by 2 surgeons. Demographics, procedural characteristics, perioperative outcomes, and complications were assessed. Results A total of 19 patients met inclusion criteria consisting of 8 male and 11 female patients. The mean age at the time of surgery was 405 days, mean surgeon operating time was 1.06 h, and mean length of follow-up was 467 days. Postoperative oral competence was observed in 100% of patients. There was no reported history of sleep apnea or airway compromise. Speech delay was seen in 4 patients pre- and postoperatively. Feeding issues decreased from 7 patients preoperatively to 1 patient postoperatively. Preoperative prevalence of class III malocclusion (53%) and isolated anterior open bite (26%) decreased postoperatively to 37% and 16%, respectively. The only reported complications were superficial tip wound dehiscence in 3 patients treated with nystatin antifungal therapy. None of the patients required revisional surgery. Conclusion Patients treated with the anterior “W” tongue reduction technique had low rates of perioperative complications and significant improvements in oral competence. Anterior “W” tongue reduction is safe and effective for the correction of macroglossia in patients with BWS.

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Do facial morphology, posture and function change following glossectomy? A systematic review

Cited by 2 publications

References 40 publications

Macroglossia associated with dentofacial deformity treated by orthognathic surgery and simultaneous partial glossectomy: Case report

Macroglossia associated with dentofacial deformity treated by orthognathic surgery and simultaneous partial glossectomy: Case report

Anterior “W” Tongue Reduction for Macroglossia in Beckwith-Wiedemann Syndrome

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