True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique
Objective: To describe a 2-year old boy with true congenital macroglossia surgically managed using a modified Kole technique. Methods: Study Design: Surgical Innovation Setting: Tertiary Government Hospital Patient: One Result...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2016-11-01
|
| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/241 |
| _version_ | 1818940550096617472 |
|---|---|
| author | Jenifer C. Smith Gil M. Vicente |
| author_facet | Jenifer C. Smith Gil M. Vicente |
| author_sort | Jenifer C. Smith |
| collection | DOAJ |
| description | Objective: To describe a 2-year old boy with true congenital macroglossia surgically managed using a modified Kole technique.
Methods:
Study Design: Surgical Innovation
Setting: Tertiary Government Hospital
Patient: One
Results: A 2-year-old boy presented with congenital macroglossia, associated with difficulty feeding and phonating. On physical examination, the massive tongue had both increased length and width. At rest, it protruded between the upper and lower teeth, with drying and fissuring of the tip. Dribbling of saliva and mandible prognathism were also noted. The child was surgically treated with a modified Kole technique, wherein the apex of the anterior wedge resection was extended to the posterior third midline. Final histopathology was consistent with cavernous hemangioma.
Conclusion: The modified Kole technique proved viable, as the postoperative results were considered satisfactory. Tongue volume was uniformly reduced in length and width, enabling mouth and jaw closure, while tongue sensation and mobility were preserved. Feeding, speech intelligibility and cosmesis were markedly improved. Future application of this modification may prove its usefulness.
Keywords: macroglossia; glossectomy; congenital macroglossia |
| first_indexed | 2024-12-20T06:41:25Z |
| format | Article |
| id | doaj.art-37bdc00c1c31435ea5f970602441c43e |
| institution | Directory Open Access Journal |
| issn | 1908-4889 2094-1501 |
| language | English |
| last_indexed | 2024-12-20T06:41:25Z |
| publishDate | 2016-11-01 |
| publisher | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| record_format | Article |
| series | Philippine Journal of Otolaryngology Head and Neck Surgery |
| spelling | doaj.art-37bdc00c1c31435ea5f970602441c43e2022-12-21T19:49:50ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012016-11-0131210.32412/pjohns.v31i2.241True Congenital Macroglossia Surgically Managed Using a Modified Kole TechniqueJenifer C. Smith0Gil M. Vicente1Department of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterDepartment of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterObjective: To describe a 2-year old boy with true congenital macroglossia surgically managed using a modified Kole technique. Methods: Study Design: Surgical Innovation Setting: Tertiary Government Hospital Patient: One Results: A 2-year-old boy presented with congenital macroglossia, associated with difficulty feeding and phonating. On physical examination, the massive tongue had both increased length and width. At rest, it protruded between the upper and lower teeth, with drying and fissuring of the tip. Dribbling of saliva and mandible prognathism were also noted. The child was surgically treated with a modified Kole technique, wherein the apex of the anterior wedge resection was extended to the posterior third midline. Final histopathology was consistent with cavernous hemangioma. Conclusion: The modified Kole technique proved viable, as the postoperative results were considered satisfactory. Tongue volume was uniformly reduced in length and width, enabling mouth and jaw closure, while tongue sensation and mobility were preserved. Feeding, speech intelligibility and cosmesis were markedly improved. Future application of this modification may prove its usefulness. Keywords: macroglossia; glossectomy; congenital macroglossiahttps://pjohns.pso-hns.org/index.php/pjohns/article/view/241macroglossia; glossectomy; congenital macroglossia |
| spellingShingle | Jenifer C. Smith Gil M. Vicente True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique Philippine Journal of Otolaryngology Head and Neck Surgery macroglossia; glossectomy; congenital macroglossia |
| title | True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique |
| title_full | True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique |
| title_fullStr | True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique |
| title_full_unstemmed | True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique |
| title_short | True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique |
| title_sort | true congenital macroglossia surgically managed using a modified kole technique |
| topic | macroglossia; glossectomy; congenital macroglossia |
| url | https://pjohns.pso-hns.org/index.php/pjohns/article/view/241 |
| work_keys_str_mv | AT jenifercsmith truecongenitalmacroglossiasurgicallymanagedusingamodifiedkoletechnique AT gilmvicente truecongenitalmacroglossiasurgicallymanagedusingamodifiedkoletechnique |