Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity

Introduction: macroglossia is a condition which influences the size and shape of the teeth employed due to the forces on teeth. Objective: To establish bases for the indication of partial glossectomy associated with orthodontic treatment and surgical dento-facial deformity in patients without tumors...

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Main Authors: Salmen, Fued Samir, Dedivitis, Rogério Aparecido
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2012-01-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.internationalarchivesent.org/additional/acervo_eng.asp?id=1299
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author Salmen, Fued Samir
Dedivitis, Rogério Aparecido
author_facet Salmen, Fued Samir
Dedivitis, Rogério Aparecido
author_sort Salmen, Fued Samir
collection DOAJ
description Introduction: macroglossia is a condition which influences the size and shape of the teeth employed due to the forces on teeth. Objective: To establish bases for the indication of partial glossectomy associated with orthodontic treatment and surgical dento-facial deformity in patients without tumors and Down syndrome as a cause of macroglossia. Case reports: Three patients underwent orthognathic surgery associated with partial glossectomy under general anesthesia. All patients had macroglossia relative and underwent clinical assessment taking into account the respiratory function, swallowing and speech deficits and radiological evaluation. The technique used consist of segmental resection along the median raphe of the tongue and suture by planes. We used rigid skeletal fixation with titanium plates and screws so that patients could stay without intermaxillary block in the immediate postoperative period. Were followed over five years. The symptoms regressed completely and all skeletal segments remained stable. Discussion: The decision to refer the patient to partial glossectomy should be based on the volume of the language, mobility, position, function, symptoms, speech intelligibility, skeletal anterior open bite, interference in orthodontic treatment, drooling, swallowing and tongue trauma applicant.
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spelling doaj.art-9dbab6690bcb4262bed10b9763080bab2022-12-22T03:48:22ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642012-01-01163414417Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformitySalmen, Fued SamirDedivitis, Rogério AparecidoIntroduction: macroglossia is a condition which influences the size and shape of the teeth employed due to the forces on teeth. Objective: To establish bases for the indication of partial glossectomy associated with orthodontic treatment and surgical dento-facial deformity in patients without tumors and Down syndrome as a cause of macroglossia. Case reports: Three patients underwent orthognathic surgery associated with partial glossectomy under general anesthesia. All patients had macroglossia relative and underwent clinical assessment taking into account the respiratory function, swallowing and speech deficits and radiological evaluation. The technique used consist of segmental resection along the median raphe of the tongue and suture by planes. We used rigid skeletal fixation with titanium plates and screws so that patients could stay without intermaxillary block in the immediate postoperative period. Were followed over five years. The symptoms regressed completely and all skeletal segments remained stable. Discussion: The decision to refer the patient to partial glossectomy should be based on the volume of the language, mobility, position, function, symptoms, speech intelligibility, skeletal anterior open bite, interference in orthodontic treatment, drooling, swallowing and tongue trauma applicant.http://www.internationalarchivesent.org/additional/acervo_eng.asp?id=1299macroglossiaglossectomycorrective orthodontics
spellingShingle Salmen, Fued Samir
Dedivitis, Rogério Aparecido
Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity
International Archives of Otorhinolaryngology
macroglossia
glossectomy
corrective orthodontics
title Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity
title_full Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity
title_fullStr Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity
title_full_unstemmed Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity
title_short Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity
title_sort partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity
topic macroglossia
glossectomy
corrective orthodontics
url http://www.internationalarchivesent.org/additional/acervo_eng.asp?id=1299
work_keys_str_mv AT salmenfuedsamir partialglossectomyasanauxiliarymethodtoorthodontictreatmentofdentofacialdeformity
AT dedivitisrogerioaparecido partialglossectomyasanauxiliarymethodtoorthodontictreatmentofdentofacialdeformity