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

Summary 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 de...

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Main Authors: Fued Samir Salmen, Rogério Aparecido Dedivitis
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2012-07-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.7162/S1809-97772012000300020
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author Fued Samir Salmen
Rogério Aparecido Dedivitis
author_facet Fued Samir Salmen
Rogério Aparecido Dedivitis
author_sort Fued Samir Salmen
collection DOAJ
description Summary 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-e56d47c719364f92b5402a44fda457472022-12-21T18:15:43ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642012-07-01160341441710.7162/S1809-97772012000300020Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformityFued Samir Salmen0Rogério Aparecido Dedivitis1Master Course for Postgraduate in Health Sciences HOSPHEL Heliopolis Hospital, Sao Paulo / SP, Brazil. Chief of Surgery Maxillo-Facial Ana Costa Hospital, Santos / SP.Professor at UNILUS Lusiada Foundation, Santos. Professor of Otolaryngology and Head and Neck Surgery, Metropolitan University de Santos.Summary 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.http://www.thieme-connect.de/DOI/DOI?10.7162/S1809-97772012000300020macroglossiaglossectomycorrective orthodontics
spellingShingle Fued Samir Salmen
Rogério Aparecido Dedivitis
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.thieme-connect.de/DOI/DOI?10.7162/S1809-97772012000300020
work_keys_str_mv AT fuedsamirsalmen partialglossectomyasanauxiliarymethodtoorthodontictreatmentofdentofacialdeformity
AT rogerioaparecidodedivitis partialglossectomyasanauxiliarymethodtoorthodontictreatmentofdentofacialdeformity