Surgical management of macroglossia in children: two case reports

Congenital macroglossia is associated with a variety of syndromes, mostcommonly Down syndrome and Beckwith-Widemann syndrome. Clinically,macroglossia may impair the airways, cause dysphagia and poor cosmesis.A variety of treatments have been proposed and surgical resection is themost common. We revi...

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Bibliographic Details
Main Authors: Maurício Macedo, Karine Furtado Meyer
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2007-06-01
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.einstein.br/revista/arquivos/PDF/161-169.case-surgical.5.2.1.pdf
Description
Summary:Congenital macroglossia is associated with a variety of syndromes, mostcommonly Down syndrome and Beckwith-Widemann syndrome. Clinically,macroglossia may impair the airways, cause dysphagia and poor cosmesis.A variety of treatments have been proposed and surgical resection is themost common. We review management of patients and describe a surgicaltechnique, consisting of a keyhole resection to decrease the width andlength of the tongue. Patients had improved cosmesis and better functionof upper airways, with no change in speech and feeding. Keyhole resectionis an effective treatment for macroglossia.
ISSN:1679-4508