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Review
. 2013 Jul;3(2):167-72.
doi: 10.4103/2231-0746.119230.

Reduction glossectomy for large tongues

S M Balaji  1
Affiliations
Review

Reduction glossectomy for large tongues

S M Balaji. Ann Maxillofac Surg. 2013 Jul.

Abstract

Pathological enlargement of tongue is caused by several conditions and diseases. In several instances, surgery remains the only viable option for complete cure. Persistent bleeding, compromised neuro-motor-sensory functions during the postoperative period are the most common complaints encountered after macroglossia correction. The tongue is a muscular organ, whose complex neuroanatomy is being unraveled slowly. Various types of macroglossia resections in unique clinical situations have been proposed by several clinicians till date. There has never been unanimously accepted resection for the treatment of macroglossia. This review article attempts to preview the cosmetic and functional components for resection designs.

Keywords: Beckwith-Wiedemann syndrome; macroglossia; neuroanatomy; tongue musculature; tongue resection.

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Conflict of interest statement

Conflict of Interest: No

Figures

Figure 1
Figure 1
Incision pattern for Anterior 2/3rd Macroglossia. (a) Pichler, (b) Harris, Blair, and Hendrick, (c) Pichler–Edgerton, Central Reduction, (d) Butlin and Ensign, (e) Egyedi and Obwegeser, (f) Kole, Davalbhakta and Lamberty, (g and h) Austerman and Machtens, (i) Kruchinsky, (j) Mixter, (k) Harda and Enomoto, (l) Morgan et al. and Kacker et al.[1011121314151617181920]
Figure 2
Figure 2
Incision pattern for Anterior 2/3rd Macroglossia. (a) Modified key-hole, (b) Pless, (c) Modification of Mixter, (d) Rheinwald, (e) Kole, (f) Gupta, (g) Deplange, (h) Dingman and Grab, (i) Magee, (j) Egyedi and Obwegeser, (k) Stellate- Anterior wedge, (l) Butlin-Handley[1011121314151617181920]
Figure 3
Figure 3
Clinical images of case 1 (a) Note the increased dimension of length and width preoperatively, (b) Postoperative facial profile, (c) Resection design, (d) Resected area, (e) Resected specimen, (f) Sutures placed
Figure 4
Figure 4
Clinical images of case 2 (a) Preoperative view, (b) Marking for incision, (c) Intraoperative photograph, (d) Suturing done, (e) Resected specimen, (f) Postoperative view
Figure 5
Figure 5
Clinical images of case 3 (a and b) Preoperative assessment length and width, (c) Resection design, (d and e) Intraoperative view, (f) Sutures placed
See this image and copyright information in PMC

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