Macroglossia associated with dentofacial deformity treated by orthognathic surgery and simultaneous partial glossectomy: Case report

Autor: Everton Luiz de Oliveira Carvalho, Cristiano Elias Figueiredo, Sandro Isaías Santana, Darceny Zanetta-Barbosa, Flaviana Soares Rocha
Jazyk: English<br />Portuguese
Rok vydání: 2023
Předmět:
Zdroj: Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial, Vol 64, Iss 4, Pp 181-187 (2023)
Druh dokumentu: article
ISSN: 1646-2890
1647-6700
DOI: 10.24873/j.rpemd.2023.12.1203
Popis: Macroglossia is the abnormally large tongue volume, which, among other causes, may result from increased growth, leading to a size bigger than the oral cavity allows for functional balance. This alteration may be associated with dento-musculoskeletal deformities and instability of orthodontic-surgical treatment, besides favoring the appearance of chewing, speech, and breathing disorders. Surgical tongue reduction is an uncommon procedure indicated for functional or aesthetic correction. This case report involves a patient with relative macroglossia and dentofacial deformity with Angle Class III malocclusion who was also diagnosed with obstructive sleep apnea syndrome. In a single surgical procedure, orthognathic surgery was performed to correct dentofacial deformity using maxillary advancement and expansion, along with advancement genioplasty with basilar horizontal osteotomy and partial glossectomy using the Egyedi-Obwegeser technique. The techniques used were satisfactory for correcting the alterations and restoring function and aesthetics.
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