Salmen Fued Samir, Dedivitis Rogério Aparecido
Master 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.
Int Arch Otorhinolaryngol. 2012 Jul;16(3):414-7. doi: 10.7162/S1809-97772012000300020.
macroglossia is a condition which influences the size and shape of the teeth employed due to the forces on teeth.
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.
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.
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.
巨舌症是一种因作用于牙齿的力量而影响所使用牙齿大小和形状的病症。
为无肿瘤及唐氏综合征作为巨舌症病因的患者进行部分舌切除术联合正畸治疗及外科牙颌面畸形矫治建立依据。
三名患者在全身麻醉下接受了与部分舌切除术相关的正颌手术。所有患者均有相对巨舌症，并接受了考虑呼吸功能、吞咽和言语缺陷的临床评估以及影像学评估。所采用的技术包括沿舌正中缝进行节段性切除并分层缝合。我们使用钛板和螺钉进行坚固的骨骼固定，以便患者在术后即刻无需颌间固定。随访超过五年。症状完全消退，所有骨骼节段保持稳定。
将患者转诊至部分舌切除术的决定应基于舌的体积、活动度、位置、功能、症状、言语清晰度、骨骼性前牙开、正畸治疗中的干扰、流涎、吞咽及舌部创伤情况。
