Departament of Speech Therapy, Federal University of Sergipe, Avenida Marechal Rondon, no number, Jd. Rosa Elze, São Cristóvão, Sergipe, 49100-000, Brazil.
Department of Speech Therapy, Federal University of Sergipe, Avenida Gov. Marcelo Déda, no number, Bairro São José, Lagarto, Sergipe, 49400-000, Brazil.
Spec Care Dentist. 2021 Jul;41(4):526-531. doi: 10.1111/scd.12600. Epub 2021 May 8.
To report the pre- and post-frenectomy findings of a patient with Beckwith-Wiedemann syndrome.
Clinical case report of a patient with a confirmed genetic-molecular diagnosis of the referred syndrome. The minor was evaluated and reassessed by the protocol for the evaluation of the tongue's frenulum for babies in two moments: pre-surgical and 2 months after the frenectomy. The surgical procedure was performed using the traditional technique and, after the procedure, the minor was breastfed and received photobiomodulation with a red laser. The minor obtained 16 points in the neonatal tongue screening test, indicating the need for a frenectomy. Thus, she was referred to a dentist for surgery. After the surgical procedure, macroglossia was observed as a maternal complaint (previously not mentioned). The wound healing was satisfactory, and the total score obtained in the reapplication of the protocol (five points) showed functional results of improvements in sucking and tongue mobility, justifying the importance of the frenectomy.
Frenectomy, despite showing macroglossia related to the Beckwith-Wiedemann syndrome, allowed anatomical and functional advances of the tongue in the present clinical case.
报告 1 例 Beckwith-Wiedemann 综合征患者行舌系带切除术前后的发现。
对经基因分子诊断确诊为该综合征的患者进行临床病例报告。该未成年人按婴儿舌系带评估方案在两个时间点进行评估和再评估：手术前和舌系带切除术 2 个月后。手术采用传统技术进行，手术后，未成年人接受母乳喂养和红光激光光生物调节治疗。该未成年人在新生儿舌筛查测试中获得 16 分，表明需要进行舌系带切除术。因此，她被转介给牙医进行手术。手术后，母亲抱怨出现巨舌症（之前未提及）。伤口愈合良好，再次应用方案（五分制）获得的总评分显示吸吮和舌运动功能改善，这证明了舌系带切除术的重要性。
尽管舌系带切除术与 Beckwith-Wiedemann 综合征相关的巨舌症，但在本临床病例中，允许舌的解剖和功能得到改善。
