Rizer F M, Schechter G L, Richardson M A
Int J Pediatr Otorhinolaryngol. 1985 Mar;8(3):225-36. doi: 10.1016/s0165-5876(85)80083-5.
Tongue enlargement of varying degrees occurs in many people and often requires no therapy. However, marked tongue enlargement, when present, requires direct intervention. In this case, the otolaryngologist is presented with a dilemma, for the etiology of the problem is often obscure. In many cases, the tongue enlargement is secondary to systemic disease, and medical management is indicated. When tongue reduction is indicated, there are many modalities available. Of these, only excision offers an acceptable functional result with minimal morbidity. Even large protuberant tongues can be reduced with minimum difficulty. The type of tongue excision can be tailored to the involved area and to special patient requirements. The problem of macroglossia is explored and management techniques are reviewed to present an alternative for optimal management of the enlarged tongue.
许多人会出现不同程度的舌体增大，通常无需治疗。然而，若出现明显的舌体增大，则需要直接干预。在这种情况下，耳鼻喉科医生会面临两难境地，因为问题的病因往往不明。在许多病例中，舌体增大是全身性疾病的继发表现，此时需要进行药物治疗。当需要进行舌体缩小手术时，有多种方法可供选择。其中，只有切除手术能在发病率最低的情况下提供可接受的功能效果。即使是巨大的突出舌体，也能以最小的难度进行缩小。舌切除的类型可根据受累区域和患者的特殊需求进行调整。本文探讨了巨舌症问题，并回顾了治疗技术，以提供一种优化处理增大舌体的替代方法。
