Partial Glossectomy in a 2-month-old Infant with Beckwith-Wiedemann Syndrome - A Case Report.

RATIONALE

Beckwith-Wiedemann syndrome (BWS) is a rare genetic disorder characterised by aberrant growth patterns, tumour risk and a wide range of clinical symptoms. This illness necessitates a multidisciplinary strategy to address the metabolic, multi-organ and structural issues of considerable health concern.

PATIENT CONCERN

A 56-day-old infant presents with macroglossia due to BWS.

DIAGNOSIS

On examination, the infant revealed an enlarged protruded tongue causing difficulty in sleeping, feeding and breathing.

TREATMENT

The infant underwent a successful anteroposterior keyhole glossectomy, which improved his airway function, eating and overall quality of life. Tongue tissue was carefully excised and anatomically reconstructed to enhance the function.

OUTCOME

The patient was followed for up to 22 months; the results were acceptable, with the tongue in its normal position, improved breathing and no feeding issues.

TAKE-AWAY LESSON: In this case report, early intervention improved respiratory function, obstructive sleep apnoea/hypopnoea syndrome and encouraged normal growth and development.