New surgical method of tongue reduction for Macroglossia

Publication date: Available online 20 July 2018

Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

Author(s): Gardon Marc-Antoine, Andre Charles-Victor, Ernenwein Didier, Teissier Natacha, Bennaceur Selim

ABSTRACT

Objective

We hereby describe a new surgical technique, which allows efficient tongue reduction with satisfactory appearance and avoids complications due to tip excision.

Study Design

This is a retrospective case review that includes 6 patients who underwent a tongue reduction for macroglossia using our new central V shape technique. 3 subjects were operated at early age because of significant macroglossia with permanent tongue protrusion, cosmetics disorder and speech delay. For the other 3 subjects, surgery was undertaken at teenage because medical treatment was unsuccessful. We assessed tongue shape, mobility, taste and sensitivity.

Results

The post-operative follow-up period ranged from 2 months to 16 years with an average of 7 years. On subjective evaluation, all patients were satisfied with their tongue' appearance and reported no sensitive nor sensory difficulties. They had normal food progression in the oral cavity. Objectively, their tongue had normal mobility, taste and sensitivity. Postoperatively, in these patients, there was no residual tongue protrusion, cosmetics disorder and nor speech-delay. No patient needed revision surgery.

Conclusion

This central V-shaped excision offers good surgical results with efficient tongue reduction and none of the complications due to other tongue reduction techniques such as tongue's tip amputation nor anterior-wedge resection.

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