Macroglossia associated with dentofacial deformity treated by orthognathic surgery and simultaneous partial glossectomy: Case report release_lji37q25jrcxlnu3snajipa42a

by Everton Carvalho, Department of Oral and maxillofacial Surgery, Federal University of Uberlândia, Uberlândia, MG, Brazil, Cristiano Figueiredo, Sandro Santana, Darceny Zanetta-Barbosa, Flaviana Rocha, Department of Oral and maxillofacial Surgery, Federal University of Uberlândia, Uberlândia, MG, Brazil, Department of Oral and Maxillofacial Surgery, University Hospital Alzira Velano, University of Alfenas – Unifenas, Alfenas, MG, Brazil, Department of Oral and maxillofacial Surgery, Federal University of Uberlândia, Uberlândia, MG, Brazil, Dentistry Department, Health Science School, University of Brasília, Brasília, DF, Brazi

Published in Revista Portuguesa de Estomatologia, Medicina Dentaria e Cirurgia Maxilofacial by Sociedade Portuguesa de Estomatologia e Medicina Dentaria (SPEMD).

2023   Volume 64, Issue 4

Abstract

Macroglossia is the abnormally large tongue volume, which, among other causes, may result from increased growth, leading to a size bigger than the oral cavity allows for functional balance. This alteration may be associated with dento-musculoskeletal deformities and instability of orthodontic-surgical treatment, besides favoring the appearance of chewing, speech, and breathing disorders. Surgical tongue reduction is an uncommon procedure indicated for functional or aesthetic correction. This case report involves a patient with relative macroglossia and dentofacial deformity with Angle Class III malocclusion who was also diagnosed with obstructive sleep apnea syndrome. In a single surgical procedure, orthognathic surgery was performed to correct dentofacial deformity using maxillary advancement and expansion, along with advancement genioplasty with basilar horizontal osteotomy and partial glossectomy using the Egyedi-Obwegeser technique. The techniques used were satisfactory for correcting the alterations and restoring function and aesthetics.
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