Macroglossia associated with dentofacial deformity treated by orthognathic surgery and simultaneous partial glossectomy: Case report
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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
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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Date 2023-12-30
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1646-2890
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