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Int Arch Otorhinolaryngol 2012; 16(03): 414-417
DOI: 10.7162/S1809-97772012000300020
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Partial glossectomy as an auxiliary method to orthodontic treatment of dentofacial deformity

Fued Samir Salmen
1   Master Course for Postgraduate in Health Sciences HOSPHEL Heliopolis Hospital, Sao Paulo / SP, Brazil. Chief of Surgery Maxillo-Facial Ana Costa Hospital, Santos / SP.
,
Rogério Aparecido Dedivitis
2   Professor at UNILUS Lusiada Foundation, Santos. Professor of Otolaryngology and Head and Neck Surgery, Metropolitan University de Santos.
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Further Information

Publication History

04 August 2010

20 November 2010

Publication Date:
05 December 2013 (online)

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Summary

Introduction: macroglossia is a condition which influences the size and shape of the teeth employed due to the forces on teeth.

Objective: To establish bases for the indication of partial glossectomy associated with orthodontic treatment and surgical dento-facial deformity in patients without tumors and Down syndrome as a cause of macroglossia.

Case reports: Three patients underwent orthognathic surgery associated with partial glossectomy under general anesthesia. All patients had macroglossia relative and underwent clinical assessment taking into account the respiratory function, swallowing and speech deficits and radiological evaluation. The technique used consist of segmental resection along the median raphe of the tongue and suture by planes. We used rigid skeletal fixation with titanium plates and screws so that patients could stay without intermaxillary block in the immediate postoperative period. Were followed over five years. The symptoms regressed completely and all skeletal segments remained stable.

Discussion: The decision to refer the patient to partial glossectomy should be based on the volume of the language, mobility, position, function, symptoms, speech intelligibility, skeletal anterior open bite, interference in orthodontic treatment, drooling, swallowing and tongue trauma applicant.

Keywords

macroglossia - glossectomy - corrective orthodontics
 

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