Functional outcomes in children with reduction glossectomy for vascular malformations ? “less is more!”

John K. Thomas; Vivek Samuel Gaikwad; Telugu Ramesh Babu; John Mathai; Rohit Srinivas; Immanuel Sampath Karl

doi:10.5125/jkaoms.2021.47.3.209

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자료유형: 학술저널

저자정보: John K. Thomas (Christian Medical College) Vivek Samuel Gaikwad (Christian Medical College) Telugu Ramesh Babu (Christian Medical College) John Mathai (Christian Medical College) Rohit Srinivas (Christian Medical College) Immanuel Sampath Karl (Christian Medical College)

저널정보: 대한구강악안면외과학회 대한구강악안면외과학회지 대한구강악안면외과학회지 제47권 제3호

발행연도: 2021.6

수록면: 209 - 215 (7page)

DOI: 10.5125/jkaoms.2021.47.3.209

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Objectives: Vascular malformation (VM) of the tongue can cause true macroglossia in children. Reduction glossectomy provides primary relief when sclerotherapy has failed or is not possible. In this study, we evaluated the surgical role in functional outcome of reduction glossectomy performed for VM of the tongue. Patients and Methods: We evaluated the functional and surgical outcomes of seven children who were treated at a tertiary care centre in Southern India between 2013 and 2018. Results: Six children underwent median glossectomy, while one child underwent lateral glossectomy. Functional assessment was performed at least 2 years after the date of surgery. At the time of assessment, speech was comprehensible for three children and was occasionally unintelligible in four children. Taste and swallowing were normal in all seven children. Six children exhibited a minimal residual lesion after surgery, of which only one was symptomatic. Residual lesions were managed with sclerotherapy (n=3), observation (n=2), or repeat surgery (n=1). Conclusion: Reduction glossectomy in children with macroglossia secondary to VMs has acceptable outcomes in terms of cosmesis and speech, with no gastronomic restriction.

#Macroglossia #Glossectomy #Vascular malformation #Treatment outcome #Sclerotherapy

참고문헌 (27)

참고문헌 신청

SM Balaji / 2013 / Reduction glossectomy for large tongues / Annals of Maxillofacial Surgery 3(2):167

Walker WA / 2004 / Pediatric gastrointestinal disease: pathophysiology, diagnosis, management / BC Decker :1158

Myer CM 3rd / 1986 / The diagnosis and treatment of macroglossia in children / Ear Nose Throat J 65:444~448

Vogel JE / 1986 / Macroglossia : a review of the condition and a new classification / Plast Reconstr Surg 78:715~723

Vaman Khadilkar / 2019 / Indian growth references from 0-18-Year-Old children and adolescents - A comparison of two methods / Indian Journal of Endocrinology and Metabolism 23(6):635

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