Maxillofac Plast Reconstr Surg.  2014 Sep;36(5):214-218. 10.14402/jkamprs.2014.36.5.214.

Simultaneous Glossectomy with Orthognathic Surgery for Mandibular Prognathism

Affiliations
  • 1Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ajou University School of Medicine, Korea. seungilsong@daum.net

Abstract

Macroglossia can create dental and skeletal instability after orthodontic treatment or orthognathic surgery for mandibular prognathism. In relevant literature, partial glossectomy is suggested for a good post-treatment prognosis. Most of the published partial glossectomy cases are two-staged surgery, because of concern about postoperative airway obstruction. As orthognathic surgical techniques and fixation method develop, however, concerns about postoperative airway obstruction have lessened. In this case, mandibular setback surgery and partial glossectomy were performed simultaneously, leading to stable recovery without any postoperative respiratory problems. After surgical technique to preserve the tongue tip, we achieved good outcomes without postoperative side effects of lingual hypoesthesia, pronunciation disorder and dyskinesia. We report this case with a literature review.

Keyword

Macroglossia; Glossectomy; Orthognathic surgery

MeSH Terms

Airway Obstruction
Dyskinesias
Glossectomy*
Hypesthesia
Macroglossia
Orthognathic Surgery*
Prognathism*
Prognosis
Tongue
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