Maxillofac Plast Reconstr Surg.  2015 Nov;37(11):42. 10.1186/s40902-015-0043-z.

Glossectomy in the severe maxillofacial vascular malformation with jaw deformity: a rare case report

• Park MH
• Kim CM
• Chung DY
• Paeng JY

• KMID: 2381868
• DOI: http://doi.org/10.1186/s40902-015-0043-z

Abstract

In the field of oral-maxillofacial surgery, vascular malformations present in various forms. Abnormalities in the size of the tongue by vascular malformations can cause mandibular prognathism and skeletal deformity. The risk in surgical treatment for patients with vascular malformation is high, due to bleeding from vascular lesions. We report a rare case of macroglossia that was treated by partial glossectomy, resulting in an improvement in the swallowing and mastication functions in the patient. A 25-year-old male patient with severe open-bite and mandibular prognathism presented to our department for the management of macroglossia. The patient had a difficulty in food intake because of the large tongue. Orthognathic surgery was not indicated because the patient had severe jaw bone destruction and alveolar bone resorption. Therefore, the patient underwent partial glossectomy under general anesthesia. There was severe hemorrhaging during the surgery, but the bleeding was controlled by local procedures.

Keyword

Macroglossia; Glossectomy; Venous malformation

MeSH Terms

Adult
Anesthesia, General
Bone Resorption
Congenital Abnormalities*
Deglutition
Eating
Glossectomy*
Hemorrhage
Humans
Jaw*
Macroglossia
Male
Mastication
Orthognathic Surgery
Prognathism
Tongue
Vascular Malformations*