Comprehensive treatment of massive macroglossia due to venous and lymphatic malformations |
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| Affiliation: | 1. Department of Otolaryngology, Stanford University School of Medicine, Stanford, California, USA;2. Department of Oral and Maxillofacial Surgery (Dentistry), International St. Mary’s Hospital, Catholic Kwandong University, Incheon, South Korea;3. Center of Excellence in Otolaryngology Head and Neck Surgery, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand;4. Department of Craniomaxillofacial and Oral Surgery, University Hospital, Medical University of Vienna, Vienna, Austria;1. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China;2. Department of Oral Pathology, Peking University School and Hospital of Stomatology, Beijing, China;1. Department of Oral Surgery, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, and Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, Shanghai, China;2. Department of Craniomaxillofacial and Plastic Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt;1. Department of Oral and Maxillofacial Surgery, Hebrew University–Hadassah, Jerusalem, Israel;2. Department of Pathology, Faculty of Medicine, Hebrew University–Hadassah, Jerusalem, Israel;3. Department of ENT, Faculty of Medicine, Hebrew University–Hadassah, Jerusalem, Israel;4. Arab American University–AAUP, Palestinian Authority;1. Craniofacial Center, Division of Oral and Maxillofacial Surgery, Seattle Children’s Hospital, Seattle, WA, USA;2. Craniofacial Center, Division of Plastic and Craniofacial Surgery, Seattle Children’s Hospital, Seattle, WA, USA;3. Craniofacial Center, Division of Craniofacial Orthodontics, Seattle Children’s Hospital, Seattle, WA, USA |
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| Abstract: | This study evaluated the outcomes of comprehensive treatment for massive macroglossia. Eleven patients with massive macroglossia due to venous malformations (VMs) and lymphatic malformations (LMs) underwent incision excision of two-thirds of the central wedge of the tongue; two of these patients underwent resection of lesions in the lower lip or floor of the mouth during initial treatment. In subsequent treatment, three patients underwent orthognathic surgery or resection of lesions in the lower lip and submental region, and four patients underwent one or two sclerotherapies. No patient had complications resulting from anaesthesia or surgery. Patients were followed up at 6 months postoperative, and all signs associated with the lesions had disappeared. The mean follow-up duration was 30.8 months. The aesthetic outcome was excellent for nine patients and satisfactory for two. Nine patients could take a soft diet and two a solid diet. Eight patients presented normal speech and three presented intelligible speech. Comprehensive treatment including incision excision of two-thirds of the central wedge of the tongue, as well as orthognathic surgery, the resection of lesions in the oral and maxillofacial region, and sclerotherapy, is effective for patients with massive macroglossia due to VMs and LMs. |
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| Keywords: | macroglossia tongue vascular malformation venous malformation lymphatic malformation V-glossoplasty sclerotherapy |
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