Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Oral and maxillofacial surgeryOnline only articleSensory changes after tongue reduction for macroglossia
Section snippets
Patient
A 20-year-old woman presented with macroglossia and anterior open bite and had been diagnosed with Beckwith-Wiedemann syndrome at birth. Her first tongue reduction surgery was performed at 7 years of age by the Dingman-Grabb method5 after which orthodontic treatment was initiated. However, despite the ongoing orthodontic treatment, orthognathic surgery was required to close the anterior open bite. Further tongue reduction was required before orthognathic surgery could be performed, and on this
Discussion
Several techniques of tongue reduction have been reported. In most of these techniques, however, the tip of the tongue is excised. This should be avoided because the tip is the most mobile and sensitive portion of the tongue.4 Matsune et al. reported that the ability to detect salty and bitter tastes declined after tongue reduction.2 To date, there have been no reports to objectively assess sensory changes, including the static tactile threshold, vibration sense, s2PD, and pain threshold, after
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