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Simultaneous Glossectomy with Orthognathic Surgery for Mandibular Prognathism.
Young-Wook Jung1, Sung-Woon On1, Kyu-Rhim Chung1
1Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ajou University School of Medicine.
Maxillofacial Plastic and Reconstructive Surgery
|August 5, 2016
Summary
Simultaneous mandibular setback surgery and partial glossectomy effectively treated macroglossia, preventing dental instability. This single-stage approach ensured stable recovery without airway issues or speech problems.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Plastic Surgery
Background:
- Macroglossia presents challenges in dental and skeletal stability post-orthognathic surgery for mandibular prognathism.
- Partial glossectomy is often recommended, but typically performed in two stages due to airway obstruction concerns.
Observation:
- A case of mandibular prognathism with macroglossia is presented.
- Concerns regarding postoperative airway obstruction have diminished with advancements in surgical techniques.
Findings:
- Simultaneous mandibular setback surgery and partial glossectomy were successfully performed in one stage.
- The patient experienced stable recovery without respiratory compromise.
- Preservation of the tongue tip during surgery avoided lingual hypoesthesia, pronunciation disorders, and dyskinesia.
Implications:
- A single-stage surgical approach for macroglossia and mandibular prognathism is feasible and effective.
- This technique offers stable outcomes and minimizes the risk of postoperative complications.
- It provides a valuable alternative to staged procedures, improving patient prognosis.
