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Beckwith-Wiedemann Syndrome: Open bite evolution after tongue reduction
E Alonso-Rodriguez1, E Gómez, M Martín
1Paseo de la Castellana, 261, 28046 Madrid, Spain, Department of Oral and Maxillofacial Surgery, stfania@hotmail.com.
Medicina Oral, Patologia Oral Y Cirugia Bucal
|February 25, 2018
Summary
Surgical tongue reduction in Beckwith-Wiedemann syndrome (BWS) patients effectively addresses macroglossia and anterior open bite. This procedure offers satisfactory outcomes for dentoskeletal alterations, improving function and appearance.
Area of Science:
- Craniofacial Surgery
- Pediatric Surgery
- Genetics
Background:
- Macroglossia in Beckwith-Wiedemann syndrome (BWS) causes significant functional deficits including airway obstruction and drooling.
- It also leads to dentoalveolar protrusion, resulting in anterior open bite and a prognathic mandibular appearance.
- Surgical intervention for macroglossia may be indicated in BWS patients.
Purpose of the Study:
- To evaluate the effectiveness of surgical tongue reduction in BWS patients with macroglossia and anterior open bite.
- To analyze the relationship between the age at surgery and the evolution of the open bite.
Main Methods:
- Retrospective review of BWS patients who underwent surgical tongue reduction between 2000 and 2015.
- Reduction glossectomy using the keyhole technique was performed.
- Analysis of dentoskeletal alterations and open bite evolution post-surgery.
Main Results:
- Eleven out of 16 BWS patients underwent surgical tongue reduction.
- The primary indication for surgery was tongue protrusion with open bite.
- Satisfactory outcomes were observed, with a notable decrease in anterior open bite and minimal complications.
Conclusions:
- Surgical treatment for macroglossia in BWS patients with open bite yields positive results.
- The procedure leads to satisfactory outcomes in correcting dentoskeletal alterations.
- Reduction glossectomy is an effective treatment option for improving function and aesthetics in these patients.
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