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The Peripheral Reduction With Keyhole Tongue Reduction Technique for Macroglossia in Beckwith-Wiedemann Syndrome
Dominic J Romeo1, Benjamin B Massenburg1, Alexander T Wilson1
1Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia.
The Journal of Craniofacial Surgery
|September 9, 2024
Summary
This study presents an effective peripheral resection keyhole technique for tongue reduction surgery in Beckwith-Wiedemann syndrome (BWS) patients with macroglossia, improving quality of life.
Area of Science:
- Pediatric Surgery
- Genetics
- Oral and Maxillofacial Surgery
Background:
- Beckwith-Wiedemann syndrome (BWS) frequently causes macroglossia, impacting speech, breathing, eating, and dentoskeletal development.
- Current surgical options for macroglossia in BWS lack standardization, necessitating refined techniques.
Purpose of the Study:
- To present and evaluate a specific peripheral resection with a keyhole approach for tongue reduction in BWS patients.
- To demonstrate the efficacy and safety of this technique in managing symptomatic macroglossia.
Main Methods:
- A video and observational commentary detailing a peripheral resection with a keyhole tongue reduction technique.
- Focus on maintaining lateral neurovascular pedicles and optimizing visualization.
Main Results:
- The keyhole approach safely reduced tongue volume in BWS patients.
- The technique preserved lateral neurovascular pedicles and improved intraoperative visualization.
- Minimal bleeding was observed during the procedure.
Conclusions:
- Peripheral resection with a keyhole approach is an effective surgical technique for BWS-related macroglossia.
- This method offers a safe and efficient solution for improving patient symptoms.
