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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.
Objective:
Patients with Beckwith-Wiedemann syndrome commonly have macroglossia, which can negatively affect dentoskeletal development, breathing, speaking, and eating. Tongue reduction surgery can improve symptoms, but there is no standardized surgical approach.
Methods:
A video and observational commentary highlighting the effectiveness of a tongue reduction technique for BWS were presented.
Results:
The peripheral resection with a keyhole approach safely reduced tongue volume, maintained the lateral neurovascular pedicles, optimized intraoperative visualization, and limited bleeding.
Conclusions:
The peripheral resection with a keyhole tongue reduction surgical technique is effective for treating symptomatic macroglossia in BWS.
