Macroglossia associated with dentofacial deformity treated by orthognathic surgery and simultaneous partial glossectomy: Case report

• Main Authors: Everton Luiz de Oliveira Carvalho (Author), Cristiano Elias Figueiredo (Author), Sandro Isaías Santana (Author), Darceny Zanetta-Barbosa (Author), Flaviana Soares Rocha (Author)
• Format: Book
• Published: Sociedade Portuguesa de Estomatologia e Medicina Dentária, 2023-12-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 10.24873/j.rpemd.2023.12.1203; 1646-2890; 1647-6700
• Keywords: dentofacial deformity; macroglossia; orthognathic surgery; partial glossectomy; Dentistry; RK1-715
• Source: Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial, Vol 64, Iss 4, Pp 181-187 (2023)

Macroglossia is the abnormally large tongue volume, which, among other causes, may result from increased growth, leading to a size bigger than the oral cavity allows for functional balance. This alteration may be associated with dento-musculoskeletal deformities and instability of orthodontic-surgical treatment, besides favoring the appearance of chewing, speech, and breathing disorders. Surgical tongue reduction is an uncommon procedure indicated for functional or aesthetic correction. This case report involves a patient with relative macroglossia and dentofacial deformity with Angle Class III malocclusion who was also diagnosed with obstructive sleep apnea syndrome. In a single surgical procedure, orthognathic surgery was performed to correct dentofacial deformity using maxillary advancement and expansion, along with advancement genioplasty with basilar horizontal osteotomy and partial glossectomy using the Egyedi-Obwegeser technique. The techniques used were satisfactory for correcting the alterations and restoring function and aesthetics.