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March 1996

Surgical Management of Macroglossia in Children

Author Affiliations

From the Department of Otorhinolaryngology and Communicative Sciences, Texas Children's Hospital, Baylor College of Medicine, Houston.

Arch Otolaryngol Head Neck Surg. 1996;122(3):326-329. doi:10.1001/archotol.1996.01890150096017

Congenital macroglossia is associated with a variety of syndromes, most commonly Down syndrome and Beckwith-Wiedemann syndrome. Clinically, macroglossia may result in respiratory compromise, dysphagia, and poor cosmesis. A variety of treatments have been proposed, with surgical resection being the most common. We review management and describe a new surgical technique, consisting of a keyhole resection to decrease the width and length of the tongue. Between 1990 and 1992, five keyhole resections for congenital macroglossia were performed on four consecutive children at Texas Children's Hospital, Baylor College of Medicine, Houston. Patients had improved cosmesis and improved function of the oropharyngeal airway, with no change in speech and feeding. Keyhole resection is an effective treatment for macroglossia. (Arch Otolaryngol Head Neck Surg. 1996;122:326-329)

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