Information on Macroglossia

Macroglossia may arise secondary to a main disorder that may be either congenital or acquired. Macroglossia may reason major morbidity. Macroglossia slightly than because of an external growth like a tumor. Symptoms and physical findings related with macroglossia may comprise noisy, high-pitched breathing (stridor), snoring, swallowing, sleeping, and/or feeding difficulties. Macroglossia is common in primary and myeloma-related amyloidosis. Amyloidosis is an accumulation of insoluble proteins in tissues that impedes normal function.

Macroglossia is also a medical attribute in congenital hypothyroidism, rare inherited syndromes such as Beckwith-Wiedemann syndrome and immunodeficiency, centromere instability and facial anomalies syndrome, acromegaly and Hurler syndrome. Other symptoms comprise speech impediment, swallowing difficulties, airway obstruction, drooling, and failure to flourish. The successful administration of macroglossia needs a multidisciplinary approach. Medical management may be adequate if the enlargement of the tongue is due to systemic illness, but surgical reduction offers the best practical and cosmetic results and minimises morbidity.

Airway obstruction demands inflame intervention; tracheostomy is occasionally essential. Early management assists rehabilitation and decreases the risk of permanent maxillofacial abnormalities and abnormalities of speech. Conservative methods of treating macroglossia are of limited worth. Corticosteroids can be life saving in acute airway obstruction and are constructive postoperatively to diminish oedema. Reduction glossectomy has been the main surgical treatment for patients with symptomatic macroglossia. Patients with macroglossia face appreciable physical and psychological problems requiring support and rehabilitation.

Secondary orthodontic care and speech therapy may have significant roles in this. Excision should be traditional whenever possible, particularly with benign illness, to allow the tongue to fit happily in the oral cavity and renovate normal occlusion. Surgical aims are to decrease the tongue size and produce improved function. Surgical techniques offer a choice of a V shaped wedge resection, circumferential wedge resection, or a combined transoral and transcervical approach for grossly enlarged lesions. Neoplasms certainly may be control by chemoradiation, depending on their type and susceptibility.