MPS  Vol.4 No.4 , October 2014
Combined Therapy for Mandibular Prognathism: Sagittal Split Osteotomy with Excision of Tongue
ABSTRACT
In the evaluation of the beauty and functional integrity of the lower face, the oral cavity, teeth, mandible, maxilla, and the size and position of the tongue are important. The tongue locates forward and is larger than normal in prognathism, in which the jaw protrudes from the skull. It is not clear whether an enlarged tongue causes the open bite, protrusion or dental arch misalignment, or is a result of them. Here, we report two patients with mandibular prognathism and relative macroglossia, which were treated by mandibular setback surgery using a bilateral sagittal split osteotomy (BSSO) and excision of the tongue. This procedure achieved aesthetic improvement of the face and dentition.

Cite this paper
Karamese, M. , Akdağ, O. , Selimoglu, M. , Abacı, M. , Akatekin, A. and Tosun, Z. (2014) Combined Therapy for Mandibular Prognathism: Sagittal Split Osteotomy with Excision of Tongue. Modern Plastic Surgery, 4, 53-57. doi: 10.4236/mps.2014.44010.
References
[1]   Marsan, G., Oztas, E., Cura, N., Kuvat, S.V. and Emekli, U. (2010) Changes in Head Posture and Hyoid Bone Position in Turkish Class III Patients after Mandibular Setback Surgery. Journal of Cranio-Maxillo-Facial Surgery, 38, 113- 121. http://dx.doi.org/10.1016/j.jcms.2009.03.009

[2]   Wolford, L.M. and Cottrell, D.A. (1996) Diagnosis of Macroglossia and Indications for Reduction Glossectomy. American Journal of Orthodontics and Dentofacial Orthopedics, 110, 170-177.
http://dx.doi.org/10.1016/S0889-5406(96)70105-1

[3]   Miyawaki, S., Oya, S., Noguchi, H. and Takano-Yamamoto, T. (2000) Long-Term Changes in Dentoskeletal Pattern in a Case with Beckwith-Wiedemann Syndrome Following Tongue Reduction and Orthodontic Treatment. Angle Orthodontist, 70, 326-331.

[4]   Vogel, J.E., Mulliken, J.B. and Kaban, L.B. (1986) Macroglossia: A Review of the Condition and a New Classification. Plastic and Reconstructive Surgery, 78, 715-723. http://dx.doi.org/10.1097/00006534-198678060-00001

[5]   Ingervall, B. and Schmoker, R. (1990) Effect of Surgical Reduction of the Tongue on Oral Stereognosis, Oral Motor Ability, and the Rest Position of the Tongue and Mandible. American Journal of Orthodontics and Dentofacial Orthopedics, 97, 58-65.
http://dx.doi.org/10.1016/S0889-5406(05)81710-X

[6]   Swanson, L.T. and Murray, J.E. (1969) Partial Glossectomy to Stabilize Occlusion Following Surgical Correction of Prognathism. Report of a Case. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 27, 707-715. http://dx.doi.org/10.1016/0030-4220(69)90137-6

[7]   Kawakami, S., Yokozeki, M., Takahashi, T., Horiuchi, S. and Moriyama, K. (2005) Siblings with Spaced Arches Treated with and without Partial Glossectomy. American Journal of Orthodontics and Dentofacial Orthopedics, 127, 364-373. http://dx.doi.org/10.1016/j.ajodo.2003.10.045

[8]   Tanaka, O.M., Guariza-Filho, O., Carlini, J.L., Oliveira, D.D., Pithon, M.M. and Camargo, E.S. (2013) Glossectomy as an Adjunct to Correct an Open-Bite Malocclusion with Shortened Maxillary Central Incisor Roots. American Journal of Orthodontics and Dentofacial Orthopedics, 144, 130-140.
http://dx.doi.org/10.1016/j.ajodo.2012.08.029

[9]   Hotokezaka, H., Matsuo, T., Nakagawa, M., Mizuno, A. and Kobayashi, K. (2001) Severe Dental Open Bite Malocclusion with Tongue Reduction after Orthodontic Treatment. Angle Orthodontist, 71, 228-236.

[10]   Medeiros, P.J., Camargo, E.S., Vitral, R. and Rocha, R. (2000) Orthodontic-Surgical Approach in a Case of Severe Open-Bite Associated with Functional Macroglossia. American Journal of Orthodontics and Dentofacial Orthopedics, 118, 347-351. http://dx.doi.org/10.1067/mod.2000.102390

[11]   Schwenzer, N., Voy, E.D. and Niemczyk, H.M. (1977) Effect of Tongue Reduction on the Orthodontic and Surgical Treatment of Dysgnathia. Journal of Maxillofacial Surgery, 5, 15-20.
http://dx.doi.org/10.1016/S0301-0503(77)80070-2

 
 
Top