Functional outcomes in children with reduction glossectomy for vascular malformations - "less is more!"
Thomas John K., Gaikwad Vivek Samuel, Babu Telugu Ramesh, Mathai John, Srinivas Rohit, Karl Immanuel Sampath,
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( Thomas John K. ) - Christian Medical College Department of Paediatric Surgery
( Gaikwad Vivek Samuel ) - Christian Medical College Department of Paediatric Surgery
( Babu Telugu Ramesh ) - Christian Medical College Department of Pathology
( Mathai John ) - Christian Medical College Department of Paediatric Surgery
( Srinivas Rohit ) - Christian Medical College Department of Paediatric Surgery
( Karl Immanuel Sampath ) - Christian Medical College Department of Paediatric Surgery
Abstract
Objectives: Vascular malformation (VM) of the tongue can cause true macroglossia in children. Reduction glossectomy provides primary relief when sclerotherapy has failed or is not possible. In this study, we evaluated the surgical role in functional outcome of reduction glossectomy performed for VM of the tongue.
Patients and Methods: We evaluated the functional and surgical outcomes of seven children who were treated at a tertiary care centre in Southern India between 2013 and 2018.
Results: Six children underwent median glossectomy, while one child underwent lateral glossectomy. Functional assessment was performed at least 2 years after the date of surgery. At the time of assessment, speech was comprehensible for three children and was occasionally unintelligible in four children. Taste and swallowing were normal in all seven children. Six children exhibited a minimal residual lesion after surgery, of which only one was symptomatic. Residual lesions were managed with sclerotherapy (n=3), observation (n=2), or repeat surgery (n=1).
Conclusion: Reduction glossectomy in children with macroglossia secondary to VMs has acceptable outcomes in terms of cosmesis and speech, with no gastronomic restriction.
키워드
Macroglossia; Glossectomy; Vascular malformation; Treatment outcome; Sclerotherapy
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