Coblation for Congenital Microglossia in Beckwith-Wiedemann Syndrome

Abstract

Objective: To present a rare case of congenital macroglossia managed with radiofrequency ablation.
 Methods:
 Design: Case report
 Setting: Tertiary government hospital 
 Patient: One
 Results: A case of a congenital macroglossia in a 4-year old female with Beckwith-Wiedemann Syndrome is presented. Neither breathing nor swallowing difficulty was associated with the enlarged tongue. Coblation-assisted ablation of the tongue deformity was performed. There was minimal bleeding, pain and swelling postoperatively. Tongue mobility and taste sensation were unaffected.
 Conclusion: A new and more conservative approach to surgery for congenital macroglossia using radiofrequency ablation (coblation) has been described. Coblation-assisted ablation of lingual tissue may be an effective therapy for patients with macroglossia providing satisfactory functional and cosmetic outcome.
 Key words: macroglossia, Beckwith-Wiedemann Syndrome, coblation

Reduction glossectomy for large tongues

“…In that situation, the rate of enlargement of tongue, age, gender, nature of disease process, other accompanying systemic abnormalities need to be considered before planning the surgery. [78]…”