Long-term impact of tongue reduction on speech intelligibility, articulation and oromyofunctional behaviour in a child with Beckwith–Wiedemann syndrome

Lierde, Kristiane M. Van; Huysman, Eline; Vermeersch, Hubert

doi:10.1016/j.ijporl.2009.12.006

Cited by 27 publications

(19 citation statements)

References 22 publications

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“…Despite scar formation, patients and parents showed a high degree of satisfaction with the treatment. Several authors investigated the impact of surgical tongue reduction on these issues 11,15,18 . Although the investigations are difficult to compare because of various surgical techniques and investigation methods, the conclusions were similar.…”

Section: Discussionmentioning

confidence: 99%

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Tongue reduction in Beckwith–Wiedemann syndrome: outcome and treatment algorithm

Naujokat

Möller

Terheyden

et al. 2019

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

“…In cases with less pronounced macroglossia, conservative therapy is recommended with orofacial regulation therapy according to Castillo-Morales with the help of oral stimulation plates ( Fig. 3) and speech therapy 15,18 . Conservative treatment is also used pre-and postoperatively as supportive therapy.…”

mentioning

confidence: 99%

Tongue reduction in Beckwith–Wiedemann syndrome: outcome and treatment algorithm

Naujokat

Möller

Terheyden

et al. 2019

International Journal of Oral and Maxillofacial Surgery

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“…La macroglosia se encuentra presente en el 97% de los casos 3 y puede provocar, sobre todo en la infancia, dispnea, dificultades en la fonación, masticación, deglución y succión 6,9,11 . Con el crecimiento del complejo maxilofacial, ocurre un aumento del volumen de la cavidad oral, lo que posibilita una acomodación más confortable de la lengua, reduciendo de esta forma los problemas surgidos como consecuencia de la macroglosia.…”

Section: Discussionunclassified

“…De entre las características del síndrome de Beckwith-Wiedemann la macroglosia representa el 97% de incidencia, y esta condición puede provocar anomalía estética y funcional con dificultad en el habla, en la masticación, deglución y succión 6 . Existe también el riesgo de obstrucción de las vías aéreas superiores durante la infancia y adolescencia, de desarrollo del síndrome de la apnea obstructiva del sueño y aún, de la disminución de la estabilidad del tratamiento ortoquirúrgico 3,7,8 .…”

Section: Introductionunclassified

Radioterapia en colgajos peroneos. Revisión de la densidad ósea y complicaciones en colgajos peroneos irradiados frente a no irradiados

et al. 2019

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El síndrome de Beckwith-Wiedemann es una alteración congénita con diversas manifestaciones clínicas, de entre las cuales las más prevalentes son la macroglosia (97%), el gigantismo (88%) y los defectos de la pared abdominal (80%). Ortodónticamente, la mayoría de los pacientes presentan mordida abierta anterior y relación de clase III de Angle. La macroglosia puede causar problemas estéticos y anomalías funcionales relacionadas con el habla, la masticación, fonación, deglución y respiración, con potencial de obstrucción de las vías respiratorias superiores y disminución de la estabilidad del tratamiento ortoquirúrgico. Con el fin de evitar episodios como este, es necesaria la realización de una glosectomía parcial en algunos pacientes. El presente trabajo realiza consideraciones con relación al diagnóstico y tratamiento de la macroglosia y relata el caso clínico de un paciente portador del síndrome de Beckwith-Wiedemann que fue intervenido por medio de glosectomía parcial, utilizando la técnica preconizada por Obwergeser et al. (1964) y que en un postoperatorio de 3 años presentó resultados cosméticos y funcionales satisfactorios.

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“…This is because the relatively enlarged tongue after mandibular set‐back or Lefort osteotomy is not only potential source of relapse but also results in various functional disorders (Miyawaki et al, ; Hotokezaka et al, ). A number of long‐term studies have shown the impacts of tongue reduction surgery on speech, sensation, taste, psychology, feeding, and drooling (Van Lierde et al, ; Shipster et al, ; Matsumoto et al, ). However, few studies have been identified with regard to the effect of a volume‐reduced tongue on its motor function over time.…”

Section: Discussionmentioning

confidence: 99%

Internal Kinematics of the Volume‐Reduced Tongue: A Longitudinal Microsonometric Study

Chen

Shcherbatyy

Liu

2015

The Anatomical Record

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This study examined tongue internal kinematics during feeding over time after its volume reduction. Six ultrasonic crystals were implanted into the tongue to record distance changes in anterior width (AW), bilateral lengths (LENG), posterior thicknesses (THICK), posterior dorsal (PDW) and ventral (PVW) widths in 5 sibling pairs of Yucatan minipigs (n=10). In each pair, one received tongue volume reduction surgery (reduction) and the other had the identical incisions without tissue removal (sham). Functional deformation of the tongue from pre-implanted ultrasonic crystals was recorded during natural feeding 1 day before, 7–8, 13–15 and 28–30 days after the surgery. The results revealed that feeding behavior and tongue functional deformation were unchanged over time in the sham pigs. However, at day 7–8, more frequent and longer ingestion episodes were seen in the reduction as compared to the sham. Moreover, deformational changes in AW and LENG decreased while those in THICK, PDW and PVW increased significantly (P < 0.001). At day 13–15, the reduced deformational changes in LENG (P < 0.01) slightly restored and the increased deformation in THICK (P > 0.05), PDW (P < 0.01), and PVW (P < 0.05) diminished. At day 28–30, the restoration of AW and LENG continued (P < 0.01–0.05), but previously enhanced deformations in THICK, PDW and PVW were no longer significantly different from the baseline (P > 0.05). These results suggest that the tongue volume reduction has significant and persistent impacts on feeding behaviors and tongue internal kinematics, and the restoring capacity of internal kinematics in the anterior tongue is limited and incomplete over time.

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Long-term impact of tongue reduction on speech intelligibility, articulation and oromyofunctional behaviour in a child with Beckwith–Wiedemann syndrome

Cited by 27 publications

References 22 publications

Tongue reduction in Beckwith–Wiedemann syndrome: outcome and treatment algorithm

Tongue reduction in Beckwith–Wiedemann syndrome: outcome and treatment algorithm

Radioterapia en colgajos peroneos. Revisión de la densidad ósea y complicaciones en colgajos peroneos irradiados frente a no irradiados

Internal Kinematics of the Volume‐Reduced Tongue: A Longitudinal Microsonometric Study

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