Presentation
Coblation for Congenital Macroglossia in Beckwith-Wiedemann Syndrome Abstract Objective: To present a rare case of congenital macroglossia managed with radiofrequency ablation. [202.57.41.5]
Methods Design: Surgical Innovation Setting: Tertiary Government Hospital Patient: One Results A 2-year-old boy presented with congenital macroglossia, associated with difficulty feeding and phonating. [apamedcentral.org]
To our knowledge, there are no published reports of the true incidence of macroglossia presenting in utero. [mhmedical.com]
Hepatomegaly present, diastasis recti present. Respiratory, cardiovascular & central nervous systems appeared normal. [jemds.com]
Jaw & Teeth
- Anterior Open Bite
Parents referred an abnormal tongue dimension since birth and the development of a progressive anterior open bite. The treatment of macroglossia included tongue reduction by partial glossectomy. [moh-it.pure.elsevier.com]
Maxillofacial abnormalities including anterior open bite, prognathism, and an increased angle between the ramus and body have been described. [ispub.com]
The child had a severe anterior open bite as a result of tongue thrust, with accompanying malocclusion. [archivesofpathology.org]
open bite, if a mandibular dentoalveolar protrusion or bimaxillary dentoalveolar protrusion exist, or the presence of over angulation of anterior maxillary and mandibular teeth and mandibular disproportioned overgrowth. 9 The initial approach to identifying [elsevier.es]
Neurologic
- No Speech Development
In some cases, the tongue may protrude from the mouth and interfere with the child’s tooth placement, ability to eat, and/or speech development. Macroglossia diagnosis focuses on determining its underlying cause. [nicklauschildrens.org]
Workup
This innovative one-page format provides the definition, differential diagnosis, workup and diagnosis, and treatment options for nearly 170 diseases and disorders. [books.google.com]
[…] lateral radiograph of the knee may be obtained to look for the distal femoral epiphysis; this ossification center appears at about 36 weeks' gestation, and its absence in a term or postterm infant indicates prenatal effects of hypothyroidism. [16] See Workup [emedicine.medscape.com]
Treatment
The treatment of macroglossia included tongue reduction by partial glossectomy. She was seen regularly and at the age of eight years old a lingual frenectomy was performed and an orthodontic treatment was planned. [moh-it.pure.elsevier.com]
17 In some cases of macroglossia, the treatment of choice must be surgery. [elsevier.es]
[citation needed] Treatment[edit] The goal of newborn screening programs is to detect and start treatment within the first 1–2 weeks of life. Treatment consists of a daily dose of thyroxine, available as a small tablet. [en.wikipedia.org]
Prognosis
Prognosis: The prognosis and the management are decided on the accompanying malformations. Usually, the prognosis is poor, with high levels of mortality. [intechopen.com]
Prognosis At the severe end of the spectrum, patients are at risk of early death due to complications arising from hypoglycemia, prematurity, cardiomyopathy, macroglossia, or tumors. In patients who survive childhood, prognosis is generally good. [orpha.net]
Prognosis Prognosis in amyloidosis is dependent primarily on the degree of cardiac involvement and, in AL amyloidosis, on circulating light-chain levels. [acc.org]
Prognosis Prognosis is excellent if treatment is timely. Most children achieve normal physical and mental growth status. Regular follow-ups and blood thyroid hormone measurements are needed for optimum management. [lecturio.com]
Prognosis for long term survival is good if these children are identified early and appropriately screened for malignancy REFERENCES: 1. Mark. A. Sperling, Genetic disorders of Metabolism. [jemds.com]
Etiology
BENIGN MIGRATORY GLOSSITIS Synonyms-georgaphic tongue,erythema migrans and wandering rash of tongue ETIOLOGY The exact etiology remains unknown. It may be genetic. [slideshare.net]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Another classification, described by Myer et al. in the same year, 13 places macroglossia as generalized or localized, subdividing it according to its etiology in congenital, inflammatory, traumatic, metabolic and neoplasic. 12 3 Etiology of macroglossia [elsevier.es]
Physical examination of the tongue alone should reveal signs of the cause or at least help to rule out the etiologic classes that are not involved. [emedicine.medscape.com]
Epidemiology
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.ro]
Each age-specific section covers the physical, cognitive, emotional, and social changes that children experience, as well as the epidemiology of dental disease at that age. [books.google.com]
[…] medullary dysplasia; Overgrowth of external genitalia Cardiomyopathy : Occasional Laboratory Hypoglycemia External link: Gene Reviews Myhre Syndrome 8 ● Mothers against decapentaplegic, drosophila, homolog of, 4 (SMAD4) ; Chromosome 18q21.2; Dominant Epidemiology [neuromuscular.wustl.edu]
"Epidemiology of congenital hypothyroidism". Experimental and Clinical Endocrinology & Diabetes. 105 Suppl 4: 19–23. doi:10.1055/s-0029-1211926. PMID 9439909. ^ Harris, KB; Pass, KA (July 2007). [en.wikipedia.org]
Pathophysiology
The pathophysiology of the enlarged tongue is related to the specific etiologic factors. [emedicine.medscape.com]
[…] cytomegaly Renal abnormalities Neonatal hypoglycemia Terminology Beckwith syndrome Wiedemann-Beckwith syndrome Exomphalos, macroglossia, gigantism (EMG) syndrome Epidemiology Incidence of 1:13,700 births Occurs in a variety of ethnic populations M=F Pathophysiology [pathologyoutlines.com]
Etiology and Pathophysiology of Congenital Hypothyroidism Anatomic defects of the thyroid gland The thyroid gland develops from the fourth branchial pouch in the buccopharyngeal cavity during the fourth to tenth week of gestation. [lecturio.com]
A full discussion of the pathophysiology of the disease is beyond the scope of this review, but a brief working understanding is helpful to best understand the treatment options. [acc.org]
Prevention
Conclusions: Early interception of macroglossia and surgical reduction in combination with orthodontic treatment can be seen as preventive measures to avoid the tongue influence on the development of malocclusions. [moh-it.pure.elsevier.com]
Early interception of macroglossia and surgical reduction in combination with orthodontic treatment can be seen as preventive measures to avoid the tongue influence on the development of malocclusions. [ncbi.nlm.nih.gov]
Many recommendations on the prevention of macroglossia were reported. [jnaccjournal.org]
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.ro]
Other chapters explore the examination, treatment planning, radiographic concerns, prevention, trauma, restorative dentistry, pulp therapy, orthodontics, and behavior management of each age range. [books.google.com]