True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique

Authors

  • Jenifer C. Smith Department of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical Center
  • Gil M. Vicente Department of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical Center

DOI:

https://doi.org/10.32412/pjohns.v31i2.241

Keywords:

macroglossia; glossectomy; congenital macroglossia

Abstract

Objective: To describe a 2-year old boy with true congenital macroglossia surgically managed using a modified Kole technique. 

Methods:

Study 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. On physical examination, the massive tongue had both increased length and width. At rest, it protruded between the upper and lower teeth, with drying and fissuring of the tip. Dribbling of saliva and mandible prognathism were also noted.  The child was surgically treated with a modified Kole technique, wherein the apex of the anterior wedge resection was extended to the posterior third midline. Final histopathology was consistent with cavernous hemangioma.

Conclusion:  The modified Kole technique proved viable, as the postoperative results were considered satisfactory. Tongue volume was uniformly reduced in length and width, enabling mouth and jaw closure, while tongue sensation and mobility were preserved. Feeding, speech intelligibility and cosmesis were markedly improved.  Future application of this modification may prove its usefulness.     

Keywords:  macroglossia; glossectomy; congenital macroglossia

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Published

2016-11-30

How to Cite

1.
Smith JC, Vicente GM. True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique. Philipp J Otolaryngol Head Neck Surg [Internet]. 2016 Nov. 30 [cited 2025 Feb. 12];31(2):51-3. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/241

Issue

Vol. 31 No. 2 (2016): Philippine Journal of Otolaryngology-Head and Neck Surgery

Section

Surgical Innovation and Instrumentation

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.