macroglossia


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macroglossia

[‚mak·rō′gläs·ē·ə]
(medicine)
Enlargement of the tongue.
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Difficult airway Broad head, flat nasal bridge, [check] Difficult ventilation and intubation macroglossia, protruded forehead, [check] Need for a small endotracheal tube short maxilla, and large mandible 2.
Upon the subsequent presentation to the ED, the patient was noted to have labored breathing and massive macroglossia without visualization of the uvula on physical exam.
Intraorally, the examination showed both arches with interdental spacing, carious cavities in all primary molars, a root remnant of the upper left lateral incisor with related abscess fistula and gingival swelling, and macroglossia associated with an evident anterior open bite (Figure 3).
In addition, if the tongue is affected, this causes macroglossia and its hypotonia with even greater difficulties in speaking, swallowing, and chewing (14).
The diagnostic features may include prolonged jaundice, umbilical hernia, macroglossia, feeding difficulty, mottled skin, lethargy, hypothermia, edema, hypotonia, abnormal cry and hypothyroid appearance.4
Differential diagnosis of Klippel-Trenaunay-Weber syndrome in which PWSs are seen in extremities and face, hemihypertrophy of soft and bony tissues, and Beckwith-Wiedemann syndrome along with facial PWS, macroglossia, omphalocele, and visceral hyperplasia, other lesion syndrome, and coats disease were considered.
All experimental groups had fetuses having abnormalities like exencephaly, open eyes, sub cutaneous hemorrhages, macroglossia, hyperextension of limbs and runt fetuses.
The most common causes of OSAHS in children include tonsil hypertrophy, adenoidal hypertrophy, macroglossia, obesity, chronic rhinitis and deviation of nasal septum (5,6).
BWS is associated with increased growth within the first few years of life, manifesting as hemihypertrophy or macroglossia. There is an increased rate of malignancy (7.5-11%) (5) and congenital malformations (abdominal wall defects and visceromegaly).
Intraoral examination showed insufficient width of an attached gingiva, gingival hyperplasia, macroglossia, cleft tongue, dental crowding, malocclusion, anterior cross-bite and caries (31, 32, 41, 42, and 35).
Duchenne muscular dystrophy interrupts the oro-facial function and brings the difficulties in the pre-oral phase of swallowing.12 The bite force and mouth opening distance in these patients are considerably lower than maximum.13 Macroglossia, tongue propelling, mouth breathing and lip incompetency commonly seen in DMD patients.14 Mandibular elevator muscles are rotated downward and backward because of progressive weakness thus leading to turning of the mandible away from the maxilla resulting in long face deformity with open bite.11