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      An idiopathic severe macroglossia in a young adult patient: a rare case

      case-report

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          Abstract

          Macroglossia, an uncommon anatomical anomaly, can manifest as either congenital or acquired. The size of the tongue undergoes variations with age, peaking at 8 years and reaching full maturity at 18 years. Congenital macroglossia stems from diverse conditions, such as muscular hypertrophy, hemangioma, lymphangioma, Down syndrome, and others. Acquired macroglossia can result from malignancies, endocrine and metabolic disorders, chronic infectious diseases, and head and neck infections, among other factors. Additionally, extended-prone surgery can lead to its development. The incidence of macroglossia is likely underreported. This presentation is rare with only six reported cases in the literature.

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          Most cited references6

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          Macroglossia.

          Macroglossia is defined as an enlarged tongue and it is usually clinically diagnosed. Pseudomacryglossia concerns a tongue that is of normal size but gives a false impression of being too large in relation to adjacent anatomical structures. The causes of macroglossia are numerous and this is why various classifications have been proposed for this condition. The consequences of macroglossia usually include a possible malfunction of the stomatognathic system, breathing and speech problems, increased mandible size, tooth spacing, diastema and other orthodontic abnormalities. The treatment of macroglossia depends on its aetiology and generally includes correcting the systemic disease underlying the increase in lingual mass, surgical treatment, radiotherapy and treatment of orthodontic abnormalities that might have been caused by the condition.
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            Macroglossia and posterior fossa disease.

            We describe five cases of macroglossia in patients with posterior fossa disease and suggest that the primary mechanism is neurogenically determined rather than one of vascular obstruction or local trauma.
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              Macroglossia in neurosurgery

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                Author and article information

                Contributors
                Journal
                J Surg Case Rep
                J Surg Case Rep
                jscr
                Journal of Surgical Case Reports
                Oxford University Press
                2042-8812
                May 2024
                18 May 2024
                18 May 2024
                : 2024
                : 5
                : rjae313
                Affiliations
                Department of Medicine, Hamad Medical Corporation , Doha, Qatar
                Weill Cornell Medicine-Qatar , Doha, Qatar
                Medical Education Department, Hamad Medical Corporation , Doha, Qatar
                Department of Medicine, Hamad Medical Corporation , Doha, Qatar
                Medical Education Department, Hamad Medical Corporation , Doha, Qatar
                Medical Education Department, Hamad Medical Corporation , Doha, Qatar
                Medical Education Department, Hamad Medical Corporation , Doha, Qatar
                Department of Medicine, Hamad Medical Corporation , Doha, Qatar
                Author notes
                Corresponding author. Hamad Medical Corporation (HMC), P.O. Box 3050, Doha, Qatar. E-mail: muadabdi2@ 123456outlook.com
                Author information
                https://orcid.org/0009-0007-6128-1351
                Article
                rjae313
                10.1093/jscr/rjae313
                11102786
                38764739
                5c680266-42d6-4742-ac82-9bf67eb3249c
                Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 March 2024
                : 02 April 2024
                : 30 April 2024
                Page count
                Pages: 3
                Categories
                Case Report
                AcademicSubjects/MED00910
                jscrep/090

                macroglossia,idiopathic,isolated macroglossia,rapid progression

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