An idiopathic case of macroglossia.

SUMMARY: A case of successful reduction glossectomy for idiopathic macroglossia is presented. Macroglossia varies in its degree of severity. With pronounced macroglossia, respiratory and feeding difficulties may ensue. Persistent macroglossia leads to speech problems and anterior open bite. The cause of macroglossia must be clearly defined, and true macroglossia separated from pseudomacroglossia. There are many congenital and acquired causes of true macroglossia. By far, the most common cause of macroglossia is muscular hypertrophy. No similar case of idiopathic macroglossia is encountered in the literature. Corrective reduction glossectomy for this reason is scarcely described in the literature.

[Mammary reconstruction in Poland's syndrome]. / Reconstrucción mamaria en el síndrome de Poland.

Poland's syndrome is considered to be a polimalformative entity with different degrees of severity. We retrospectively reviewed our patients with Poland's syndrome diagnosis, treated between 2000 and 2006. The aim of our study is to assess the different choices of surgical treatment for mammary reconstruction according to the importance of malformation and taking into account our own experience and literature references. A total o f 13 patients (5 males and 8 females) were studied and only 6 of them (1 male and 5 females) underwent surgery. Surgical indication was based on Foucras's classification, considering 3 grades of severity. We propose a surgical approach adapted to each stage, as well as surgical refinements to improve the aesthetic aspect. Most of our patients were very satisfied with final results even though they underwent complex procedures with a considerable rate of complications.