title: Double stellate tongue reduction: a new method of treatment for macroglossia in patients with Beckwith-wiedemann syndrome.
abstract: BACKGROUND
  Although multiple methods of tongue reduction have been described, recent literature suggests that the central reductions may be more favorable in patients with Beckwith-Wiedemann syndrome (BWS). In this case series, we review our experience with macroglossia associated with BWS, and we offer a new technique of central tongue reduction.
  
  
  METHODS
  Between 1993 and 2007, a retrospective chart review was conducted to include all patients with a diagnosis of BWS who have undergone stellate or double stellate tongue reduction at the Children's Hospital of Wisconsin.
  
  
  RESULTS
  A total of 7 patients met all inclusion criteria. All patients had good tongue mobility at 1-year follow-up. One patient required speech therapy for persistent articulation errors postoperatively. A total of 2 patients required secondary procedures for recurrent macroglossia. There were no complaints of abnormal taste or sensation.
  
  
  CONCLUSIONS
  The stellate and double stellate tongue reductions provide effective treatment in macroglossia associated with BWS.
authors.affiliation: Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA. phetting@mcw.edu
authors.forename: Patrick C
authors.initials: PC
authors.lastname: Hettinger
authors.forename: Arlen D
authors.initials: AD
authors.lastname: Denny
mesh_terms: D000293:Adolescent; D001506:Beckwith-Wiedemann Syndrome; D002648:Child; D002675:Child, Preschool; D005927:Glossectomy / Q000379:methods*; D006801:Humans; D007223:Infant; D008260:Macroglossia / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome