本法是在舌背部作“W”型切除术,可克服常规手术所引起的舌体僵硬、球形舌及舌感觉异常,不影响舌的长度及正常发音功能。 适应证 巨舌症或因巨舌所引起的打鼾;神经纤维瘤病(有舌部病变者)及Beck-with-Wiedemann综合征等。 方法 术前常规体检,作发音/语言功能评价,必要时MRI行手术前后舌的形态比较。为预防术后呼吸道梗阻,可做预防性气管切开。术前静注Solumedro,10mg/kg和肌注Celestore,2mg/kg以减少术后舌体肿胀。切口画线如附图,用缝线牵拉舌出口腔,舌部浸润注射含有1∶100000肾上腺素的1.0％Xylocaine,50 This law is in the back of the tongue for “W” resection, can overcome the conventional surgery caused by tongue stiffness, spherical tongue and tongue sensory abnormalities, does not affect the tongue length and normal pronunciation function. Indications Megacornia or snoring caused by the giant tongue; neurofibromatosis (with tongue lesions) and Beck-with-Wiedemann syndrome. Methods The preoperative routine physical examination was used to evaluate the pronunciation / language function and to compare the morphological changes of the tongue before and after MRI if necessary. To prevent postoperative respiratory obstruction, can be done to prevent tracheotomy. Preoperative intravenous injection of Solumedro, 10mg / kg and intramuscular Celestore, 2mg / kg to reduce postoperative swelling of the tongue. The incision draws the line as shown in the figure, pulling the tongue out of the cavity with a suture, infiltrating the tongue with 1.0% Xylocaine containing 1: 100,000 epinephrine, 50