Mr Juling Ong
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  • Macroglossia

    Mr Juling Ong is a Paediatric Plastic Surgeon who works with a multi-disciplinary team to treat macroglossia.

Macroglossia Treatment

Beckwith-Wiedemann Syndrome (BWS) is a congenital overgrowth disorder which means it is present as birth. It affects approximately one in 15,000 newborns and its most common feature is an overly large tongue, a condition known as macroglossia.

Other indications are a defect of the abdominal wall or an umbilical hernia, increased height and weight at birth or asymmetry in the limbs where one leg or arm is much larger than the other. Some children with this condition may have problems controlling their blood sugar.

In some children, the tongue may protrude from the mouth, either on occasion or all of the time. If the tongue rests inside the mouth, it can cause the lip to protrude or result in increased spacing between the teeth or an overbite. It can also force the lower jaw to grow further than the top jaw.

Children may experience increased drooling or dribbling, feeding difficulties, and macroglossia can impact on speech development. Rarely children with Macroglossia will have breathing difficulties.

Frequently Asked Questions

How is Beckwith-Wiedemann Syndrome (BWS) diagnosed?

Children usually present with one or more of the symptoms of BWS at birth which leads to a clinical diagnosis. It is the result of abnormalities at the chromosome 11p15 and molecular testing in the form of a blood test will then be arranged. For 80 per cent of children with BWS, molecular testing is positive. With a negative test, the clinical features will determine diagnosis and Mr Juling Ong may recommend that some tissue is sent for genetic tests.

Although there are some genetic abnormalities that can cause BWS, most cannot be inherited.

What does treatment for macroglossia entail?

Treatment of macroglossia is carried out by a multi-disciplinary team that includes a specialist speech and language therapist and orthodontist who checks dental development. Facial growth is also monitored as the child matures.

What is the surgical approach for macroglossia?

Many children with functional problems as a result of a large tongue will benefit from surgery. Tongue reduction surgery for macroglossia is performed under a general anaesthetic and typically lasts less than an hour. The size of the tongue is reduced using a keyhole pattern excision and then the wound is closed with dissolvable stitches.

Are there any risks to tongue reduction surgery?

In the first few days after surgery, there will be swelling to the tongue which can make drinking and eating difficult. Infants will not be able to suck from a bottle or breastfeed immediately after the operation so they should be used to feeding from an open cup or a soft-tipped spoon or syringe. The tongue will feel sore and there may be increased saliva in the mouth. Infection and bleeding are rare but can occur.

Your child will usually stay in hospital for up to a week until they are eating and drinking normally and the tongue is recovering well.

During your consultation, Mr Juling Ong will explain all potential risks and discuss your treatment options in full. Please call us on‬ 020 7927 6528 or email us at info@julingong.com to arrange an appointment.

Macroglossia Treatment

Beckwith-Wiedemann Syndrome (BWS) is a congenital overgrowth disorder which means it is present as birth. It affects approximately one in 15,000 newborns and its most common feature is an overly large tongue, a condition known as macroglossia.

Other indications are a defect of the abdominal wall or an umbilical hernia, increased height and weight at birth or asymmetry in the limbs where one leg or arm is much larger than the other. Some children with this condition may have problems controlling their blood sugar.

In some children, the tongue may protrude from the mouth, either on occasion or all of the time. If the tongue rests inside the mouth, it can cause the lip to protrude or result in increased spacing between the teeth or an overbite. It can also force the lower jaw to grow further than the top jaw.

Children may experience increased drooling or dribbling, feeding difficulties, and macroglossia can impact on speech development. Rarely children with Macroglossia will have breathing difficulties.

Frequently Asked Questions

How is Beckwith-Wiedemann Syndrome (BWS) diagnosed?

Children usually present with one or more of the symptoms of BWS at birth which leads to a clinical diagnosis. It is the result of abnormalities at the chromosome 11p15 and molecular testing in the form of a blood test will then be arranged. For 80 per cent of children with BWS, molecular testing is positive. With a negative test, the clinical features will determine diagnosis and Mr Juling Ong may recommend that some tissue is sent for genetic tests.

Although there are some genetic abnormalities that can cause BWS, most cannot be inherited.

What does treatment for macroglossia entail?

Treatment of macroglossia is carried out by a multi-disciplinary team that includes a specialist speech and language therapist and orthodontist who checks dental development. Facial growth is also monitored as the child matures.

What is the surgical approach for macroglossia?

Many children with functional problems as a result of a large tongue will benefit from surgery. Tongue reduction surgery for macroglossia is performed under a general anaesthetic and typically lasts less than an hour. The size of the tongue is reduced using a keyhole pattern excision and then the wound is closed with dissolvable stitches.

Are there any risks to tongue reduction surgery?

In the first few days after surgery, there will be swelling to the tongue which can make drinking and eating difficult. Infants will not be able to suck from a bottle or breastfeed immediately after the operation so they should be used to feeding from an open cup or a soft-tipped spoon or syringe. The tongue will feel sore and there may be increased saliva in the mouth. Infection and bleeding are rare but can occur.

Your child will usually stay in hospital for up to a week until they are eating and drinking normally and the tongue is recovering well.

During your consultation, Mr Juling Ong will explain all potential risks and discuss your treatment options in full. Please call us on‬ 020 7927 6528 or email us at info@julingong.com to arrange an appointment.

ENQUIRE NOW

For more information, general enquiries and to book an appointment please complete the contact form and we’ll be in touch.


Mr Juling Ong
Mr Juling Ong
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Paul lawson
Paul lawson
13:19 05 Sep 22
Absolutely fabulous surgeon. Very caring and relaxing to be with. He fixed my nose after a serious accident. Could... recommend him higherread more
Chris mast
Chris mast
09:44 23 Oct 21
Highly skilled professional surgeon,don't hesitate to send your child to be reviewed by Dr Ong. Very impressed with the... outcome for my daughter..read more
tiantian
tiantian
23:49 08 Jun 21
I saw Dr Juling for a very complicated problem from the past with multiple corrections before.I can tell for sure now... he is one of the best surgeons I can find in London! I had few consultations with him before the surgery. Comparing to other surgeons, he is confident, high skilled, patient and a good listener. All consultations including free follow up were almost 1 hour long without any rush at all,We finally decided to do few procedures including a facelift to address my concerns and repair the face.Fast forward to the day, he made a very detailed & tailored plan. Despite it involves a standard facelift, he didn’t cut into my hairline.I was able to meet friends from day 3. Despite expected swelling, my incision is so short and neat. All my friends would want to see him now. Comparing my incision to some “famous surgeon work”, I can clearly tell how talent he is. My incision is way more short and neat. There is no tension at all at surface level.Juling has the best manner too. He never judges me but listens to my concern and works with me. Whenever I email him my concerns, he always gets back to me so quickly and provides detailed suggestions/advices. I feel incredibly lucky to find him, and I will go no one else if I need anything in future. His work is incredible, amazing and much better than some heavily advertised, highly charged surgeons. I strongly recommend you seeing him if you need anything done/fixed and want to find a kind heart, professional and super talented surgeon.read more
natasha friend
natasha friend
19:13 27 Sep 20
An experienced and professional doctor. He took the time to ensure I understood everything, and had a calm and... friendly manner. I would highly recommend a consultation with him.read more
kate morgan
kate morgan
11:51 25 Sep 20
Would highly recommend mr Ong he was very professional and was able to explain things in a way that puts the parents at... ease and feel reassured. mr Ong was recommended to me by a friend and I would certainly recommend him.read more
Marialeta Moumtzoglou
Marialeta Moumtzoglou
19:58 21 Sep 20
Excellent doctor. Would highly recommend. Personable and friendly, but most importantly exceptional in his field.
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Member of American Society of Plastic Surgeons
Member of BAAPS
Member of BAPRAS

020 7927 6528
info@julingong.com
BOOK A CONSULTATION

NHS & Private

  • Great Ormond Street Hospital for Children

Private Clinics

  • The Consulting Suite
  • 9 Harley Street

Private Hospitals

  • The Portland Hospital
  • The Wellington Hospital
  • The Weymouth Hospital

Copyright | Mr Juling Ong

Privacy Policy

 
Member of American Society of Plastic Surgeons
Member of BAAPS
Member of BAPRAS

Craniofacial and Paediatric Plastic Surgeon

020 7927 6528
info@julingong.com
BOOK A CONSULTATION

NHS & Private

  • Great Ormond Street Hospital for Children

Private Clinics

  • The Consulting Suite
  • 9 Harley Street

Private Hospitals

  • The Portland Hospital
  • The Wellington Hospital
  • The Weymouth Hospital

Copyright | Mr Juling Ong

Privacy Policy

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