Macroglossia
ICD-10 Q38.2 is a billable code used to indicate a diagnosis of macroglossia.
Macroglossia is a congenital condition characterized by an abnormally large tongue, which can lead to various complications, particularly in infants and children. This condition may be isolated or associated with other congenital malformations, including syndromes such as Down syndrome, Beckwith-Wiedemann syndrome, and others. The enlarged tongue can obstruct the airway, complicating breathing and feeding, and may also affect speech development. In some cases, macroglossia can be a result of underlying genetic abnormalities or endocrine disorders. Diagnosis typically involves clinical examination and may require imaging studies to assess the extent of the enlargement and its impact on surrounding structures. Management may include surgical intervention to reduce the size of the tongue if it causes significant functional impairment. Understanding the implications of macroglossia is crucial for pediatricians and specialists in genetics, as it can be a marker for more complex syndromic presentations.
Detailed clinical notes on the size of the tongue, feeding difficulties, and any respiratory issues.
Infants presenting with feeding difficulties and respiratory distress due to macroglossia.
Consideration of airway management and potential surgical interventions.
Genetic testing results, family history, and any syndromic associations.
Children with macroglossia being evaluated for genetic syndromes.
Understanding the genetic basis of associated conditions and implications for family counseling.
Used when surgical intervention for macroglossia is performed.
Detailed operative report and pre-operative assessment.
Pediatric surgical notes should include airway management strategies.
Common complications include airway obstruction, feeding difficulties, and speech delays. It is essential to monitor these aspects closely in affected children.
