An Experience of Surgical Reduction in a Case with Acromegaly.

A case of acromegaly accompanied by pituitary adenoma in a 39-year-old woman was reported. Her manifest conditions in the field of oral surgery were jaw asymmetry, mandibular protrusion, hypertrophy in the right condyle, and macroglossia. Prior to oral surgical reduction, pituitary tumor was resected by the transsphenoid approach at the Department of Neurosurgery and growth hormone was controled almost at the normal level thereafter. Surgical reduction was performed by right condylectomy, partial glossectomy, and bilateral sagittal split ramus osteotomy for mandibular set back. After surgery, the oral conditions improved, without disturbances in chewing, mandibular opening or closing, and esthetic appearance. However, further follow up is needed in cases like the present one.