Wound Shape Is Very Important After Lip Tie / Tongue Tie Release Operation
Healing Properties of Oral Mucosa and Re-attachment
When there is a mucosal injury in the mouth, a rapid healing begins from the periphery to the center. In other words, after lip tie and tongue tie release surgery, reattachment may occur after the healing tissue, especially between the wound edges that contact end-to-end, and this may reduce the success of the surgical procedure.
A Vertical Scar at the Diamond-Shaped Incision is "Good"; Horizontal Scar Can Be Interpreted as "Bad"
After tongue tie surgery and lip tie surgery, a diamond-shaped wound appears at the incision sites. When the lip and tongue stretching exercise is performed on the vertical axis, the wound heals vertically without end-to-end adhesion; In patients who do not have tongue tie massage / exercise or lip tie massage / exercise, improvement in the end-to-end contact areas and a horizontal relapse when reattahment occurs. For example, the incision under your baby's tongue touches end-to-end during half-sleep. When you lift the tongue upwards and forwards with your finger, it can sometimes be seen that there is a feeling of tearing at the wound site and tearing in the horizontally joined areas.
Just by Looking at the Wound, the Shape of the Wound Can Indicate Reattachment!
Video description: The area of the diamond-like incision that occurs immediately after the lip tie and tongue tie release surgery. It is normally restored to the natural healing process, resulting in partial horizontal healing of the lip or tongue, closing the site horizontally due to mucosal healing from the outside to the center. Regular stretching exercises (in the form of tongue tie massage or tongue tie exercises) instead of incision to prevent this tend to cause the wound edges in the area to approach each other vertically and to prevent partial tongue or lip reattachment reappearance.
After tongue tie surgery and lip tie surgery, mucosal healing is completed after 3 weeks. When this process is completed, we think that when there is a near-vertical healing in the wound, there is no re-adhesion of the tongue tie and a functional tongue tie does not occur again. Generally, it is aimed to reduce the risk of reattachment by using the "frenectomy" technique, which includes triangular tissue removal. The distance between the tip of the tongue and the starting point of the tongue tie is defined as "free tongue distance". For babies, this distance should be 16 mm or more. When the tongue tie is cut, this distance decreases; This distance decreases when the tongue tie wound re-adheres.
Vertical Stretching Exercise and Massage Important!
After lingual frenectomy and lip tie surgery, stretching the wound in the vertical plane can reduce the end-to-end adhesion of the wound and reduce the risk of reattachment. While local massage with fingers is generally recommended to infant patients by the mother or father; Postfrenectomy tongue tie exercises are recommended for adults and older children.
After Tongue Tie and Lip Tie Operation, the Risk of Adhesion is Highest in the First 2 Weeks!
In the first weeks after tongue tie and lip tie operations, mucosal healing is very rapid and reattachment occurs especially in the first 2 weeks. Generally, tongue and lip tie massage is recommended for babies up to 3-6 weeks. The reason for this is to ensure that the wound site heals in the vertical plane during the healing period and to prevent adhesion in the horizontal plane.
Link group you can browse to read previously prepared articles about lipt tie and tongue te >> https://www.ent-istanbul.com/search?q=tongue+lip+tie
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47