Tongue Tie Release Surgery Using Clamps and Scissors
Video description: As a result of the examination, type 3 anterior tongue tie was detected in the adult patient who had articulation problems in hard consonants while speaking (he was misarticulated the speech sounds /l/, /th/, /s/, /r/, and /t/). Tongue tie release operation was planned for the patient under office conditions. After the application of lidocaine spray, local anesthetic was injected and the triangular mucosal area was marked with a clamp as seen in the photograph. It was cut with the help of scissors and the triangular tissue was removed (lingual frenectomy). The incision area was sutured vertically with absorbable suture material. Bleeding control was done and the operation was terminated.
In particular, the adhesion of the tongue tie and the shortening of the free tongue area (the distance between the first starting point under the tongue and the tongue tip) may occur, adhering to the new contact points between the lower surface of the tongue and the oral cavity. Normally, the tongue is cut parallel to the tongue during tongue tie release surgery. This process is called Lingual frenotomy. In the case of infants in office conditions, this is usually the case.
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| Image Description: In the above photograph, before the tongue tie tissue under the tongue of the patient is cut, the triangular region showing the tongue tie area that is planned to be removed is shown with the dashed line. In the image on the right, it is seen that the sutures under the tongue and the tongue are more elevated from the floor of the mouth after the procedure. |
Tongue Tie Can Cause Articulation Problems!
In patients with tongue tie, especially when there is a tongue tie reaching to the tip of the tongue (in patients with a short free tongue distance, in patients with a short tongue tie - it may be more prominent in type 1 and 2 tongue ties), difficulty in the upward elevation of the tongue tip in the mouth, especially Symptoms such as "deterioration of clarity" when saying various letters, including hard consonants, and pain in the jaw and neck may occur depending on the effort to move the jaw forward more during speaking. In these patients, performing tongue tie relase surgery in the early period is beneficial in preventing structural changes in the tongue and jaw, as well as speech problems (source link >> Tongue-Tie and Speech Articulation).
Tongue Tie Release Can Provide Speech and Feeding Improvements!
It has been shown that there is an improvement in both nutrition and speech after tongue tie relase surgery, especially in children and infants. Tongue tie, which is a tissue that restricts tongue movements in the mouth (tehtered oral tisue), needs to be treated early in symptomatic patients (source >> Speech and Feeding Improvements in Children After Posterior Tongue-Tie Release: A Case Series).
Tongue Tie Surgery Cost in Istanbul
The fee for the tongue tie releae process in Istanbul varies between 600 - 1500 us dollars, depending on the technique of the procedure, office or hospital conditions. In babies younger than 6 months, I prefer to make an incision with scissors and clamps in office conditions. In babies older than 6 months, I prefer to perform the operation under hospital conditions and under sedation anesthesia due to the risk of post-traumatic stress disorder.
Will There Be Bleeding After Scissor Assisted Tongue Tie Surgery?
While I prefer to suture the mucosal surfaces in the incision site mutually in adults after the tongue tie relase surgery or a lingual frenectomy operation that I performed with the help of scissors and clamps in office conditions; In our infant patients, I prefer to apply pressure to the wound with sterile gauze, and to apply silver nitrate if necessary. Although rarely, there is a risk of bleeding after tongue tie operation.
What to do when bleeding after tongue tie relase surgery
Although there is no serious bleeding in general, you can pay attention to the following recommendations when bleeding occurs after tongue tie surgery:
- Since there is usually bleeding in the form of oozing, you can keep a cold food such as ice or ice cream on the wound.
- You can apply pressure to the wound with sterile gauze.
- You can avoid blood thinners like aspirin, garlic, fish oil, sour cherry and Ginkgo Biloba, and spicy foods.
- You can take a break from tongue tie massage or tongue tie exercise for a few days and contact your doctor.
- Rarely, bleeding may require hospitalization (I have never seen such bleeding in any of my patients). Especially when there is a thick submucosal tongue tie, such as a posterior tongue tie, I do not prefer to operate in office conditions as much as possible.
Appointment Number for Tongue Tie Surgery in Istanbul
If you want to make an appointment for tongue tie release surgery in Istanbul, you can first make an appointment for an examination and then talk to me to plan the operation. Normally, my secretary arranges all the appointments and you can send me a whatsapp message when you click on the WhatsApp icon in the left column above on this website. I can text you my secretary's cell phone.
Is It Necessary to Take Off The Sutures After Tongue Tie Surgery?
Since suture materials that can dissolve in the body are used, stitches are not required after tongue tie loose surgery. Almost all of the stitches disappear within 3 weeks.
Myofunctional Therapy After Tongue Tie Surgery Is Very Important!
After tongue-tie operations, we recommend myofunctional therapy to our patients in order to normalize the functioning of the patient's tongue muscles, to make complicated coordinated movements feasible, and to improve the functions of the tongue in oral cleaning and speech. Unfortunately, while there are a large number of breastfeeding counselors and speech therapists in Turkey; Finding a myofunctional therapist is not easy. There is a very limited number of people. These therapies are different from tongue-tie massage or tongue-tie exercises. I recommend my patients to watch videos of oral myofunctional therapists on YouTube who specialize in the subject. Especially on tongue tie and lip tie, there is no consensus among physicians on the anatomical - functional classification of treatment, and there are very few doctors interested in the subject. Sometimes my patients from different countries ask "do you have any information about posterior tongue tie?" they were asking. Since they see my articles about him this subject on different websites, they usually do not ask. Especially in infants, in babies with a simple anatomical limitation, "lip tie" and "tongue tie", when breastfeeding problems, "your baby does not know how to suckle" or "Your breast has a problem and your baby cannot latching enough, therefore" by making suggestions as "mother". instead of breast milk", "artificial milk" and "bottle feeding" instead of "breast breast" are recommended. In this process, babies gradually move away from "breastfeeding", which is the natural way of feeding, causing breast rejection and early weaning from breast milk. If tongue-tie and lip tie are functional, that is, in infants with limited upper lip movements due to lip tie and tongue tie movements, early treatment can ensure that babies are fed with breast milk for a longer period of time and protect them from many diseases. Breast milk is a unique, magnificent and very important body secretion for babies.
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Appointment Phone: +90 212 561 00 52
Fax: +90 212 542 74 47
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