Before and After The Tongue Tie Operation

Lingual Frenulum Release Surgery

During the examination of the patient with Type II tongue tie, when the tongue moves upwards, the tongue tie that appears taut during the lifting of the tongue tip is seen in the middle of the tongue. During the examination, it can also be seen that the tongue tip can be stretched out in front of the lower lips.

One week after the tongue tie operation, the tongue tip can be touched more comfortably behind the upper teeth, the tongue tip can be removed from the mouth much more, and there is a white, mucosal healing area on the surgical ground.

Tongue Tie Operation

Tongue tie, medically known as ankyloglossia, is a condition that occurs when the thin band of tissue (frenulum) connecting the underside of the tongue to the floor of the mouth is abnormally short or tight. This can restrict the movement of the tongue, potentially causing difficulties with speech, feeding, and oral hygiene. In some cases, a tongue tie operation, known as a frenotomy or frenuloplasty, may be recommended to address the issue.

A tongue tie operation is a relatively simple and straightforward procedure that aims to release or lengthen the frenulum, allowing for greater mobility of the tongue. The operation is typically performed by an oral and maxillofacial surgeon, an otolaryngologist, or a pediatric dentist experienced in tongue tie revisions. The procedure may be performed on infants, children, or adults, depending on the individual's symptoms and needs.

Here is an overview of the tongue tie operation process:

1. Pre-operative assessment: Before the operation, a thorough evaluation is conducted to determine the severity of the tongue tie and the associated symptoms. The healthcare professional will assess the range of tongue movement, speech development, feeding issues (in infants), and oral hygiene concerns. This assessment helps determine whether a tongue tie operation is necessary and the most appropriate technique to use.

2. Anesthesia: In infants and young children, a tongue tie operation can often be performed without anesthesia, as the procedure is quick and relatively painless. Older children and adults may receive local anesthesia to numb the area and minimize discomfort during the operation.

3. Frenotomy procedure: A frenotomy is the most common type of tongue tie operation. It involves using a sterile, blunt-tipped instrument (such as scissors or a laser) to carefully release the frenulum. The surgeon cuts or divides the tissue, allowing for greater mobility of the tongue. The procedure is typically swift, lasting only a few seconds to a few minutes.

4. Post-operative care: After the operation, the patient may experience minimal bleeding or discomfort. Infants can usually resume breastfeeding or bottle feeding immediately after the procedure. Older children and adults may be advised to rinse with warm saltwater to promote healing and prevent infection. The healthcare professional will provide specific post-operative care instructions, which may include recommendations for pain management, wound care, and follow-up appointments.

Tongue tie operations are generally safe and have a low risk of complications. However, as with any surgical procedure, there are potential risks, which can include bleeding, infection, damage to surrounding tissues, and recurrence of the tongue tie. It is important to follow the healthcare professional's instructions and seek immediate medical attention if any unexpected symptoms or complications arise.

Following a tongue tie operation, individuals often experience an improvement in tongue mobility, which can positively impact speech, feeding, and oral hygiene. Speech therapy or other forms of rehabilitation may be recommended after the procedure to optimize the functional outcomes.

If you suspect that you or your child may have a tongue tie, it is advisable to consult with a healthcare professional experienced in diagnosing and treating tongue ties. They can evaluate the condition, discuss treatment options, and guide you through the process of a tongue tie operation if deemed necessary.

Tongue Tie Surgery Cost in Istanbul

The cost of tongue tie surgery, also known as a frenotomy or frenuloplasty, can vary depending on several factors, including the geographical location, the healthcare provider, the specific technique used, and any additional services or consultations involved. It's important to note that the following information provides a general overview and that prices can vary significantly.

In some cases, tongue tie surgery may be covered by health insurance plans. However, coverage can vary depending on the insurance provider and the specific policy. It is advisable to contact your insurance provider directly to inquire about coverage and reimbursement options.

For individuals without insurance coverage or in cases where the procedure is not covered, the cost of tongue tie surgery is typically an out-of-pocket expense. The cost can range from several hundred to several thousand dollars. On average, the cost can range between $500 and $2,500, but this is a general estimate and can vary significantly.

The cost usually includes the surgeon's fees, anesthesia (if required), facility fees, pre-operative consultations, and post-operative follow-up appointments. Additional costs may be associated with any necessary diagnostic tests, medications, or specialized consultations.

It is essential to consult with a healthcare provider who specializes in tongue tie surgery to obtain an accurate cost estimate. They can provide a breakdown of the fees and discuss any potential additional expenses based on your specific situation. Some healthcare providers may offer payment plans or financing options to help manage the cost of the procedure.

When considering the cost of tongue tie surgery, it is important to prioritize the qualifications and experience of the healthcare provider. Selecting a skilled professional who specializes in tongue tie revisions can help ensure a safe and successful outcome.

It's advisable to research and consult with multiple healthcare providers to compare costs, expertise, and the overall quality of care provided. Additionally, discussing financial considerations and potential payment options with the healthcare provider or their administrative staff can provide further clarity on the total cost and available options for payment.

Remember that the cost of the surgery should not be the sole determining factor in choosing a healthcare provider. Factors such as their expertise, reputation, patient reviews, and the overall quality of care provided should also be taken into account to ensure the best possible outcome for you or your child.

Possible Risks and Complications For Tongue Tie Operation

Like any medical procedure, tongue tie surgery (frenotomy or frenuloplasty) carries some risks and potential complications. While these complications are relatively rare, it's important to be aware of them before undergoing the procedure. It's essential to consult with a qualified healthcare professional who can provide a comprehensive evaluation of the risks and benefits specific to your situation. Here are some potential risks and complications associated with tongue tie surgery:

1. Bleeding: Some degree of bleeding is expected during and after the procedure. However, excessive or prolonged bleeding may occur in rare cases. The healthcare provider will take necessary precautions to minimize bleeding and provide appropriate post-operative care to manage it.

2. Infection: Any surgical procedure carries a risk of infection. The risk of infection in tongue tie surgery is relatively low, but it can occur. Signs of infection may include increased pain, redness, swelling, warmth, or discharge from the surgical site. If any signs of infection are observed, it's important to contact the healthcare provider for prompt evaluation and treatment.

3. Anesthesia complications: If anesthesia is used during the procedure, there is a minimal risk of potential complications associated with it. These can include allergic reactions, adverse effects on breathing or heart function, or medication-related complications. Anesthesia is typically administered and monitored by qualified professionals to ensure the safety of the patient.

4. Incomplete release: In some cases, despite the procedure, the tongue tie may not be completely released. This can result in persistent symptoms or the need for further intervention. Close follow-up with the healthcare provider can help identify any potential issues and determine if additional treatment is necessary.

5. Damage to surrounding structures: Although rare, there is a slight risk of unintentional injury to surrounding structures during the procedure, such as the tongue, salivary glands, blood vessels, or nerves. The healthcare provider will take precautions and employ precise techniques to minimize the risk of such injuries.

6. Recurrence or revision: In a small number of cases, the tongue tie may reattach or reform after the surgery. This can lead to a recurrence of symptoms and may require further treatment or revision. Close monitoring and follow-up with the healthcare provider can help address any recurrent issues effectively.

7. Changes in sensation or function: Tongue tie surgery involves altering the tissues and structures in the mouth. In rare cases, individuals may experience changes in sensation or function, such as altered tongue movement, speech changes, or changes in swallowing patterns. These effects are typically temporary and resolve over time.

It's important to discuss these risks and potential complications with your healthcare provider before the procedure. They can provide personalized information based on your specific situation, address any concerns you may have, and guide you through the pre-operative and post-operative care to minimize the risks involved.

Remember, the vast majority of tongue tie surgeries are successful and result in improved tongue mobility and alleviation of associated symptoms. However, being informed about the potential risks and complications allows for better decision-making and appropriate management of any post-operative issues that may arise.

Link group where you can read articles about tongue tie published on this website >>
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
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47