Revision Tongue Tie Release Surgery Video

Revision Lingual Frenectomy Operation

Many of the information about tongue tie and treatment has recently begun to be clarified. In this video, an adult patient's tongue tie examination, before and after the tongue tie operation, was performed with an inadequate language tie-down. In fact, the information in this video shows how important the middle part of the tongue is released during the first tongue tie surgery and how important it is to perform tongue tie massage or tongue tie exercises after the procedure.

Criterias for Revision Tongue Tie Operation in Infants:

. Inadequate increase in tongue movement and reattachment to the base of the mouth during tongue hand examination

. Contiune to mom biting on her nipple after the first tongue tie relase surgery
. Long suction time
. Absence of satiety in baby despite long absorption period
. During baby's sucking, the tummy gets tired instead of being vacuumed
. Baby's chewing or biting your mother's nipple
. Development retardation in the baby

Criterias for Revision Tongue Tie Operation in Adult Patients:

. Continuation of bifurcation and limitation of movement after the procedure
. Failure to touch tongue tip to upper teeth when mouth is open
. Stress or sharpness reduction in some words during quick talk
. Strain while lifting tongue tip upward

If there is a reduction in pre-existing complaints due to tongue tie, a speech therapist or an otolaryngologist interested in the subject should be consulted.

Can Reattachment Risk be Reduced?

Reattachment and partial re-functionalization of the tongue tie after tongue tie operations may reduce the success of the surgery. The risk of reattachment may increase when a traumatic incision is made, especially after posterior tongue tie operations with a thick and vascular structure. Triangle-shaped tissue removal and mutual suturing of the wound edges (frenectomy - suturing techniques) can reduce the risk of reattachment. Performing tongue-tie massage and preserving the "rhombic" shape of the wound incision area means that the risk of reattachment is reduced. If the wound has become a horizontal line, it means that reattachment has occurred.

Tongue Exercises After Revision Tongue Tie Surgery

After the revision tongue tie operation, stretching the tongue in the vertical plane and doing exercises in this way can reduce the risk of reattachment at the wound site and strengthen the muscles that provide tongue elevation. In this way, it is useful for the treatment of articulation disorders. Below you can find the language exercises video that I liked and approved very much.

Thanks to Dr Audrey Yoon for sharing.

After revision tongue tie operations, it is not possible to completely eliminate the changes in the jaw, mouth and tongue structure due to tongue tie in adult patients over time. This is because the jaw and mouth development has already been completed. In other words, it is necessary to carry out this procedure as soon as possible before the development of the mouth and jaw is completed, in order to prevent negative permanent anatomical effects in children.

Nutritional Recommendations After Revision Tongue Tie Release Operation

It is ideal not to eat or drink hot, spicy products after secondary tongue tie surgeries, as after classical tongue tie surgeries. Especially after the completion of 3 weeks, mucosal healing is completed to a large extent and if the mucosa in the wound area has turned pink like normal oral mucosa, it is appropriate to switch to normal nutrition. Drinking plenty of water, chewing gum, contacting the wound with honey, and in case of pain, applying a cream over the wound may be beneficial.

Link group where you can find detailed information about dry nose on this website >>

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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