Lingual Frenectomy Operation With Thermal Welding Device Video - 2

Tongue Tie Release Surgery

17-year-old patient with an anterior tongue tie, almost reaching the tongue and tongue near the tongue base, was planned to perform a tongue tie release surgery with a Thermal Welding Device.

Parallel to the tongue and just below the tongue, the tongue tie is cut with the probe of the thermal welding device. During the procedure, it appears that the tongue is released upwardly away from the mouth base.

Although mucosal injury after surgery is minimal; a local anesthetic injection was made in the incision area, the incision area was stitched with absorbable fine suture material and the inside of the mouth was washed with cold serum.

After the operation, the incision area under the tongue and the sutures to be seen are seen. It is seen that the mucosa is not allowed to burn due to any heat damage and the tongue tip can be lifted up from the mouth base comfortably.

Ankyloglossia (Hypertrophic Lingual frenulum / Short Frenulum / Tongue Tie)

Tongue tie is a structure normally located under the tongue and in the midline, to remain attached to the floor of the mouth; means shorter or thicker than normal.

Tongue tie can usually be understood during the doctor's examination immediately after birth or when the mother notices symptoms such as difficulty in sucking, sweating and inability to fully grasp the breast in her baby.

25-80 percent of breastfeeding difficulties have been reported in infants with ankyloglossia. Due to the limitation of tongue mobility, infants are unable to extend their tongue over the gumline to create a proper seal and instead use their jaws to hold the breast in the mouth. This results in ineffective latch, maternal breast pain, poor milk supply, breast rejection, and failure to thrive.

Ankyloglossia also contributes to other feeding difficulties such as bottle feeding, deglutition and licking food. It has also been claimed to be responsible for difficulty playing wind instruments, oral hygiene, kissing and drooling. It can lower self-esteem or contribute to psychological issues for older patients. Although ankyloglossia can contribute to feeding difficulties, children often have other comorbidities, such as hypotonia, oral motor coordination, or laryngomalacia that can cause or contribute to dysphagia.

Babies with tongue-tie cannot fully take the brown area of the breast's outer milk ducts into their mouths and cannot vacuum. In this case, symptoms such as sweating, difficulty in sucking and weight loss due to malnutrition occur due to excessive exertion.

The amount of symptoms may vary according to the short, thick and closeness of the tongue tie to the tongue tip. It is recommended to treat the shortness of the tongue tie (when restriction in tongue movements is noticed) as early as possible.

Negative Health Effects of Tongue Tie

In children with tongue-tie and restricted tongue movements for a long time, bifurcation at the tip of the tongue and a split in the middle may occur over time. Performing tongue-tie surgery in the early period prevents these structural changes. Application of tongue-tie release procedures in the early period will prevent possible language functions being affected in the baby.

Jaw Pain and Neck Pain Added to the Symptoms of Tongue Tie!

The movement of the tongue in childhood has a great influence on the placement and development of teeth and the structure of the jaw. When there is a tongue tie, the tongue cannot move properly, and this often leads to a smaller mouth, jaw and palate. Moving the lower jaw forward more than normal during tongue movement may cause pain in the temporomandibular joint that connects the mandible to the skull. In the same way, the use of auxiliary neck muscles in jaw movement can cause neck pain. Temporomandibular joint pain and neck pain are more common in tight and short tongue ties.

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

Private Office:
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