Do Not Misunderstand The White Mucosal Healing Tissue That Occurs Within A Few Days After Tongue Tie Relase Surgery As Infection

White Healing Area After Lingual Frenectomy Surgery

After the tongue tie release surgery - Mucosal white healing area under the tongue - White mucosal healing area after the lingual frenectomy
Day 2 After Lingual Frenectomy Surgery
White healing tissue is seen under the tongue.

In patients with Tongue tie, after the tongue tie is cut, mucosal damage occurs in varying amounts depending on the structure and location of the tongue tie. Tongue tie cutting operation can be performed in infants under 6 months, in the office conditions, without tongue tie too thick (posterior tongue ties is not suitable for office based procedure). In larger infants and children, tongue tie cutting can be performed under hospital conditions.

After the tongue tie release surgery - Mucosal white healing area under the tongue - White mucosal healing area after the lingual frenectomy

In the photographs below and above, there is a sublingual image on the 2nd day after the tongue tie operation of the patient who underwent surgical operation with bloodless tongue tie release surgery with thermal welding method and mucosal suture with sewing thread that can be dissolved after surgery.

After the tongue tie release surgery - Mucosal white healing area under the tongue - White mucosal healing area after the lingual frenectomy

It appears that the tongue tip is slightly edematous, some of the sutures thrown up begin to eradicate, and there is a slight separation in some incisions (all normal). When the tongue tie operation is carried out by means of a lot of heat damage such as laser and electrocautery during the process, this white mucosal healing texture can appear as a much thicker layer.

This mucosal healing within the first few days usually takes place within 7-10 days after leaving the normal pink-colored oral mucosa. Do not feed with hard, sharp edges, hot, acidic, spicy, over salty foods that may cause irritation to the mucous membranes, moisturizing the tongue (chewing gum, frequent drinking water, eating water with high water content), use of spray and gel to accelerate mucosa healing there are studies showing the positive effects of this), this white texture can make it quickly disappear.

During the tongue tie operation, it is suggested that the infant's tongue massage and the tongue-tongue exercises in adults are recommended so that the incision heals quickly and the tongue tie does not stick. This tongue tie massage and tongue tie exercises cause the wound site to be almost completely new and the wound lips to open. In fact, although delayed healing; it is recommended for the patient to get rid of tongue tie effects.

How can you distinguish between the mucosal white healing area under the tongue and the appearance of inflammation?

If pain and redness appear under the tongue and at the tip of the tongue, advise your treating physician and advise you of the possible risk of infection.

Navigating Recovery After Tongue Tie Surgery: What to Expect

Tongue tie, also known as ankyloglossia, is a condition where the strip of skin beneath the tongue (lingual frenulum) is shorter than usual, restricting the tongue's range of motion. Tongue tie surgery, or frenotomy, is a common procedure performed to correct this condition. While it's a relatively straightforward outpatient surgery, understanding the recovery process is crucial for both parents and adult patients. In this article, we will explore what to expect during the recovery after tongue tie surgery.

The Surgical Procedure

Tongue tie surgery is typically a brief and minimally invasive procedure. It is usually performed in a clinic or doctor's office. The surgeon or dentist will assess the severity of the condition and, if necessary, make a small incision to release the tight lingual frenulum. The procedure is quick and is often done with minimal anesthesia, if any, for infants. In older children and adults, local anesthesia is commonly used to ensure comfort during the procedure.

Recovery in the First Few Hours

Immediately after the surgery, it's normal to experience some discomfort and bleeding. However, this should be mild and manageable. Recovery starts as soon as the procedure is completed. Here's what to expect in the initial hours:

Feeding (for infants): If the surgery is performed on an infant, they may breastfeed or bottle-feed shortly after the procedure. This helps with comfort and promotes the healing process.

Adult patients: Older patients may also resume eating and drinking as soon as they feel comfortable, typically within a few hours.

Swelling and discomfort: Some minor swelling and discomfort at the surgical site are common. This can be managed with over-the-counter pain relievers, or as recommended by the surgeon.

Recovery in the First Few Days

The first few days after tongue tie surgery can be crucial for a smooth recovery. Here's what to expect during this period:

Feeding (for infants): Babies may have difficulty latching on and breastfeeding immediately after surgery due to swelling and discomfort. This issue often resolves within a day or two, and parents may need to pump breast milk for feeding during this time.

Speech and mobility: Some individuals, particularly older children and adults, may experience immediate improvements in tongue movement and speech clarity. However, there may be a temporary period of adjusting to the new range of motion.

Pain and discomfort: Discomfort or mild pain may persist for a few days. Over-the-counter pain relief and following post-operative care instructions are vital for managing this discomfort.

Oral hygiene: Maintaining proper oral hygiene is crucial during recovery. Rinsing the mouth with warm saltwater after meals can help reduce the risk of infection.

Diet modifications: Soft and easy-to-swallow foods are recommended in the first few days. Avoiding spicy and very hot foods can help prevent irritation.

Follow-up Appointments

Patients, especially infants, typically have a follow-up appointment with the surgeon a week or two after the procedure. During this visit, the surgeon will assess healing and offer guidance on postoperative exercises to maintain tongue mobility.

Long-Term Recovery

Beyond the immediate postoperative period, there are some long-term aspects of recovery to consider:

Speech therapy: For some individuals, especially older children and adults, speech therapy may be recommended to maximize the benefits of improved tongue mobility.

Breastfeeding support: For mothers and infants, it is crucial to continue working with lactation consultants if breastfeeding difficulties persist, as the baby adapts to the improved tongue mobility.

Oral hygiene: Maintaining good oral hygiene practices, including regular dental check-ups and cleanings, is essential to prevent complications.

Lifelong benefits: It's important to remember that tongue tie surgery can offer lifelong benefits, such as improved speech and oral health.

Recovery after tongue tie surgery is usually straightforward, with most patients experiencing relief from their symptoms and improved tongue mobility. However, it's essential to follow postoperative care instructions, attend follow-up appointments, and be patient with the healing process. If you or your child undergoes this procedure, you can look forward to experiencing the long-term benefits of improved tongue mobility and a better quality of life. If you have any concerns or questions during the recovery process, don't hesitate to contact your doctor and healthcare provider team for guidance and support.

On this website, the link group where you can read the articles I have previously prepared about tongue tie >>

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

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