Posterior Tongue Tie (PTT) and Massage After Tongue Tie Surgery
Tongue tie and babies with breastfeeding problems, tongue tie massage (lingual frenectomy) after the process, to prevent re-adherence and to keep the usable free tongue area as long as possible to keep the tongue bond massage is recommended.
In the video above, tongue tie massage and lip tie massage are shown.
During the Tongue tie massage, it is recommended to stretch the wounds in the middle of the tongue to the middle of the tongue. That is, the resulting diamond-shaped wound area is intended to heal in the vertical plane.
The most easily visible tongue ties are anterior tongue ties. The frenulum joins to the end of the tongue, which causes the baby to appear in the shape of a heart when trying to extend the tongue. Muscle tissue damage is less than the mucosal injury in the wound after the anterior tongue of the membrane is cut. Therefore, it is natural to expect less pain after massage.
How to make lip tie massage and tongue tie massage?
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| Posterior Tongue Tie - Tongue Tissue Massages - Lip Tie Massage - Differences of Posterior Tongue Tie Surgery - Concept and Definition Confusion For Posterior Tongue Tie (PTT)! |
Before starting stretching exercises, make sure that your hands are clean and your nails are short to avoid accidentally hurting your baby. When you want to stretch the lips towards the baby's nose and pull up, apply gentle pressure to expose the area of release (see video above). For the language, most parents find your baby on your back, your head towards you and your feet in the easiest position. Use your index finger to enter the bottom of your baby's tongue and lift up to release the release area (see video above). After holding the tensioner for 3-5 seconds, place your fingers on both sides of the diamond shape where it is released, and pull your finger for 3-5 seconds to stretch the surgical area horizontally. Generally it is suitable for 5-6 times a day and up to 30 seconds.
Stretching should be continued for at least 3 weeks (ideal for a period of up to 6 weeks). Some babies may take a little longer to recover, so if you stop the tongue bond massage and your breastfeeding is badly affected again, start the exercises again and continue for another week.
Concept and definition confusion for posterior tongue tie (PTT)!
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| Posterior Tongue Tie - Tongue Tissue Massages - Lip Tie Massage - Differences of Posterior Tongue Tie Surgery - Concept and Definition Confusion For Posterior Tongue Tie (PTT)! |
The expression. Posterior tongue tie t is defined as the language bond that can appear normal and cannot be seen visually instead of the tongue bond that reaches the end of the tongue and can be seen in the back, which can be understood by hand. However, this definition may cause the family to think that there is a language bond in the back of the tongue and close to the tonsils.
The posterior tongue tie is the presence of abnormal collagen fibers in a submucosal region surrounded by abnormally tight mucosae on the anterior side of the tongue. Behind a classic front tongue link there is always a rear component behind it (not always visible). Failure to release all of the abnormal collagen fibers results in permanent language restriction. The posterior tongue tie is located above the genioglossus muscle and the abnormal collagen fibers of the PTT are intermingled within the mucus membrane covering the tongue muscles. The tongue muscle (genioglossus muscle) below this mucous membrane is in a completely different layer of tissue, and therefore is not actually included in the posterior tongue tie anatomy.
The posterior tongue tie is the presence of abnormal collagen fibers in a submucosal region surrounded by abnormally tight mucosae on the anterior side of the tongue. Behind a classic front tongue link there is always a rear component behind it (not always visible). Failure to release all of the abnormal collagen fibers results in permanent language restriction. The posterior tongue tie is located above the genioglossus muscle and the abnormal collagen fibers of the PTT are intermingled within the mucus membrane covering the tongue muscles. The tongue muscle (genioglossus muscle) below this mucous membrane is in a completely different layer of tissue, and therefore is not actually included in the posterior tongue tie anatomy.
Differences of posterior tongue tie surgery and different details after surgery
When the posterior tongue is cut, instruments such as scissors, laser or thermal welding, which are used in normal tongue ligament operations, can be used. However, since the thin anterior tongue is a type of tongue ligation that is intertwined with the muscle fibers unlike the tie s, a more tender, thicker, more prone tissue is interrupted during the procedure. This incision area between the lower-posterior part of the tongue and the base of the mouth is the first contacting mucosa when your baby is asleep.
As the tissue being cut is thicker and bloody, the risk of adhesion and the risk of reattachment of the ligament structure is high; at the same time, more pain can be expected in the incision area. I prefer not to perform posterior tongue tie cutting in office conditions, and I prefer applications that reduce heat damage during surgery. Your breast may be rejected for the first few days after tearing off the posterior tongue. After surgery, frozen breast milk should be changed before and before breastfeeding, and a small amount of pain medication should be used for the first few days.
Posterior tongue tie surgery animation
In the video above, we show the genioglossus muscle as little damage as possible, posterior tie cutting with laser and suture with absorbable suture materials. I do not prefer the laser frequently because of heat damage and additional costs.
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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