Speech and Language Outcomes Are Better After Lingual Frenectomy With Stitching

Tongue Tie (Ankyloglossia - Lingual Frenulum) and Speech Disorder

Ankyloglossia or tongue tie is a congenital anomaly characterized by a shortened tongue suturing, which can lead to limited tongue mobility, resulting in various functional limitations. Ankyloglossia is typically treated by surgical procedures such as restructuring (frenuloplasty) or discontinuation of the syphilis (brothotomy / brake system). However, there is no accepted rule on the management of ankylosing therapy. Previous studies examining the relationship between ankyloglossia and speech disorder (with a lower incidence of contradictory results) can be interpreted more clearly in the context of the classification and restraint of language ties, and more objective interpretations of which language link may cause speech impairment. In a scientific study entitled Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study", a study was conducted to evaluate the speech and language results of patients who underwent brake ligation. and language scores were emphasized. In this study, the factors that contribute to the success of the brake were clearly emphasized.

Tongue tie removal (lingual brakeulectomy) - Does Tongue cause speech impairment? - Tongue tie surgery after suture technique - Tongue tie extension stitch - How to do Tongue tie surgery? - Tongue tie removal operation before and after

In the photo above:

- Tongue tie examination and thick type 3 anterior tongue tie

- a piece of tongue-tie and a diamond-shaped wound site below the tongue after tongue tie removal under local anesthesia

- it can be seen that after the sutures thrown in the vertical plane, it can be lifted upwards by the thinning of the tongue end and more upward than the base of the mouth.

In our country, "tongue tie - ankiloglossia, makes speech disorder?" In response to the question of old and simple information as "usually does not make the language link speech disorder" can be answered. The classification of the anatomic tongue and the classification of the functional tongue tie, and in particular the "free tongue area of ​​less than 16 mm", is particularly important in the Type 1 and Type 2 front tongue ligaments and according to the Ferrés-Amat Functional Tongue tie Classification. Patients with Grade 3 and 4 are more likely to have speech disorder due to tongue ligation. The closer the Tongue tie is to the tip of the tongue or the more firmly attached to the base of the mouth, the greater the likelihood of symptoms such as sharp distortion during speech, inability to say some hard consonants or stumbling while talking.

Tongue tie removal (lingual brakeulectomy) - Does Tongue cause speech impairment? - Tongue tie surgery after suture technique - Tongue tie extension stitch - How to do Tongue tie surgery? - Tongue tie removal operation before and after

Ankiloglossi , dil hareketliliğini kısıtlayabilen ve beslenme ve konuşma zorlukları gibi çocuklar arasında kısıtlamalara neden olabilen yaygın bir doğumsal anomalidir. Birçok uzman operasyon kolaylığı ve düşük komplikasyon oranları nedeniyle cerrahi müdahale önermektedir. Bununla birlikte, ankiloglossi tedavisine ilişkin evrensel olarak kabul edilmiş bir kılavuz yoktur. Yakın zamanda yayınlanan bazı çalışmalarda çocuklarda frenulektomi sonrası emzirmenin geliştiği vurgulanmıştır. Lingual frenulumun cerrahi olarak serbestleştirilmesi, doğumdan erişkinliğe kadar giderek artan bir şekilde yaygın bir prosedür haline gelmiştir. Şaşırtıcı bir şekilde, yerinde dil bağının ayrıntılı anatomisi hiç tanımlanmamıştır ve frenulum morfolojisindeki bireysel değişkenlik için anatomik bir temel önerilmemiştir. The lingual frenulum, often connective tissue "cords" or "submucosal band" is defined, but there is not enough evidence to support these anatomical structures.

Removing of Tongue Tie (Lingual Frenectomy) Operation

In fact, I have seen this study in many patients. With a simple logic, the greater the distance between the tongue tip and the tongue tie starting point, the greater the available language space and the less the language restriction in patients! ". Tie the two horizontal corners in the incision area together by standing together, increasing the possibility of closing the wound in the vertical plane, the tip of the tongue, the use of free tongue area and increase of functional space is reduced. The recommended tongue tie massage in infants and regular midline stretching with the same logic in adult tongue tie exercises increase the likelihood of healing of the wound site in the vertical plane.

In our country, most of the known and highlighted information about the diagnosis and treatment of tongue tie is unfortunately a little different from the current publications.

Tongue Tie Removal (Lingual Frenectomy)  With Thermal Welding Device Operation

Tongue Tie Removal (Lingual Frenectomy) Before, Just After, 1 Week and 1 Month

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

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