Lingual frenectomy
Lingual Frenectomy is a surgical procedure performed to correct a condition known as Ankyloglossia, or tongue-tie. This condition is characterized by an unusually short, thick, or tight band of tissue (the lingual frenulum) tethering the bottom of the tongue's tip to the floor of the mouth.
Procedure
The procedure involves the removal or alteration of the lingual frenulum. This can be done using a number of different techniques, including traditional surgery, laser surgery, or a frenotomy. The choice of technique depends on the specific needs of the patient and the judgement of the healthcare provider.
Traditional Surgery
In a traditional lingual frenectomy, a surgeon will use a scalpel to cut the frenulum. The wound is then stitched up to heal.
Laser Surgery
In a laser lingual frenectomy, a laser is used to cut the frenulum. The laser cauterizes the wound as it cuts, reducing bleeding and often eliminating the need for stitches.
Frenotomy
A frenotomy is a less invasive procedure that can be used in some cases. It involves making a small cut in the frenulum to loosen it and allow the tongue more freedom of movement.
Indications
A lingual frenectomy may be indicated for a number of reasons. These can include difficulty with speech, difficulty with eating or swallowing, or issues with oral hygiene due to the inability to properly clean the area under the tongue. In infants, a tongue-tie can cause problems with breastfeeding.
Risks and Complications
As with any surgical procedure, a lingual frenectomy carries some risks. These can include infection, bleeding, damage to the tongue or other oral structures, and complications related to anesthesia. There may also be changes in speech or sensation in the tongue following the procedure.
Recovery
Recovery from a lingual frenectomy generally involves a period of healing and may include exercises to improve tongue mobility and flexibility. Pain and swelling are common in the first few days after the procedure, but these symptoms usually resolve within a week.
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Contributors: Prab R. Tumpati, MD