Tongue Tied Surgery: 4 Best Surgical Procedure Options

The baby is smiling at the camera.

Why do you need tongue tied surgery? If a baby has a tongue tie ankyloglossia, they can experience many complications later in life. Therefore, treatment is essential for the proper development of the baby, specifically their oral health condition. In fact, surgery might help with this oral issue.

 

What is Tongue-tie Ankyloglossia?

Tongue-tie is a circumstance existing at birth that confines the tongue’s scope of movement. With tongue-tie, a strangely short, thick, or strained band of tissue ties the lower part of the tongue’s end to the floor of the mouth. Hence, it may meddle with breastfeeding.The baby needs tongue tied surgery.

A person who has tongue-tie ankyloglossia may experience issues sticking out their tongue. Also, tongue-tie can influence how a child talks, eats and swallows.

At times, tongue-tie may not result in issues. A few cases may require a simple surgical treatment for correction.

 

Symptoms of Tongue Tie

Tongue-tie symptoms include:

  • Trouble moving the tongue from one side to another or raising the tongue to the upper teeth.
  • A tongue that seems scored or heart-formed when stuck out
  • Difficulty sticking out the tongue past the lower front teeth.

Complications of Tongue Tie

Tongue-tie can influence a child’s oral development, just like how the child talks, eats and swallows.

Here are the following complications if the condition is not treated.

Breastfeeding Problems: Breastfeeding requires a child to keep their tongue over the lower gum while sucking. If incapable of moving the tongue or keeping it in the correct position, the baby may bite rather than suck on the nipple. This may cause significant nipple pain and meddle with a child’s capacity to get breast milk. Eventually, poor breastfeeding can prompt insufficient nutrition and inability to flourish.

Speech Issues: Tongue-tie may meddle with the capacity to make certain sounds, for example, “z,” “s,” “th,” “t,” “d,” “th,” “r” and “l.”

Inadequate Oral Hygiene Practice: Tongue-tie can also cause problems in oral health, particularly for more older adults and children. This condition can make it hard to clear food particles from the teeth, contributing to tooth decay and gum inflammation. Additionally, tongue-tie can promote the arrangement of a space or gap between the two bottom front teeth.

 

Treatment For Tongue Tie Ankyloglossia

Surgical treatment for tongue-tie is questionable. A few specialists and lactation consultants suggest correcting it immediately, even before an infant is released from the clinic. Others like to take a wait-and-see strategy.

The lingual frenulum may relax over the long haul, settling tongue-tie. In different cases, tongue-tie perseveres without causing issues. At times, an appointment with a lactation consultant can help with breastfeeding, and speech therapy with a language pathologist may assist with further developing speech sounds.

Moreover, the surgical procedure might be necessary for babies, children, or adults if tongue-tie results in difficulty.

 

Surgical Treatment Options

Frenotomy

A primary surgery called a frenotomy can complete with or without anesthesia in the nursery clinic or doctor’s office.

The doctor examines the lingual frenulum and afterward utilizes clean scissors to cut the frenulum free. The process is speedy, and distress is insignificant since there are not many sensitive spots or veins in the lingual frenulum.

If bleeding happens, it is probably going to be just a drop or two of blood. After the surgery, an infant can breastfeed right away.

Intricacies of a frenotomy are uncommon. However, it could incorporate bleeding or damage, or infection to the tongue or salivary glands. Additionally, the medical procedure is possible to have scarring or for the frenulum to refasten to the floor of the mouth.

 

Frenuloplasty

A frenuloplasty is a more extensive surgical procedure. A doctor may suggest this procedure if additional repair is necessary or the lingual frenulum is excessively thick for a frenotomy.

This procedure is performed under general anesthesia with surgical instruments. After the frenulum is delivered, the injury is generally closed with stitches that retain all alone as the tongue recovers.The doctor examines the baby's tongue.

Potential difficulties of a frenuloplasty are comparable to a frenotomy. They are uncommon such as infection, bleeding, damage to the tongue or salivary organs. Scarring is likely to happen because of the more broad nature of the treatment, as are responses to sedation.

After this procedure, tongue exercises may be prescribed to upgrade tongue development and lessen the potential for scarring.

 

Tongue Tie Laser Surgery

Laser treatment for tongue-tie is like a frenotomy, except that a doctor uses a laser rather than a surgical blade or knife. Utilizing a laser may assist with making smaller clips or cuts. Furthermore, this may help the region bleed less and have a quicker recuperating time.

 

Tongue-tie Electrocautery

This medical procedure uses electricity to heat and cut. This technique is like frenotomy, except that a doctor uses electricity to release the tongue rather than a scalpel.

Additionally, electrocautery surgery may help diminish bleeding and accelerate the healing period.

 

Recovery After Tongue Tie Surgery

Recovery after the surgery depends on the kind of tongue-tie your child has and what type of procedure was expected to address it.

A few techniques may have a longer healing time, prompting a further deferral in breastfeeding. Or then again, your baby may find it simpler to breastfeed immediately after the treatment.

Regardless of how the doctor performs the procedure, you will have to do oral exercises and stretches with your child on different occasions each day for several weeks subsequently.

 

References:

Tongue-tie (ankyloglossia).

https://www.mayoclinic.org/diseases-conditions/tongue-tie/symptoms-causes/syc-20378452

Lingual Frenotomy.

https://www.nationwidechildrens.org/specialties/ear-nose-throat-ent-services-otolaryngology/find-a-service/lingual-frenotomy

Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6793603/

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