Surgical Treatment Of Ankyloglossia
Write short note on tongue tie.
Answer. It is also known as ankyloglossia.
Ankyloglossia is the condition which arises when the inferior frenulum attaches to the bottom of tongue and subsequently restricts free movements of the tongue.
“Understanding The Causes Of Tongue Tie (Ankyloglossia)”
Tongue Tie Clinical Features
- Males are affected more commonly than females
- It can cause feeding problems in infants
- Tongue movements become restricted.
- It causes speech defects specially articulation of the sounds l,r,t,d,n,th,sh and z
- It leads to persistent gap between the mandibular incisors.
“The Role Of Frenotomy In Treating Tongue Tie”
- When attmpt is made for sticking the tongue out a V shaped notch is seen at the tip of tongue.
- As high frenal attachment is present and patient has periodontal problems.
- During protrusion, lateral margin and tip of tongue is everted with dorsal mid part heaping.
“Symptoms Of Tongue Tie In Infants”
Tongue Tie Management
Tongue tie should be treated surgically under the local anesthesia.
Tongue Tie Procedure
- Local anesthesia should be given to the patient.
- Retract the tongue and held the tongue by traction suture.
- This makes frenum taut and easily visible for surgical release.
Take a sharp scissor and made a cut of 1 to 2 cm midway between the tip of tongue and lingual surface of mandible.
Cut should be given in such a way that blade of scissor should be parallel to flor of mouth.
“Best Practices For Managing Tongue Tie Surgery”
- Place a hemostat across frenal attchment at base of tongue and keep it clamped for 3 min. This provide bloodless fild for surgery.
- As hemostat is removed, place an incision through area of previously closed hemostat.
- Care should be taken not to injure submandibular duct,papilla and blood vessels under flor of mouth.
- Wound margins are carefully undermined should be approximated and closed without tension, i.e. in linear fashion.
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