Another painless procedure that can be done in the pediatrician’s office is by simply clipping the frenulum to extricate it and enable the tongue a full range of motion. The procedure only takes a few minutes and does not require any anesthesia or stitches.
Here’s how posterior tongue tie surgery is done:
- The dentist will consult with parents to explain the normal sequence of development of speech and language in children, the process in which speech occurs, the main disorders, and professional services for the diagnosis and treatment of disorders communication.
- Then the dentist will apply a small hemostat and snacks right on the bridle, just below the tongue, and another curve but on insertion into the floor of the mouth, being careful not to crush the salivary ducts with hemostats.
- The triangular piece will be delimited by the forceps is cut with scissors, above each gripper spend 1 or 2 points of silk or catgut, and to remove the hemostat, were league. If phonation not improve within a few days of the operation, the speech therapist should be consulted. 6
- During surgery blocking the lingual nerve on both sides is promoted by local anesthesia, tongue freezes to better expose the surgical field and the bridle is lit with a hemostat;
- A stitch on the tongue will help the surgeon to tension on the lingual frenulum, with surgical scissors a horizontal cut occurs in the middle portion of the relaxed bridle.
- Suturing the wound is made with isolated points. 4-6,8-10
- During the incision and suture, you must be careful not to injure or suturing the excretory duct or holes in the submandibular gland, which open near the site. We must remember that as the tongue is an organ of great mobility, the postoperative course is quite painful.
When to do Tongue Tie Surgery?
Parenting is a challenge almost from the moment of conception as parents truly only want what is the absolute best for their child. Medical issues tend to crop up from time to time and some are small and others are large and looming.
One of the more common medical issues that can impact a baby is what is being called posterior tongue tie or ankyloglossia. This is where the flap of skin residing under the tongue is too taunt, tight or short to allow for full protrusion of the tongue. This really means that the child cannot stick their tongue out as far as others can who are not considered to be tongue tie.
Though the initial diagnosis of having a child with a posterior tongue tie may seem hard to understand and actually sound rather frightening; it is a common occurrence and one that really is not as bothersome to the child as one may think. In fact, the majority of children with a tongue tie lead and live normal lives without ever having to have the issue medically addressed.
Though some parents may be presented with worse case scenarios that allude to the fact the extreme cases of being tongue tie can impair speech and even the ability to chew and swallow properly; for the most part it is a minimally relevant issue in terms of the child’s overall well being.
Tongue Tie Surgery?
The matter is one that is a personal choice and many medical professionals agree that correcting a tongue tie is more about aesthetics above anything else. This is why the majority of those children who have been diagnosed with a tongue tie never have a posterior tongue tie surgery to correct the issue and never suffer any ill consequences as they can speak, eat, chew and swallow properly.
The fact that perhaps the child cannot stick their tongue out as far as another child really is not just cause to perform a medical procedure to correct the issue. This is why in roughly 90% of all tongue tie cases the issue is left go and no treatment is needed, necessary or even warranted.
Usually, in most cases of tongue tie, the frenulum will recede on it’s own within the first year on life and presents no additional problems with speech development.There is no reason to be too concerned for a tongue tie baby if he or she is still able to drink.
Many times, the severity of the tongue tie will depend on the placement of the shortened frenulum. Typically, the further up the tongue that the frenulum deficiency is located, the more likely a child is to experience feeding problems, as well as speech development problems down the line.
If the posterior tongue tie is found to have a negative impact on the baby’s ability to feed, then a simple procedure called a frenetomy can be preformed. This simple, outpatient procedure is preformed in office by a trained physician and is relatively quick and painless (the pain being no worse than getting one’s ears pierced).
In this procedure, the physician simply clips the frenulum to allow the tongue more room to move and the amount of blood is minimal. After this procedure is completed, the baby will attempt to feed in order to ascertain whether the feeding difficulties have been resolved.
Many physicians, however, prefer to not preemptively cut the frenulum, instead waiting to see whether the tongue tie will have a negative impact on the child’s quality of life. While this procedure was routinely preformed in the 19th century, many physicians are reluctant to do it now, except in cases where the baby’s ability to feed is severely restricted and causes a negative impact on weight gain.
Fortunately, most babies are able to thrive just fine with ankyloglossia. As many tongue tied babies grow and develop during their first year of life, the frenulum lengthens and matures and no further complications arise. However, there is a simple surgical procedure which can also correct this relatively harmless issue.
Given how small and infant mouth is the following footage depicts toddlers for illustrative purposes. Steps are identical in newborns. However, in order to correct this problem. Numbing medicine is first applied either topically using Q-tips or by injection. The mucosal flap is then clamped for about ten seconds to crush any blood vessels which minimizes bleeding after the releases performed after releasing the clamp scissors are used to size along the clamped Xhosa, the infant may immediately breast-feeding after the procedure
Should I Wait to Do The Surgery?
Posterior tongue tie newborn under normal circumstances is an extension to the tongue near the tip of the tongue or in the process of development in the tongue, lacing gradually retreat to the base of the tongue. After 2 years of normal children gradually away from the tip of the tongue frenulum. Only a few children with normal development is not only appearedtongue tie is too short .
Therefore, infants should not be short lingual frenulum that is not considered normal, is best observed after 2 years, if the tie is too short of tongue protrusion, impede clear voice, generally simply front lacing film cut open, no local anesthesia. If the lace happen fibrosis , short and stubby, that tongue tie short shrink, they should perform the surgery.
Some parents worry that tongue tie is too short will affect the child’s pronunciation, speak, let the doctor insisted on surgery early that early surgery without anesthesia, not stitches , less bleeding. As everyone knows, early surgery (2-6 months old), easily lead to surgical wound scarring, so some children need a second surgery.
Moreover, the surgery most children are not well with the doctors, the slightest mistake is likely to cause injury, but also easy to infection. In addition, the impact of forced surgery will bring to the children psychologically worse than the physical damage suffered. So, posterior tongue tie is too short when surgery is appropriate it? Most experts agree that the best age to the age of 4 and a half to five years of surgery is better, then the child is able to cooperate with the doctors surgery, but also for the child after the pronunciation, literacy will not be affected.