Etiology and clinical recommendations to manage the complications following lingual frenectomy: A critical review

Varadan, Manjusha; Chopra, Aditi; Sanghavi, A.D.; Sivaraman, Karthik; Gupta, Kunal

doi:10.1016/j.jormas.2019.06.003

Cited by 22 publications

(17 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tongue-tie in infants is related to difficulty breast feeding, choking or spitting up, delayed speech development or deterioration in speech and behavioural problems 3 4. Lingual frenectomy (lingual frenulum reposition) is a less invasive technique and is therefore more recommended for infants.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effects of high-level laser and electrocautery in lingual frenectomy surgeries in infants: protocol for a blinded randomised controlled clinical trial

Mazzoni

Navarro²,

Fernandes

et al. 2021

BMJ Open

View full text Add to dashboard Cite

IntroductionAnkyloglossia (tongue-tie) is an anomaly characterised by an abnormally short, thick or small lingual frenulum that restricts tongue movements. This condition is considered one of the factors that can interfere with breast feeding by diminishing the ability of the newborn to latch adequately. According to the Brazilian Health Ministry, the prevalence of this anomaly among newborns is 3%–16%. Frenectomy is the most suitable surgical procedure for the treatment of ankyloglossia. The aim of this study is to compare the performance of electrocautery and high-power diode laser as forms of frenectomy.Methods and analysisThe proposed study will be a randomised, controlled, blind clinical trial involving the participation of healthy infants 0–3 months of age with breastfeeding difficulty and a diagnosis of tongue-tie with an indication for lingual frenectomy. The guardians will receive clarifications regarding the procedures and will authorise the participation of the infants by signing a statement of informed consent. A non-blinded researcher will perform the screening and procedures and a blinded researcher will perform the postoperative evaluations. Fifty-six infants will be randomly allocated into two groups (n=28): the electrocautery group or the high-power laser group. The preparation of the patients, asepsis and infection control procedures will rigorously follow biosafety norms. For both groups, patient histories will be taken, clinical evaluations will be performed and a standardised photograph of the lingual frenulum will be taken before surgery. The Bristol Tongue Assessment Tool will be used. We will evaluate pain in the mother during breast feeding before, immediately after, and 15 days after surgery.Ethics and disseminationThis protocol was submitted to the Research Ethics Committee of Nove de Julho University, having been given a favourable opinion (Number: 4387769). Results will be submitted to international peer-reviewed journals and presented at international conferences.Trial registration numberNCT04487418.

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluation of the effects of high-level laser and electrocautery in lingual frenectomy surgeries in infants: protocol for a blinded randomised controlled clinical trial

Mazzoni

Navarro²,

Fernandes

et al. 2021

BMJ Open

View full text Add to dashboard Cite

show abstract

“…Even though the procedure of lingual frenectomy is simple, the anatomical location and topography of the lingual tissue make it vulnerable to various intraoperative and postoperative complications. Postoperative complications of lingual frenectomy may include excessive hemorrhage, formation of mucus retention cyst or ranula, sublingual hematoma formation, development of sublingual and submandibular space infection, reattachment or recurrence of frenal attachment, development of new speech disorder or worsening of existing speech disorder and numbness or paresthesia of the tongue and neighbouring soft tissues [8,10] . However, no complication was reported in any of the four patients treated for ankyloglossia.…”

Section: Discussionmentioning

confidence: 99%

“…It results in several consequences ranging from difficulties in breastfeeding during infancy to difficulty in mastication, speech difficulties in pronunciation of consonants, poor oral hygiene, gingival recession on the lingual surface of mandibular anterior teeth, malocclusion, salivary profusion and difficulty in stability of mandibular prosthesis in adults. The cumulative effect of these barriers often has negative impact on self-esteem and confidence, and emotional or behavioural problems during childhood, adolescence and even adulthood [3,8] . In many individuals, ankyloglossia is asymptomatic; the condition may resolve spontaneously as growth progresses or affected individuals may learn to compensate adequately for their decreased lingual mobility [9] .…”

Section: Introductionmentioning

confidence: 99%

Management of ankyloglossia using electrosurgery: A case series

D’souza¹,

Lawande²,

Samuel³

2020

Int. J. Appl. Dent. Sci.

View full text Add to dashboard Cite

Ankyloglossia, or tongue tie, is a congenital oral anomaly with short, tight and thick lingual frenum which may restrict mobility of tongue and may subsequently lead to a range of problems such as difficulties in breast feeding during infancy, difficulty in mastication, speech impairment, poor oral hygiene, malocclusion, behaviour problems during childhood, adolescence and even adulthood. In this case series, four adult patients with ankyloglossia were treated by performing lingual frenectomy using electrosurgery followed by post-operative recall and speech therapy. A marked improvement in tongue movement and speech was observed at follow-up visits in all the treated cases. Electrosurgery proved to be a safe, reliable, effective and patient-friendly alternative treatment option for ankyloglossia.

show abstract

“…Due to the stimulation of clotting factor VII production and the closing of capillaries by denaturing proteins, LASER wounds bleed very little or not at all. Compared to the knife procedure, LASER frenectomy offers a better postoperative impression of discomfort and function [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Management of Tongue-Tie Using Diode Laser for Speech Clarity: A Case Report

Dare,

Shirbhate,

Bajaj

2023

Cureus

View full text Add to dashboard Cite

A congenital condition called ankyloglossia, or tongue tie, is characterized by an excessively short or tight lingual frenum that restricts the tongue’s movement and flexibility. Although ankyloglossia, or tongue tie, is not a serious sign, it can cause a variety of challenges, such as difficulty with newborn feeding, speech problems, and many mechanical and social problems since there are restricted tongue movements, such as protrusion of the tongue. It is recommended to get a lingual frenectomy to treat ankyloglossia. A 24-year-old female patient reported to the Department of Periodontics with class II, moderate lingual tie, or ankyloglossia. Under local anesthesia, the lingual frenectomy is performed with a diode laser by placing a hemostat across the frenal attachment at the base of the tongue, and an incision is made. The laser surgery took less time and was more comfortable for the patient because there was less discomfort. There was no postoperative pain or hemorrhage. The above case report can appreciate the normal frenal attachment that is more than 16 mm, and the patient can hold the tip of the tongue and function comfortably. A follow-up visit after three months revealed normal frenal attachment and complete healing of the frenum. This case report demonstrates unequivocally that lingual frenectomy using a diode laser has advantages over traditional procedures in that it reduces or eliminates postoperative pain and minimizes hemorrhage and swelling.

show abstract

Etiology and clinical recommendations to manage the complications following lingual frenectomy: A critical review

Cited by 22 publications

References 32 publications

Evaluation of the effects of high-level laser and electrocautery in lingual frenectomy surgeries in infants: protocol for a blinded randomised controlled clinical trial

Evaluation of the effects of high-level laser and electrocautery in lingual frenectomy surgeries in infants: protocol for a blinded randomised controlled clinical trial

Management of ankyloglossia using electrosurgery: A case series

Management of Tongue-Tie Using Diode Laser for Speech Clarity: A Case Report

Contact Info

Product

Resources

About