From the Research
Ankyloglossia, or tongue-tie, should be treated with a simple frenotomy for infants with feeding difficulties, and a more extensive frenuloplasty for older children or adults with speech issues or mechanical problems, as this approach has been shown to be safe and effective in improving symptoms and quality of life 1.
Diagnosis and Treatment
Ankyloglossia is a congenital condition where the lingual frenulum is unusually short, thick, or tight, restricting tongue movement. The condition affects 4-10% of newborns, but many cases are asymptomatic. Evaluation should focus on functional limitations rather than appearance alone.
- Treatment depends on severity and symptoms
- For infants with feeding difficulties, a simple frenotomy is often recommended, typically performed by a pediatrician, ENT specialist, or lactation consultant
- For older children or adults with speech issues or mechanical problems, a more extensive frenuloplasty may be needed under local anesthesia
Surgical Techniques
Different surgical techniques are available for the treatment of ankyloglossia, including frenotomy, frenectomy, and frenuloplasty.
- A systematic review of 35 articles found that all frenotomy techniques are safe and effective for treating symptomatic ankyloglossia, with no clear advantage for one technique over another 1
- Laser frenotomy may be considered a simple and safe alternative for children, reducing the need for local anesthetics, bleeding, and post-operative complications 2
Post-Procedure Care
Post-procedure exercises are important to prevent reattachment, including gentle tongue stretches several times daily for 1-2 weeks.
- It is essential to follow the recommended post-procedure care to ensure optimal outcomes and prevent complications
- Patients should be educated on the importance of post-procedure exercises and how to perform them correctly
Quality of Life
The treatment of ankyloglossia can significantly improve quality of life, particularly for infants with feeding difficulties and older children or adults with speech issues or mechanical problems.