Lingual Frenectomy Operationin Istanbul
A lingual frenectomy, also known as a tongue-tie release or frenuloplasty, is a surgical procedure performed to correct a condition known as ankyloglossia or tongue-tie. Ankyloglossia is a congenital condition in which the lingual frenulum, the tissue that connects the underside of the tongue to the floor of the mouth, is unusually tight, short, or thick. This can restrict the movement of the tongue and potentially affect speech, swallowing, and oral hygiene.
During a lingual frenectomy, the surgeon makes an incision in the lingual frenulum to release the tension and allow for improved mobility of the tongue. The procedure can be performed using various techniques, including traditional scalpel excision, laser surgery, or electrocautery.
The lingual frenectomy operation is usually performed under local anesthesia in an outpatient setting. The surgeon will first assess the extent of the tongue-tie and determine the most appropriate technique for the procedure. The area is numbed with a local anesthetic to ensure the patient's comfort throughout the surgery.
Once the area is anesthetized, the surgeon carefully makes an incision in the lingual frenulum. The choice of technique may depend on the surgeon's preference, the patient's age, and the severity of the tongue-tie. Laser surgery and electrocautery techniques offer the advantage of minimizing bleeding and potentially reducing postoperative discomfort.
After the incision is made, the surgeon carefully separates the frenulum from the underlying tissue, allowing for increased range of motion of the tongue. In some cases, the surgeon may also suture the incision site to promote proper healing. The procedure is generally quick, and the patient can usually return home shortly after its completion.
Following a lingual frenectomy, the patient can expect some mild discomfort, swelling, and minimal bleeding at the surgical site. Over-the-counter pain medication can help alleviate any discomfort, and the patient is advised to avoid strenuous activities that may strain the area. It is also important to maintain good oral hygiene by gently rinsing the mouth with saltwater or an antimicrobial mouthwash as recommended by the surgeon.
The recovery period after a lingual frenectomy is usually short, and most patients experience significant improvement in tongue mobility and function within a few days to a week. The surgeon may provide specific instructions on tongue exercises or stretches to optimize healing and prevent reattachment of the frenulum.
Lingual frenectomy is generally considered a safe procedure with minimal risks. However, as with any surgical intervention, there are potential complications, albeit rare. These can include infection, bleeding, scarring, or the possibility of the frenulum reattaching (requiring additional treatment or revision).
It is important to consult with an experienced oral and maxillofacial surgeon or an ear, nose, and throat specialist to assess the need for a lingual frenectomy and to discuss the procedure in detail. They will evaluate the severity of the tongue-tie and provide appropriate guidance and recommendations for the lingual frenectomy operation.
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About Tongue Tie Surgery
Heat cutting devices "can cause nerve damage"!
Especially the device and incision technique used while making the incision are very important. During the tongue tie operation, while devices such as laser, electrocautery, radiofrequency that can cause serious heat are used, it should be noted that various nerve damage may occur in the areas adjacent to the incision. The thermal welding device has a technology that reduces the heat dissipation to the adjacent area during the incision.
Nerve damage after tongue tie surgery
Nerve damage is a potential complication that can occur after a tongue tie surgery, also known as a lingual frenectomy. Although rare, it is important to be aware of the possibility and understand the potential risks associated with the procedure.
During a lingual frenectomy, the surgeon carefully makes an incision in the lingual frenulum to release the tension and improve tongue mobility. The procedure involves working in close proximity to nerves and blood vessels in the oral cavity, which carries a small risk of nerve injury.
Nerve damage can manifest in various ways, depending on the affected nerve and the extent of the injury. The lingual nerve and the hypoglossal nerve are the primary nerves at risk during a lingual frenectomy.
1. Lingual Nerve Damage: The lingual nerve supplies sensation to the front two-thirds of the tongue, as well as the floor of the mouth and the lingual gingiva (gums). If the lingual nerve is injured during the procedure, it can result in altered or loss of sensation in these areas. Patients may experience numbness, tingling, or a burning sensation. In some cases, taste perception may also be affected.
2. Hypoglossal Nerve Damage: The hypoglossal nerve controls the movement and motor function of the tongue. Injury to this nerve can result in tongue weakness or difficulty with tongue movements, including speech and swallowing. The extent of the impairment will depend on the severity of the nerve damage.
It is important to note that the occurrence of nerve damage is relatively rare in lingual frenectomy procedures, and most patients do not experience any complications. However, the risk exists and should be discussed with the surgeon prior to the procedure.
In cases where nerve damage occurs, the majority of patients will see improvement over time as the nerves regenerate. The rate of recovery can vary, with some individuals experiencing a complete resolution of symptoms, while others may have residual effects.
To minimize the risk of nerve damage during a lingual frenectomy, it is crucial to seek treatment from a skilled and experienced oral and maxillofacial surgeon or an ear, nose, and throat specialist. These professionals have the expertise to perform the procedure with precision, minimizing the risk to surrounding nerves and tissues.
If you are considering a lingual frenectomy, it is important to have a thorough consultation with the surgeon. They will evaluate the severity of the tongue tie, discuss the potential risks and benefits, and address any concerns or questions you may have. By choosing a qualified and experienced surgeon, you can help reduce the likelihood of complications, including nerve damage, and improve the overall safety and success of the procedure.
The cost of the tongue tie operation in Istanbul
Generally, the operation fees vary between 500-2000 US dollars depending on the hospital and the materials used.
The cost of a tongue tie operation, also known as a lingual frenectomy, in Istanbul can vary depending on several factors, including the surgeon's experience and reputation, the location and reputation of the clinic or hospital, and any additional services or facilities provided. It is important to note that the cost mentioned here is a general estimate and may not reflect the exact prices in Istanbul.
In Istanbul, the cost of a tongue tie operation typically ranges from approximately $500 to $2,000 or more. This range includes the surgeon's fees, anesthesia fees, facility fees, preoperative tests, postoperative care, and any necessary follow-up appointments.
The specific cost may depend on factors such as the complexity of the procedure, the age of the patient, the presence of any associated conditions, and the extent of the tongue tie. Additional costs may be incurred if further diagnostic tests or consultations are needed.
It is important to note that the cost of the procedure may also vary based on the specific techniques used and the expertise of the surgeon. Surgeons with more experience and specialized training may charge higher fees.
When considering the cost of a tongue tie operation in Istanbul, it is essential to prioritize the qualifications, experience, and reputation of the surgeon. Choosing a qualified and experienced surgeon who specializes in lingual frenectomy procedures is crucial for achieving the desired results and minimizing the risk of complications.
During your consultation with a surgeon in Istanbul, they will evaluate the severity of the tongue tie, discuss the recommended treatment plan, and provide a detailed breakdown of the anticipated costs involved. It is advisable to inquire about the inclusive nature of the quoted price, including all necessary preoperative and postoperative care, any potential revisions, and any additional fees or expenses that may arise.
While cost is an important factor to consider, it should not be the sole determining factor in choosing a surgeon or clinic. The qualifications, experience, and reputation of the surgeon, as well as the quality of care provided, should be the primary considerations in ensuring a safe and successful tongue tie operation.
It is recommended to consult with multiple surgeons in Istanbul to obtain personalized evaluations and cost estimates based on your specific case. This will help you make an informed decision and choose a surgeon who can meet your expectations while providing high-quality care and achieving optimal results.
Is general anesthesia necessary for tongue tie operation?
This operation can be performed under local anesthesia in office conditions and under sedation anesthesia in patient conditions. It is not always necessary to perform under general anesthesia.
The use of general anesthesia for a tongue tie operation, also known as a lingual frenectomy, is not always necessary. In fact, many tongue tie procedures can be performed under local anesthesia or with the use of other sedation techniques.
The decision regarding the type of anesthesia used depends on various factors, including the age and cooperation of the patient, the complexity of the procedure, the surgeon's preference, and the patient's overall health condition.
Local anesthesia is commonly used for tongue tie operations in both children and adults. It involves injecting a numbing medication, such as lidocaine, into the tissue surrounding the frenulum. This blocks the sensation of pain in the area, allowing the surgeon to perform the procedure while the patient remains awake and aware. Local anesthesia is generally safe and well-tolerated, and it allows for a quicker recovery and discharge from the medical facility.
For infants and young children who may have difficulty remaining still or cooperating during the procedure, other forms of sedation may be used. This can include conscious sedation, where the child is given medication to help them relax and feel drowsy but remains conscious and able to breathe on their own. In some cases, general anesthesia may be recommended, particularly for more complex or lengthy procedures, or for patients who have certain medical conditions that require close monitoring during surgery.
General anesthesia involves administering medications that induce a controlled state of unconsciousness, rendering the patient completely unaware and unresponsive during the procedure. This allows the surgeon to work without the patient experiencing any discomfort or anxiety. General anesthesia requires the use of specialized equipment and monitoring to ensure the patient's safety throughout the procedure.
The decision to use general anesthesia for a tongue tie operation is typically made by the surgeon in consultation with the patient or the parents of a child patient. The surgeon will consider the individual circumstances, including the patient's age, medical history, and the complexity of the procedure, to determine the most appropriate anesthesia approach.
It is important to discuss the anesthesia plan with the surgeon before the procedure, addressing any concerns or questions you may have. The goal is to provide a safe and comfortable experience for the patient while ensuring the successful correction of the tongue tie. The anesthesia choice will be tailored to the specific needs of each patient to optimize outcomes and minimize risks.
Is stitching necessary during the tongue tie operation?
As seen in the video above, removing a triangular piece of tissue from under the tongue (tongue tie tissue) (lingual frenectomy) and then suturing the mucosa is beneficial for speech performance and healing in the vertical plane of the wound. After a simple tongue tie incision, reclosing and partial regrowth of the tongue tie may occur.
Stitching, also known as suturing, may or may not be necessary during a tongue tie operation, also called a lingual frenectomy. The decision to use stitches depends on the specific technique employed by the surgeon and the individual circumstances of the procedure.
In some cases, a lingual frenectomy can be performed without the need for stitches. This is often the case when the procedure involves using a laser or a scalpel to make an incision in the frenulum, followed by the release of the tissue. These techniques rely on the body's natural healing process to close the incision and promote tissue regeneration.
Alternatively, some surgeons prefer to use dissolvable stitches to close the incision site. Dissolvable stitches are made from materials that break down over time and are absorbed by the body. These stitches provide additional support during the initial healing phase and help ensure proper alignment of the tissue. They eliminate the need for suture removal because they gradually dissolve on their own.
The decision to use stitches during a tongue tie operation depends on several factors, including the surgeon's preference, the age of the patient, the size and location of the incision, and the overall condition of the tissue. Each surgeon may have their own preferred technique and rationale for using or not using stitches.
It is important to discuss the specifics of the procedure, including the use of stitches, with the surgeon prior to the operation. They will assess the individual case, consider the desired outcome, and determine the most appropriate technique. They will also provide instructions for postoperative care, including any specific guidelines related to stitches if they are used.
Whether stitches are employed or not, it is crucial to follow the postoperative care instructions provided by the surgeon to promote proper healing and reduce the risk of complications. This may include recommendations for oral hygiene, pain management, and dietary modifications during the recovery period.
It is worth noting that the use of stitches, or the lack thereof, does not necessarily affect the success of the tongue tie operation. The primary goal of the procedure is to release the tight frenulum and improve tongue mobility. The decision regarding the use of stitches is typically based on the surgeon's judgment and their experience with the technique they are utilizing.
Similar link >> Why Should Tongue Tie Release Surgery Be Performed Early?
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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