Clipping the (tongue) tie
Journal name: Journal of Indian Society of Periodontology
Original article title: Clipping the (tongue) tie
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Nagate Raghavendra Reddy, Yuvaraja Marudhappan, Renuka Devi, Sumit Narang
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Clipping the (tongue) tie
Year: 2014 | Doi: 10.4103/0972-124X.134590
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Ankyloglossia, commonly known as tongue-tie, is a congenital condition characterized by a shortened lingual frenulum that can lead to difficulties in breastfeeding and speech articulation. The prevalence of ankyloglossia varies, with affected individuals often asymptomatic; however, some may require surgical intervention. This condition can have implications for both pediatric and adult populations, affecting speech patterns and oral functions. Various management techniques exist, including frenotomy, frenectomy, and frenuloplasty, but there remains debate over the best surgical approach due to varying outcomes and patient experiences.
Surgical Techniques in Frenectomy: A Comparative Overview
This study reports the outcomes of five cases of Kotlow's classified class III ankyloglossia treated with different surgical techniques for frenectomy, including electrocautery, laser, and conventional scalpel methods. Follow-ups conducted at one week and one month post-operation indicated that patients treated with laser and electrocautery experienced less postoperative pain and fewer complications compared to those who underwent surgery with the scalpel. While all surgical techniques eventually led to healing, the electrocautery and laser methods were associated with better tissue manipulation and overall patient comfort, making them preferable alternatives to traditional scalpel techniques.
Conclusion
The findings of this clinical study suggest that using electrocautery and laser techniques for frenectomy offers significant advantages in terms of patient perception regarding postoperative pain and overall functional outcomes compared to scalpel surgery. While all approaches are ultimately effective in achieving healing, the reported benefits of electrocautery and laser highlight their role as safe and efficient options for managing ankyloglossia, reinforcing the need for further investigation into optimizing surgical practices for improved patient care.
FAQ section (important questions/answers):
What is ankyloglossia and how does it affect individuals?
Ankyloglossia, or tongue-tie, is a congenital condition causing limited tongue movement, which can affect breastfeeding and speech articulation. It varies in severity and may lead to difficulties producing certain sounds and potential developmental issues.
What surgical techniques were used to correct ankyloglossia in the study?
The study utilized three surgical techniques for frenectomy: electrocautery for three cases, laser for one case, and scalpel for one case. Each method aimed to alleviate the restrictions caused by ankyloglossia, with varying degrees of effectiveness and complications.
How do electrocautery and laser techniques compare to scalpel in surgery?
Electrocautery and laser techniques demonstrated better manipulation of tissues and less postoperative pain compared to the scalpel method. Although scalpel showed better organization of muscle fibers at a month, lasers and electrocautery offered safer, quicker recoveries post-surgery.
What keywords are associated with ankyloglossia?
Keywords associated with ankyloglossia include electrocautery, laser, scalpel, and the condition itself, indicating the surgical techniques and the nature of the disorder being discussed in the study.
What post-operative care is important following ankyloglossia surgery?
Post-operative care includes monitoring pain, swelling, and healing, as well as initiating tongue exercises. Speech therapy can aid in improving articulation and ensuring the patient can effectively use their restored tongue function.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Clipping the (tongue) tie”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
In scientific studies, a table often presents data systematically for better comprehension. This may involve key observations related to surgery outcomes or healing processes, specifically regarding procedures for conditions like tongue-tie or painful ailments. Comprehensive data comparisons may be essential for analysis and understanding.
2) Post:
The term 'post' refers to the period following an event, such as a surgical procedure. Post-operative assessments are crucial for evaluating healing and managing any complications like swelling or pain through prescribed antibiotics or other interventions, ensuring the effectiveness of treatment and recovery protocols for patients.
3) Pain:
Pain is a significant factor in evaluating patient outcomes post-surgery. Post-operative pain management is essential to ensure patient comfort and can impact perception of the procedure's success. Surveys often assess pain levels as part of the overall evaluation of clinical interventions in treatment studies.
4) Study (Studying):
A study aims to systematically investigate specific conditions, such as ankyloglossia, and different surgical techniques. It includes comprehensive methodologies detailing patient demographics, procedures used, and outcomes to contribute valuable findings to the medical community regarding effective management and treatment of diseases.
5) Swelling:
Swelling is a common post-operative symptom that can indicate inflammation or complications. Monitoring swelling levels post-surgery helps in assessing recovery and can influence treatment decisions, including the use of antibiotics or pain management strategies, showcasing the importance of monitoring for clinicians.
6) Relative:
Relative comparisons in a study may help evaluate different surgical methods, such as laser versus scalpel techniques. Understanding these differences is vital in clinical research, especially when assessing outcomes related to disease treatment and patient recovery involving perceptual feedback from individuals undergoing these interventions.
7) Observation:
Observation is critical in a study to investigate the outcomes of various surgical techniques. Clinicians must document observations meticulously, noting signs of healing, swelling, or pain to analyze and improve medical practices surrounding specific diseases like ankyloglossia and to refine future treatment methods.
8) Perception:
Patient perception can significantly influence satisfaction with surgical outcomes. How individuals perceive their pain levels and recovery experience can affect their overall assessment of the treatment's effectiveness, making perception a vital component in analyzing surgical approaches and corresponding techniques employed.
9) Antibiotic (Antibacterial):
Antibiotics are crucial in post-operative care to prevent infection. Their use after surgical procedures must be evaluated in studies to assess efficacy in reducing post-operative complications such as swelling and pain, which could affect the overall patient outcome concerning ankyloglossia and similar conditions.
10) Bleeding:
Bleeding is a significant consideration during and after surgical procedures. It must be carefully monitored during operations like frenectomies. Control of bleeding impacts post-operative recovery rates and can influence subsequent observations relating to swelling and the pain management approach taken.
11) Incision:
An incision is made during surgical procedures to access underlying tissues. The technique of making the incision can impact pain levels and bleeding amounts post-surgery, making it critical to document these factors in studies evaluating surgical outcomes in disease treatments.
12) Surface:
Surface healing is vital in the recovery process after surgical interventions. Observations related to the surface tissue integrity and condition post-surgery can reveal insights into effective healing, pain management, and overall outcomes that inform best practices in surgical treatments for conditions like tongue-tie.
13) Discussion:
The discussion section of a study is essential for interpreting findings and contextualizing results. It should address issues like post-operative pain, healing observations, and the relative effectiveness of various surgical techniques adopted for treating diseases such as ankyloglossia and provide insights on improvements in techniques.
14) Cutting:
Cutting refers to surgical procedures, particularly the method of frenectomy for tongue-tie. Different cutting techniques can significantly affect post-operative recovery, pain levels, and patient perceptions. Discussions around cutting must include comparative results from observed studies to evaluate effectiveness fully.
15) Disease:
Disease pertains to pathological conditions in patients necessitating surgical intervention. Proper classification and management of diseases, like ankyloglossia, are vital in studies to ascertain the best approaches and complications associated with surgical techniques like laser and scalpel operations.
16) Silk:
Silk refers to the type of sutures often used in surgical procedures. In a post-operative setting, silk sutures could affect pain levels, healing processes, and observation outcomes. Understanding material properties is vital in discussions regarding their usage for optimal patient recovery.
17) Sign:
A sign is an indicator of a condition or status post-surgery. Recognizing signs of recovery or complications such as swelling, increased pain, or abnormal bleeding is essential in studies to assess the effectiveness of treatment options and their impact on patient outcomes.
18) Male:
Male patients may present unique characteristics influencing surgical outcomes, including aspects related to pain perception and recovery. When analyzing data, distinguishing between male and female responses can provide critical insights into different surgical responses across gender in studies.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Clipping the (tongue) tie’. Further sources in the context of Science might help you critically compare this page with similair documents:
Long term effect, Post-operative Follow Up, Speech problems, Diode Laser, Muscle fiber, Patient Perception.