Abstract
MANAGEMENT FOR TONGUE TIE IN CHILDREN; A RANDOMIZED CONTROL PROSPECTIVE STUDY

Dr. Dhinesh Kumar, Dr. Thambithurai Davidm and *Prof. Dr. J. A. Jayalal

ABSTRACT

Ankyloglossia, known as tongue tie is a developmental disorder that manifests when the inferior lingual frenum is too short and is attached to the tongue tip, resulting in limitation of its movement. It has impact on the speech, oral hygiene, breast feeding and other tooth eruptions. There are different options available for the treatment of tongue tie. Two common methods used for frenectomy are by scalpel and by electro cautery. Nowadays laser therapy is also becoming popular. In this study we carried out in the Paediatric surgery unit of the teaching hospital, prospective study to compare the efficiency duration of surgery, immediate and follow-up outcome study in 100 cases treated for tongue tie using this two methods. Each group had 50 children at the age of 1-12 years. In our study 62% of population was male child and 38% (ratio 1:6:1) were female. Mean age group between 5-8 years. Majority of the patient were Kotlow’s class III having ankyloglossia of (3-7mm) followed by class I having mild ankyloglossia (12-16 mm). All patients undergone frenectomy .In one group it was done with using scalpel combined with frenuloplasty and other group with bipolar cautery .Both the group had better patient perception in view of post-operative pain. Electro cautery taken less time, but had more chances of re adhesion with fibrosis than the frenectomy procedure using scalpel. The time taken for scalpel surgery was significantly more than for electro cautery.Blood loss and edema were also significantly low in electro cautery group In electro cautery group the edges were not approximated. We concluded frenectomy using bipolar cautery and approximation of the cut edges will be most beneficial.

Keywords: Ankyloglossia, Electro cautery, Scalpel, edema.


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