In group A, children underwent frenulectomy via Z-plasty and in group B they had frenulotomy i.e.
Conclusion: Frenulectomy was superior to frenulotomy as far as post operative speech is concerned; however, both procedures were almost equally effective in improving feeding problems (breast feeding) in babies with tongue ties.
Key Words: Ankyloglossia, frenulum, frenulotomy, frenulectomy, Z-plasty.
frenulotomy and frenulectomy (Z-plasty, V-Y plasty), release with electrocautery or lasers8-10.
In Group A, patients underwent frenulectomy by Z-plasty and Group B patients had frenulotomy (simple release) by bipolar electrocautery.
Intraoperative outcomes Unicirc/ adhesive Open surgical (N=100) (N=50) Intraoperative suturing, n (%) 17 (17) All by protocol Frenulectomy
performed, n (%) 4 (4) 6 (12) Intraoperative time (min), median (IQR) With frenulectomy
28.6 (17.7) 25 (18) Without frenulectomy
* 13 (4.5) 22.6 (8.6) Estimated blood loss (ml), median (IQR) With frenulectomy
6.5 (3.5) 10 (6.5) Without frenulectomy
* 1 (1) 5.5 (6.5) IQR = interquartile range.
A 2-year-old boy diagnosed with a speech impediment due to ankyloglossia underwent a lingual frenulectomy at an outside institution.
Frenulectomy is a simple outpatient procedure that has the potential to prevent long-term poor functional outcomes in patients with ankyloglossia.
Intraoperative outcomes Gomco/adhesive Open surgical (N=100) (N=100) Intraoperative complication, 0 0 n Frenulectomy
performed, n 17 19 Intraoperative time (min), mean [+ or -] SD With frenulectomy
21.4 [+ or -] 5.8 22.4 [+ or -] 5.7 Without frenulectomy
, 12.8 [+ or -] 2.7 22.5 [+ or -] 6.6 p<0.001 Estimated blood loss (ml), mean [+ or -] SD With frenulectomy
3.8 [+ or -] 2.7 4.7 [+ or -] 2.3 Without frenulectomy
, 1.2 [+ or -] 1.2 4.7 [+ or -] 1.6 p<0.001 Table 4.