Tongue Tie Release By Tongue Tie Release By LaserLaser

Dr.K.O.Paulose FRCS DLODr.K.O.Paulose FRCS DLOConsultant ENT SurgeonConsultant ENT Surgeon

Jubilee HospitalJubilee HospitalTrivandrum, Kerala, IndiaTrivandrum, Kerala, India

www.drpaulose.comwww.drpaulose.comwww.snorefreesleep.comwww.snorefreesleep.com

Are you tongue Tied?Are you tongue Tied?

EphphathaEphphatha

Mark 7:31-37Mark 7:31-37 Ephphatha! Be Ephphatha! Be

Opened! Opened!

When Jesus When Jesus opened the ears opened the ears and freed the and freed the tongue of the deaf tongue of the deaf and mute man he and mute man he gave us a gift.  gave us a gift. 

What is tongue tieWhat is tongue tie

Tongue Tie or Tongue Tie or Ankyloglossia, Ankyloglossia, occurs in patients occurs in patients whose lingual whose lingual frenum is short frenum is short and tight and tight resulting in resulting in decreased decreased mobility of the mobility of the tongue.tongue.

About Tongue TieAbout Tongue Tie

Tongue tie, medically Tongue tie, medically called called ‘ankyloglossia’, is a ‘ankyloglossia’, is a birth disorder which birth disorder which considerably reduces considerably reduces the movement of the the movement of the tip of the tongue and tip of the tongue and this occurs in this occurs in patients whose patients whose lingual frenum is lingual frenum is short and tight .short and tight .

Tongue-Tie (Ankyloglossia)Tongue-Tie (Ankyloglossia)

Testing Tongue TieTesting Tongue Tie

You can test for a You can test for a tongue tie by having tongue tie by having your child stick out your child stick out his tongue. If he can't his tongue. If he can't do so or if when he do so or if when he does so the tip is held does so the tip is held back - looking like a back - looking like a sort of W shape at sort of W shape at the tip rather than a the tip rather than a V shape - then he V shape - then he probably is tongue probably is tongue tied. tied.

Speech Defect with Tongue Speech Defect with Tongue TieTie

This decreased This decreased tongue mobility can tongue mobility can be associated with be associated with speech problems in speech problems in children. children. Specifically, a child Specifically, a child may exhibit may exhibit difficulty with the difficulty with the articulation of the articulation of the sounds L, R, T, D, N, sounds L, R, T, D, N, Th, Sh, and Z.Th, Sh, and Z.

Kissing and Tongue TieKissing and Tongue Tie

Having tongue Having tongue tied give lot of tied give lot of mental anguish as mental anguish as one progress to a one progress to a sexual sexual relationship and it relationship and it proves a slight proves a slight disadvantage in disadvantage in sexual sexual relationship. relationship.

Social ProblemsSocial Problems

Inability to kiss Inability to kiss with tongue out. with tongue out. Main concern for Main concern for youngsters.youngsters.

SymptomsSymptoms

Tongue-tie is more Tongue-tie is more commonly found in boys commonly found in boys (60%) and there will (60%) and there will often be other family often be other family members who have had members who have had this problem. The most this problem. The most immediate impact of immediate impact of tongue-tie is on the tongue-tie is on the baby's ability to baby's ability to breastfeed effectively. breastfeed effectively. There may be an affect There may be an affect on ongoing oral hygiene. on ongoing oral hygiene. The effect of tongue-tie The effect of tongue-tie on speech development on speech development remains controversial.remains controversial.

Interference with Interference with feeding in infants. feeding in infants. There are infants There are infants who cannot suck who cannot suck toddlers who cannot toddlers who cannot chew, children who chew, children who cannot lick ice cannot lick ice creams, and children creams, and children and adults who are and adults who are disadvantaged by disadvantaged by their poor speech. their poor speech.

Testing Tongue TieTesting Tongue Tie

You can test for a You can test for a tongue tie by having tongue tie by having your child stick out your child stick out his tongue. If he can’t his tongue. If he can’t do so or if when he do so or if when he does so the tip is held does so the tip is held back – looking like a back – looking like a sort of W shape at sort of W shape at the tip rather than a the tip rather than a V shape – then he V shape – then he probably is tongue probably is tongue tied.tied.

Tongue Tie and Breast FeedingTongue Tie and Breast Feeding

Tongue-tie is Tongue-tie is generally diagnosed in generally diagnosed in childhood and childhood and symptoms include: symptoms include: Interference with Interference with feeding in infants. feeding in infants.

Feeding difficulties Feeding difficulties may be a reason to may be a reason to consider early surgery consider early surgery to cut the lingual to cut the lingual frenulum and loosen frenulum and loosen the tongue.the tongue.

Symptoms in childrenSymptoms in children

The tongue may The tongue may look square, or look square, or bifid, or bifid, or thickened and thickened and too large for the too large for the mouth, so that it mouth, so that it curls up at the curls up at the sides. sides.

Laser Release Tongue TieLaser Release Tongue Tie

Laser surgery to release tongue tie can be Laser surgery to release tongue tie can be performed on teenagers and adults under local performed on teenagers and adults under local anesthetic. It is a simple procedure and takes anesthetic. It is a simple procedure and takes only 10-15 minutes. A local anesthetic spray is all only 10-15 minutes. A local anesthetic spray is all that enough in most cases. No sutures. No that enough in most cases. No sutures. No bleeding. No need for hospitalization.bleeding. No need for hospitalization.

Laser Release tongue tie in Laser Release tongue tie in ChildrenChildren

Going to TheatreGoing to Theatre

Eye ProtectionEye Protection

GAGA

Giving GAGiving GA

Anesthesia:InhalationAnesthesia:Inhalation

Light anesthesia Light anesthesia by maskby mask

Short GAShort GA

ProcedureProcedure

Frenum cut by laserFrenum cut by laser

Laser ReleaseLaser Release

Laser Release tongue TieLaser Release tongue Tie

Waiting for OperationWaiting for Operation

Protecting the eyeProtecting the eye

Laser release 2Laser release 2

Laser Release 3Laser Release 3

Procedure-2Procedure-2

GAGA

GA 2GA 2

Short GA by MaskShort GA by Mask

Sublingual Sublingual Frenectomy Frenectomy Using Co2 laserUsing Co2 laser

Laser Release in Older ChildrenLaser Release in Older Children

Some older children Some older children or teenagers may or teenagers may notice that the notice that the frenum under their frenum under their tongue becomes tongue becomes stuck between their stuck between their front teeth, or that front teeth, or that they can’t stick their they can’t stick their tongue out as far as tongue out as far as their friends can. their friends can.

Can be done under Can be done under local anesthesialocal anesthesia

Before SurgeryBefore Surgery

Explaining to the Explaining to the Child about the Child about the procedureprocedure

Giving Local AnestheticGiving Local Anesthetic

Laser Release in older Laser Release in older childrenchildren

Laser In Older Children-2Laser In Older Children-2

Laser in older Children 3Laser in older Children 3

The Laser ProcedureThe Laser Procedure

After SurgeryAfter Surgery

Laser Surgery In Jubilee Laser Surgery In Jubilee HospitalHospital

Laser Release in adultLaser Release in adult

Laser Release in AdultsLaser Release in Adults

Laser Release in adults 2Laser Release in adults 2

THANK YOUTHANK YOU