Surgical Techniques for the Treatment of Tongue Tie in Children: A Comparative Study
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 16, Issue 1
Abstract
Introduction: Ankyloglossia is another name for tongue tie which in mild form is characterized by mucous membrane bands to complete ankyloglossia whereby the tongue is tethered to the floor of the mouth. It can affect feeding, speech, and oral hygiene [3] as well as have mechanical/social effects. Ankyloglossia can also prevent the tongue from contacting the anterior palate. Materials and Methods: The study aimed to find out best possible surgical modality of frenectomy by comparing scalpel, electro-cautery and CO2 laser in the treatment of tongue tie. This is a prospective randomized double blind clinical trial conducted in the department of ENT, Dr. Shankarrao Chavan Government Medical College, Nanded, Maharashtra. All patients were categorized in to three groups randomly as group A, group B and group C. Each group contains 18 patients and among group A, B and C, frenectomy was done by conventional scalpel technique, by bipolar cautery and CO2 laser respectively. Then patients were assessed on post-operation day 1 for symptomatology and inflammatory signs, on post-operation day 7 for wound healing and any complications and also after 1 month post-operation for scar and contracture of wound. Results: In our study, about 61% of population is of male and female were remaining 39% (ratio 1.6:1) which is matching with the previous studies. Amongst all patients most common age group is between 1-4 years of age group. Most of the patients were in Kotlow’s class III having severe ankyloglossia (3‑7 mm) followed by class i having Mild ankyloglossia (12‑16 mm). Conclusion: Laser and electro-cautery treatment used for frenectomy operations provides better patient perception in terms of postoperative pain and function than that obtained by the scalpel technique.
Authors and Affiliations
Atishkumar B. Gujrathi, Vijayalaxmi Ambulgekar, Ashwini Handal
Keywords
Related Articles
- EP ID EP341079
- DOI 10.9734/BJMMR/2016/24168
- Views 70
- Downloads 0
Role of Wnt-p53-Nox Signaling Pathway in Cancer Development and Progression
Signaling pathways play an intricate role in regulating the homeostasis of a normal cell and any chronically altered activity in such signaling pathways causes cancer. Such aberrantly activated Wnt and vanished p53 signa...
Mother and Child Health Care and Human Development in Turkey: A Review
Human development and investing in human are major issues of today’s world. In spite of rapid improvements in the near past, Turkey is still behind of the most middle- income and of the countries at a similar level of ec...
Antinociceptive Effect of Ethanolic Extract of Hybanthus enneaspermus Leaf in Rats
Aims: To test the hypothesis that Hybanthus enneaspermus leaf has an antinociceptive effect. Methodology: Seventy-two male rats were randomly divided in a blinded fashion into 4 groups each for the tail immersion test (n...
Evaluation of Presbyopia in a Peripheral Eye Clinic in Port Harcourt, Nigeria
Background: Uncorrected presbyopia is a significant and increasing cause of visual disability globally. Presbyopia is the decline of the focusing ability of the crystalline lens due to loss of elasticity which makes it l...
Patient Factors that Predict Complicated Hernia Presentation Using the National Hospital Ambulatory Medical Care Survey (NHAMCS)
Aims: Patient age and insurance status can lead to presentation with complicated hernias. Surgery for complicated hernias results in greater morbidity, mortality, and healthcare costs compared to elective repair of uncom...