Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases

Background Ankyloglossia is a condition of altered tongue mobility due to the presence of restrictive tissue between the undersurface of the tongue and the floor of mouth. Potential implications of restricted tongue mobility (such as mouth breathing, snoring, dental clenching, and myofascial tension...

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Published in:Laryngoscope investigative otolaryngology 2019-10, Vol.4 (5), p.489-496
Main Authors: Zaghi, Soroush, Valcu‐Pinkerton, Sanda, Jabara, Mia, Norouz‐Knutsen, Leyli, Govardhan, Chirag, Moeller, Joy, Sinkus, Valerie, Thorsen, Rebecca S., Downing, Virginia, Camacho, Macario, Yoon, Audrey, Hang, William M., Hockel, Brian, Guilleminault, Christian, Liu, Stanley Yung‐Chuan
Format: Article
Language:English
Subjects:
ankyloglossia
Bias
Collaboration
frenectomy
General Otolaryngology
Lingual frenuloplasty
lingual frenum
Mouth
myofunctional therapy
orofacial myology
Patients
Posture
Studies
Surgeons
Surgery
tongue and orofacial exercises
tongue‐tie
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Summary:Background Ankyloglossia is a condition of altered tongue mobility due to the presence of restrictive tissue between the undersurface of the tongue and the floor of mouth. Potential implications of restricted tongue mobility (such as mouth breathing, snoring, dental clenching, and myofascial tension) remain underappreciated due to limited peer‐reviewed evidence. Here, we explore the safety and efficacy of lingual frenuloplasty and myofunctional therapy for the treatment of these conditions in a large and diverse cohort of patients with restricted tongue mobility. Methods Four hundred twenty consecutive patients (ages 29 months to 79 years) treated with myofunctional therapy and lingual frenuloplasty for indications of mouth breathing, snoring, dental clenching, and/or myofascial tension were surveyed. All procedures were performed by a single surgeon using a scissors and suture technique. Safety and efficacy was assessed >2 months postoperatively by means of patient‐reported outcome measures. Results In all, 348 surveys (83% response rate) were completed showing 91% satisfaction rate and 87% rate of improvement in quality of life through amelioration of mouth breathing (78.4%), snoring (72.9%), clenching (91.0%), and/or myofascial tension (77.5%). Minor complications occurred in
ISSN:2378-8038
2378-8038
DOI:10.1002/lio2.297