21 FEB 2021 · What is a frenectomy, and when might surgical treatment for a tongue-tie or lip-tie be considered?
In this episode of Tongue and Lip Tie, I sit down with Drs. Bobbi and Robert Stanley for an in-depth conversation about frenectomies and the questions patients and clinicians should consider when evaluating surgical intervention.
We begin with the fundamentals: What are tongue-ties and lip-ties? How are they diagnosed? What symptoms can they produce, and when might those symptoms affect function or quality of life? We also discuss anterior and posterior tongue-ties, treatment at different ages, potential benefits of intervention, and circumstances in which surgery may not be appropriate.
From there, we explore the procedure itself. Drs. Stanley discuss different surgical approaches—including scissors, scalpels, electrosurgery, radiosurgery, and several types of lasers—as well as clinician training, pre-operative considerations, anatomy, surgical technique, suturing, and the challenges of determining whether a release has been adequate.
But a frenectomy doesn't begin and end with the procedure. We discuss the potential roles of lactation consultants, speech-language pathologists, myofunctional therapists, and other professionals in coordinating care, along with post-operative exercises, pain management, healing, and recovery.
We also take a closer look at potential complications and concerns, including reattachment, prolonged numbness or altered sensation, bleeding, nerve injury, dry mouth, swelling, mucoceles, ranulas, ulceration, and situations in which additional evaluation or revision may be necessary.
Whether you're a patient trying to understand a recommended procedure or a clinician interested in the broader considerations surrounding frenectomy treatment, this conversation offers a balanced look at the indications, techniques, benefits, limitations, recovery, and potential complications of surgical intervention for tongue-tie and lip-tie.
This podcast is intended for educational purposes and provides general information; individual concerns regarding diagnosis or treatment should be discussed with an appropriately qualified healthcare professional.