Revision Tongue-Tie Release (Lower Lingual Frenectomy)
Surgical Procedure
Chief Complaint
Reduced tongue extension due to soft tissue adhesion after previous lingual frenectomy; patient desires restoration of prior post-operative mobility.
Clinical Findings
Scarring and soft tissue adhesion at lower lingual frenum
Decreased tongue protrusion compared to immediate post-operative result
Restriction affecting functional tongue movement
Treatment Plan
Revision lingual frenectomy using diode laser, with suturing to minimise re-adhesion.
Pre-operative Assessment
Risks, procedure steps, and expected outcome explained
Patient understood and agreed to proceed
Informed consent obtained for lower lingual frenectomy revision
Anesthesia
Local anesthesia via infiltration.
Surgical Procedure
Patient cleaned and draped
Lingual frenum placed under tension
Release performed using 15C blade from base of mouth toward tongue tip
980 nm diode laser applied for finishing and hemostasis
BSS × 7 sutures placed to close incision and reduce risk of tissue adhesion
Post-operative instructions provided
Post-operative Assessment
Adequate release achieved
Hemostasis stable
Good tongue mobility immediately post-op
Healing trajectory discussed with emphasis on preventing re-adhesion