Laser Release Tongue Tie
-
Upload
dr-paulose -
Category
Health & Medicine
-
view
1.628 -
download
0
description
Transcript of Laser Release Tongue Tie
![Page 1: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/1.jpg)
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
![Page 2: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/2.jpg)
Are you tongue Tied?Are you tongue Tied?
![Page 3: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/3.jpg)
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.
![Page 4: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/4.jpg)
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.
![Page 5: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/5.jpg)
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 .
![Page 6: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/6.jpg)
Tongue-Tie (Ankyloglossia)Tongue-Tie (Ankyloglossia)
![Page 7: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/7.jpg)
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.
![Page 8: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/8.jpg)
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.
![Page 9: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/9.jpg)
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.
![Page 10: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/10.jpg)
Social ProblemsSocial Problems
Inability to kiss Inability to kiss with tongue out. with tongue out. Main concern for Main concern for youngsters.youngsters.
![Page 11: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/11.jpg)
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.
![Page 12: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/12.jpg)
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.
![Page 13: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/13.jpg)
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.
![Page 14: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/14.jpg)
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.
![Page 15: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/15.jpg)
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.
![Page 16: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/16.jpg)
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.
![Page 17: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/17.jpg)
Laser Release tongue tie in Laser Release tongue tie in ChildrenChildren
![Page 18: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/18.jpg)
Going to TheatreGoing to Theatre
![Page 19: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/19.jpg)
Eye ProtectionEye Protection
![Page 20: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/20.jpg)
GAGA
![Page 21: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/21.jpg)
Giving GAGiving GA
![Page 22: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/22.jpg)
Anesthesia:InhalationAnesthesia:Inhalation
Light anesthesia Light anesthesia by maskby mask
Short GAShort GA
![Page 23: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/23.jpg)
ProcedureProcedure
![Page 24: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/24.jpg)
Frenum cut by laserFrenum cut by laser
![Page 25: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/25.jpg)
Laser ReleaseLaser Release
![Page 26: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/26.jpg)
Laser Release tongue TieLaser Release tongue Tie
![Page 27: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/27.jpg)
Waiting for OperationWaiting for Operation
![Page 28: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/28.jpg)
Protecting the eyeProtecting the eye
![Page 29: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/29.jpg)
Laser release 2Laser release 2
![Page 30: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/30.jpg)
Laser Release 3Laser Release 3
![Page 31: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/31.jpg)
Procedure-2Procedure-2
![Page 32: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/32.jpg)
GAGA
![Page 33: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/33.jpg)
GA 2GA 2
![Page 34: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/34.jpg)
Short GA by MaskShort GA by Mask
Sublingual Sublingual Frenectomy Frenectomy Using Co2 laserUsing Co2 laser
![Page 35: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/35.jpg)
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
![Page 36: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/36.jpg)
Before SurgeryBefore Surgery
Explaining to the Explaining to the Child about the Child about the procedureprocedure
![Page 37: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/37.jpg)
Giving Local AnestheticGiving Local Anesthetic
![Page 38: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/38.jpg)
Laser Release in older Laser Release in older childrenchildren
![Page 39: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/39.jpg)
Laser In Older Children-2Laser In Older Children-2
![Page 40: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/40.jpg)
Laser in older Children 3Laser in older Children 3
![Page 41: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/41.jpg)
The Laser ProcedureThe Laser Procedure
![Page 42: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/42.jpg)
After SurgeryAfter Surgery
![Page 43: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/43.jpg)
Laser Surgery In Jubilee Laser Surgery In Jubilee HospitalHospital
![Page 44: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/44.jpg)
Laser Release in adultLaser Release in adult
![Page 45: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/45.jpg)
Laser Release in AdultsLaser Release in Adults
![Page 46: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/46.jpg)
Laser Release in adults 2Laser Release in adults 2
![Page 47: Laser Release Tongue Tie](https://reader036.fdocuments.us/reader036/viewer/2022081504/55629764d8b42abb398b4d77/html5/thumbnails/47.jpg)
THANK YOUTHANK YOU