Muhammad Ahmed Khan, Sumera Akram, Hassan Bin Usman, Ghazanfar Ali.
Comparison of frenulotomy versus frenulectomy in cases of ankyloglossia.
J Postgrad Med Inst Jan ;32(02):198-200.

Objective: To compare frenulotomy versus frenulectomy in cases of ankyloglossia in terms of post operative improvement in speech and feeding difficulties in children. Methodology: This study was carried out in Combined Military Hospital (CMH), Bahawalpur. Total 64 cases of tongue tie were selected from outpatient department. The cases were randomly divided into two groups. In group A, children underwent frenulectomy via Z-plasty and in group B they had frenulotomy i.e. release of tongue tie with bipolar diathermy. Postoperative improvement in speech and feeding problems was assessed in both groups. Results: Mean age of children in the study was 2.79 ±1.01 years. There were 45 (70.3%) males and 19 (29.7%) females. Group A, had significantly better improvement in speech as compared to group B (p =0.000). regarding breast feeding, both procedures showed almost similar improvement (p =0.224). Conclusion: Frenulectomy was superior to frenulotomy as far as post operative speech is concerned; however, both procedures were almost equally effective in improving feeding problems (breast feeding) in babies with tongue ties.

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