Evaluation and comparision of surgical outcomes and complications of frenectomy in infants with ankyloglossia using electrocoutery or surgical in Tabriz pedriatric hospital

Abstract

Ankyloglossia is another name for tongue tie, which is characterized by mild to complete mucosal bands of ankyloglossia, whereby the tongue is tied to the floor of the mouth. This can affect nutrition, speech and oral hygiene as well as mechanical/social effects. As a result, this study was conducted with the aim of determining the best possible method of frenectomy surgery by comparing surgery and electrocautery in the treatment of ankyloglossia. Methods: This is a prospective randomized clinical trial that was conducted in Tabriz Children's Hospital. All patients were randomly divided into two groups, A and B. Each group included 20 patients, and among groups A and B, frenectomy was performed with the usual electrocautery and surgical method. Then the patients were evaluated on the first day after the operation in terms of inflammatory signs and symptoms, on the seventh day after the operation in terms of wound healing and any complications, and also after one month in terms of scarring and wound contraction. Results: In our study, about 63% of the population are boys and 37% are girls, which is consistent with previous studies. Among all patients, the most common age group is between 1 and 3 years. Most of the patients were in class II. Group A was more favorable than group B in terms of complications after surgery, including erythema, eczema, and fever. In both groups A and B, the quality of nutrition and weighing was satisfactory in all patients after surgery. In terms of speech status after surgery, it was found that 1 patient in group A and 3 patients in group B had no change in speech status. Also, no bleeding, infection, and movement restriction were observed in any of the participating patients in groups A and B.