Lingual frenectomy

Lingual frenectomy
	Lingual frenectomy before and after photos of a 5-year-old boy with ankyloglossia. This procedure was performed using a LightScalpel 10,600 nm CO2 laser.
ICD-9-CM	25.92

A lingual frenectomy (also known as a tongue-tie release) is the removal of a band of tissue (the lingual frenulum) connecting the underside of the tongue with the floor of the mouth. A lingual frenectomy is performed to correct ankyloglossia (tongue-tie).[1]

The removal of the lingual frenulum under the tongue can be accomplished with either frenectomy or frenuloplasty. This is used to treat a tongue-tied patient. The difference in tongue length is generally a few millimeters and it may actually shorten the tongue, depending on the procedure and aftercare.

Results of lingual frenectomia via laser surgery have been thought to be superior to those of traditional cold steel methods, however, minimal evidence exists. The skill of the provider is most important in the success of this procedure. It is unknown if laser frenectomy results in a lower risk of relapse (i.e. adhesion).[2]

Domenico Maceri, a professor at Allan Hancock College, claims that some South Korean parents have their children undergo frenectomy "which lengthens the tongue by about one millimeter" in the belief they will pronounce English better.[3] Critics regard the surgery as unnecessary, as Koreans born in the United States have no trouble distinctly pronouncing /r/ and /l/.[4]

A lingual frenectomy is mentioned in the bible with reference to correcting a speech disorder. "... the string of his tongue was loosed, and he spake plain." – Mark 7:35 (King James Version).[5]

Notes

Frenectomy for the Correction of Ankyloglossia: A Review of Clinical Effectiveness and Guidelines. CADTH Rapid Response Reports. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health. 2016. PMID 27403491.
Olivi, G; Signore, A; Olivi, M; Genovese, MD (2012). "Lingual frenectomy: Functional evaluation and new therapeutical approach" (PDF). European Journal of Paediatric Dentistry. 13 (2): 101–6. PMID 22762170.
Marceri, Domenico (2005). "English in France? Mais Oui!". Seoul Times. Retrieved 2009-01-27.
Demick, Barbara (2002-04-08). "A snip of the tongue and English is yours!". Los Angeles Times. Archived from the original on 2006-12-10. doctors say the procedure's popularity has soared ... tongue surgery, which critics say is unnecessary ... Linguists sneer at the idea that South Koreans' tongues are too short to speak English properly ... operation lengthens the tongue by only a millimeter or two
"MARK 7:35 KJV "And straightway his ears were opened, and the string of his tongue was loosed, and he spake plain."". www.kingjamesbibleonline.org. Retrieved 2019-02-21.

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[1] Frenectomy for the Correction of Ankyloglossia: A Review of Clinical Effectiveness and Guidelines. CADTH Rapid Response Reports. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health. 2016. PMID 27403491.

[2] Olivi, G; Signore, A; Olivi, M; Genovese, MD (2012). "Lingual frenectomy: Functional evaluation and new therapeutical approach" (PDF). European Journal of Paediatric Dentistry. 13 (2): 101–6. PMID 22762170.

[3] Marceri, Domenico (2005). "English in France? Mais Oui!". Seoul Times. Retrieved 2009-01-27.

[Dem-4] Demick, Barbara (2002-04-08). "A snip of the tongue and English is yours!". Los Angeles Times. Archived from the original on 2006-12-10. doctors say the procedure's popularity has soared ... tongue surgery, which critics say is unnecessary ... Linguists sneer at the idea that South Koreans' tongues are too short to speak English properly ... operation lengthens the tongue by only a millimeter or two

[5] "MARK 7:35 KJV "And straightway his ears were opened, and the string of his tongue was loosed, and he spake plain."". www.kingjamesbibleonline.org. Retrieved 2019-02-21.