A surgical procedure to release genioglossal myofascial restrictions or tethered oral tissues (tongue, lip, and buccal ties) that may contribute to problems with sleep, breathing, swallowing, speech, and posture.
The success in our practice is based on our ability to provide a complete and effective release of tethered oral tissues with functional frenuloplasty without the use of laser or cautery. We use a multidisciplinary protocol that integrates myofuntional therapy (and sometimes physical therapy) both before, during, and after surgery.
Our technique is based on precision: releasing the appropriate extent of tissues for maximal relief; not too much, and not too little. We use a scissors and suture technique that causes no thermal tissue damage (as compared to laser) and allows for the placement of sutures to promote healing by primary intention.
We find that leaving the wound open to heal by secondary intention (without sutures) predisposes to excessive scarring. Also, there is a limitation on how deep you can go with the laser technique, so often times there is an incomplete release that does not effectively address submucosal posterior restrictions. Attempts at going deeper with laser may cause excessive scarring that results in worsening restrictions to tongue mobility.
We are grateful and thank you for your interest in our work.