Mir Mohd Altaf, Maurya Rajesh, Parkash Om, Kaushal Gourav, Rakesh Nirjhar Raj
Burns & Plastic Surgery, All India Institute of Medical Sciences, Bathinda, IND.
Surgical Gastroenterology, All India Institute of Medical Sciences, Bathinda, IND.
Cureus. 2022 Mar 16;14(3):e23223. doi: 10.7759/cureus.23223. eCollection 2022 Mar.
The objective of this is to report a newer novel technique of harmonic scalpel frenotomy, a day care procedure under local infiltration anesthesia that could achieve quick bloodless adequate ankyloglossia release and excellent healing with subsequent improved articulation and speech. The procedure was performed, patient followed up for six months and excellent results noted. A 37-year-old male patient presented with type II ankyloglossia on Coryllos ankyloglossia grading scale and class III on Kotlow's assessment. A quick bloodless frenotomy with adequate release of ankyloglossia was achieved using harmonic scissors. Patient experienced no discomfort. Patient was observed for two hours and discharged the same day with chlorhexidine mouth gargles and analgesics. Postoperative healing was excellent with adequate tongue protrusion and improvement in articulation and speech. We report this newer novel technique of harmonic scissors frenotomy, a day care procedure under local infiltration anesthesia, that achieved quick bloodless adequate ankyloglossia release, excellent healing and evident improvement in articulation and speech.
本文目的是报告一种新型的谐波手术刀舌系带切开术技术，这是一种在局部浸润麻醉下的日间手术，可实现快速无血且充分的松解舌系带，并能实现良好愈合，随后改善发音和言语能力。该手术已实施，对患者进行了六个月的随访，结果良好。一名37岁男性患者，根据科里洛斯舌系带过短分级量表为II型舌系带过短，根据科特洛评估为III级。使用谐波剪刀实现了快速无血的舌系带切开术，并充分松解了舌系带。患者无不适。对患者观察两小时后，当天让其出院，并给予洗必泰漱口水和镇痛药。术后愈合良好，舌伸出充分，发音和言语能力有所改善。我们报告了这种新型的谐波剪刀舌系带切开术技术，这是一种在局部浸润麻醉下的日间手术，实现了快速无血且充分的松解舌系带、良好愈合以及发音和言语能力的明显改善。
