Mazzoni Adriana, Navarro Ricardo Scarparo, Fernandes Kristianne Porta Santos, Mesquita-Ferrari Raquel Agnelli, Horliana Anna Carolina Ratto Tempestini, Silva Tamiris, Santos Elaine Marcílio, Sobral Ana Paula Taboada, Júnior Aldo Brugnera, Nammour Samir, Motta Lara Jansinski, Bussadori Sandra Kalil
Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil.
Postgraduate Program in Bioengineering, Scientific and Technological Institute, Brazil University (UB), São Paulo 08230-030, Brazil.
J Clin Med. 2022 Jun 30;11(13):3783. doi: 10.3390/jcm11133783.
The aim of the study was to evaluate the release of the lingual frenulum through frenectomy in newborns zero to 90 days of age who breastfed and had diagnosis of ankyloglossia with an indication for surgery, comparing two methods: electrocautery and a high-power diode laser. Fifty-seven patients were randomly allocated to two groups (23 submitted to electrocautery and 34 submitted to a high power diode laser). Tongue movements were evaluated based on a clinical assessment and using the Bristol Tongue Assessment Tool (BTAT) before and 15 days after the surgical procedures. The visual analog scale was administered to the mothers on the same occasions for the measurement of pain during breastfeeding. Both groups had an increased BTAT score (favorable outcome) at the post-surgical evaluation, but the anterior third of the tongue was not always free to enable the movements necessary for lingual functions. It is fundamental for surgeons to have skill and in-depth knowledge of the equipment used to avoid accidents and complications in the region of important structures. Both techniques employed in this study were safe and effective, causing little bleeding and few postoperative complications. The group submitted to a high-power diode laser exhibited less post-surgical bleeding compared to the group submitted to electrocautery and no inflammation at the edges of the surgical cut.
本研究的目的是评估在0至90日龄母乳喂养且诊断为舌系带过短并有手术指征的新生儿中，通过舌系带切除术松解舌系带的情况，比较两种方法：电灼术和高功率二极管激光。57例患者被随机分为两组（23例接受电灼术，34例接受高功率二极管激光）。在手术前和手术后15天，根据临床评估并使用布里斯托尔舌评估工具（BTAT）对舌运动进行评估。在相同时间向母亲们发放视觉模拟量表，以测量母乳喂养期间的疼痛程度。两组在术后评估时BTAT评分均有所提高（结果良好），但舌的前三分之一并不总是能自由活动以实现舌功能所需的运动。外科医生具备所使用设备的技能和深入知识，对于避免在重要结构区域发生事故和并发症至关重要。本研究采用的两种技术均安全有效，出血少且术后并发症少。与接受电灼术的组相比，接受高功率二极管激光的组术后出血更少，手术切口边缘无炎症。
