Hyoid frenulum: trim or stretch?

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A tiny patch of skin under the tongue can sometimes cause a lot of problems and worries. We are talking about a frenulum that is attached under the tongue. The pronunciation and clarity of speech, as well as comfort when eating, depend on its location, length and elasticity. This delicate membrane can quickly regenerate, but you should not neglect timely treatment measures if you receive an injury to the frenulum of the tongue.

The frenulum of the tongue is responsible for its movement. Shortened frenulum - pronunciation defects

A little about the complexities of the anatomy of the tongue

The frenulum of the tongue is a thin bridge that connects the lower part of the oral cavity to the tongue. Its main function is to maintain the correct position of the tongue in the mouth by ensuring its movement, which is directly related to diction and the ability to pronounce individual sounds.

To see the frenulum, it will be enough to lift the tongue upward. It is located in the middle of the tongue, connecting to the base of the gums, as if holding this organ in place.

A normal frenulum does not cause discomfort

The length of the frenulum of an adult is approximately 3 cm. If this figure is less or the frenulum of the tongue is located in such a way that when it is raised, it is strongly stretched, we can talk about a short frenulum. In turn, it will interfere with the free rotation, protrusion and elevation of the tongue.

When is tongue frenulum trimming required?

The frenulum of the tongue is a small elastic membrane connecting the tongue to the oral cavity. The frenulum is responsible for important functions of the tongue: movement, breathing, swallowing, speech. This disorder is called ankylogloxia.

The normal development of the lingual frenulum begins centrally, at the root of the tongue, and ends at the lower incisors. The rest of the arrangement is a deviation. There are several deviations in the development of the frenulum:

• Short bridle. The tongue becomes inactive and leads to improperly formed speech and jaw deformation.
• Incorrectly positioned frenulum. Reduces motor activity of the tongue.
• Long frenulum under the tongue. It can be located at the tip of the tongue and affect the swallowing process, disrupting nutrition.

Problems with the development of the tongue frenulum are a congenital pathology. And it is hereditary in nature. May occur due to problems during pregnancy.

Trimming the frenulum for an adult

The operation to trim the frenulum of the tongue can be performed at any age as prescribed by a doctor.

Every 20th person has a shortened frenulum of the tongue. The likelihood of this anomaly occurring in men is much higher than in women.

To independently check how the frenulum is located under the tongue, you can do simple children’s exercises: “horse”, “mushroom”, “painter”. Externally, the frenulum will not differ from a healthy state. If you experience any discomfort while performing these exercises, you should go to the clinic for a consultation.

Symptoms that will help you identify problems with tongue webbing:

• When the tongue is extended, the tip of the tongue bends down;
• Difficulty swallowing;
• It is not possible to insert the tongue completely;
• Bite problems;
• Inflammation of the surrounding tissues of the tooth;
• When the tongue is raised, it takes the shape of a heart;
• Incorrect pronunciation of words.

Adults require frenulum trimming less often than small children. However, tissue healing in an adult takes a little longer than in small children. This type of operation is performed under local anesthesia.

When is surgery scheduled?

The frenulum circumcision operation is performed for the following indications:

• Impaired pronunciation of words. If the speech therapist did not notice the deviation in childhood, then speech defects may occur in adulthood. The operation will help restore the functioning of the speech apparatus.
• Orthodontist recommendations. A frenulum that is too short causes crooked teeth and stunts the growth of the lower jaw.
• Periodontal recommendations. Due to deformation of the gums, the root of the tooth is exposed, which makes it susceptible to other diseases.

When not to have surgery

Since all surgical procedures have limitations. If you have:

• acute chronic diseases of the oral cavity;
• benign tumors of the jaw tissue;
• infectious diseases of the whole body;
• poor blood clotting;
• mental disorder;

The operation to trim the frenulum of the tongue is called frenuloplasty.

Types of frenuloplasty

This type of operation can be performed in 3 ways:

1. Cutting. The bridle is trimmed, the edges of which are sewn with transverse seams.
2. Delete. The frenulum is trimmed using two triangular incisions and removed, after which sutures are applied.
3. Moving. The edge of the frenulum is trimmed and secured in the required place with sutures.

The entire operation takes no more than 20 minutes. After a few days, the stitches will dissolve on their own. There are no complications after frenuloplasty.

Why does the frenulum hurt?

Tongue diseases are a fairly common problem, but most often quickly solved. The main thing is to choose the right treatment by contacting an experienced specialist.

The mucous membrane under the tongue is highly sensitive; therefore, it can become inflamed and painful even in those people who have never experienced problems with it. It reacts to all kinds of irritants and is also easily damaged.

An abnormal frenulum is injured more often

Causes of pain in the frenulum of the tongue:

Quite often, pain in the tongue can be echoes of problems in various human organs - the esophagus, teeth and salivary glands.

A lack of vitamins and minerals provokes the development of anemia, a lack of nutrients and B vitamins can also negatively affect the health of the oral mucosa.

An abscess near the frenulum can lead to injury

One of the key rules for pain in the frenulum is not to ignore these painful sensations, because the delicate and sensitive tissues under the tongue perform functions necessary for the body. And it is always easier to prevent a disease than to deal with its consequences and complications.

Causes of frenulum rupture

Life is filled with different situations in which you can break the frenulum of the tongue. This often happens as a result of:

• injuries - for example, from a fall;
• impact - hitting your face can cause injury to the frenulum;
• sudden movement of the tongue.

If there is a small tear in the frenulum, there is no need to panic; it will go away on its own after some time. If the gap is deep, you need to contact your dentist, who will tell you how to relieve the pain and, if necessary, prescribe treatment.

Severe injuries may require surgery.

Symptoms and consequences of frenulum rupture

Rupture of the frenulum in men is accompanied by pain and tingling. The unpleasant sensations are accompanied by heavy bleeding. The pain syndrome is usually mild. Therefore, many do not pay due attention to injury. Men stop bleeding on their own and do not seek help from a doctor. This is a fundamentally wrong approach to the problem.

After a rupture, the frenulum becomes covered with scar tissue, loses elasticity and becomes shorter, which increases the risk of re-injury. After the first frenulum rupture, a man may experience erectile dysfunction. A short fold of skin makes it difficult to expose the head of the penis and prevents you from enjoying intimacy. Subsequently, many develop complexes and psychological problems, and the desire for sex disappears. Therefore, with such an injury it is necessary to contact a specialist. Don't be ashamed of an intimate problem. An experienced doctor will help you avoid complications.

What to do if the frenulum is torn under the tongue

Injury and rupture of the frenulum can occur when its length is limited and there is insufficient elasticity. Getting this injury is not so easy, but it is possible when using sharp instruments or falling.

There is a certain list of actions that must be followed in order for this injury to pass without consequences for the body.

An injured frenulum definitely requires treatment

Rinse your mouth. Just clean, preferably cold water will do. If there is bleeding, the mouth should be rinsed with an antiseptic solution. This could be hydrogen peroxide, furatsilin, chlorophyllipt or maraslavin. You can also make a solution using baking soda, at the rate of 1 teaspoon of soda per glass of water.

To reduce pain, cotton swabs soaked in a lidocaine solution will help. Simply apply a tampon to the site of injury and the pain will noticeably decrease after a short period of time.

Minimize the load on the speech apparatus until complete healing.

To avoid re-rupture and microcracks, it is better to remain calm during the healing period.

Furacilin for rinsing is an effective remedy

Avoid consuming too hot or cold foods, as well as dry and rough foods. In the daily menu, it is better to use dishes with a liquid consistency, soft, not hot foods.

Surgical suturing of an injured frenulum

Local antiseptics are useful - trachysan, furatsilin, etc. The form of action is convenient for you: lollipops, spray, solution.

By taking a course of vitamins, recovery will be faster. It is recommended to adhere to the rules of personal hygiene; it is better not to touch the rupture site with your hands or apply pressure.

If the rupture site does not heal for a long time and causes discomfort, you should consult a doctor.

Surgical treatment of an injured lower frenulum

An experienced specialist will help relieve pain and prescribe, if necessary, adequate treatment.

Laser treatment - modern technology

Treatment methods

A frenulum rupture is a serious problem that should not be left to chance. After stopping the bleeding and applying a bandage, you should contact a urologist for qualified help as soon as possible. At the Andrologist03 clinic, the injury is eliminated by frenulotomy and plastic surgery using the VY method.

Frenumplasty is a simple way to get rid of an anatomical defect. The operation is performed under local anesthesia and takes about 20 minutes. During surgery, the frenulum is cut and carefully sutured. The recovery period is 5-7 days. You can have sex after 2 weeks. After plastic surgery, the risk of frenulum rupture in a man is minimized. For any questions, please call the phone number listed on the website.

Help from traditional medicine

Using folk recipes and solutions, you can disinfect wounds without resorting to pharmaceuticals. In addition, many of them promote rapid healing of wounds and reduce pain.

Sage tincture. An excellent assistant in the fight against pain during the treatment of various oral injuries. To obtain a miraculous decoction, you need 2 tbsp. pour sage with 2 cups of boiling water and leave for about half an hour. You can rinse 5-10 times a day or as needed.

Sage tincture for rinsing - an effective folk remedy

Chamomile tincture. Chamomile has long been known for its antimicrobial properties. 1 tbsp of dried flowers of this plant is poured with boiling water and infused for 30-40 minutes. The broth must be filtered and used as a rinse solution several times a day.

Bedstraw decoction. This decoction can be used as a tea or rinse. Pour a tablespoon of herb into 1 cup of boiling water and leave for at least 30 minutes.

Alcohol tincture of St. John's wort. It is necessary to prepare 5 parts of 40% alcohol and 1 part of dried St. John's wort herb, let it brew for a while. After this, use 25-30 drops of tincture per glass of water and rinse. This is an excellent remedy for injuries to the tongue and oral cavity.

Using folk recipes, you can save a lot, and the result sometimes exceeds all expectations.