Considering Tongue Tie Surgery as an Adult
Hello everyone, I'm a 33-year-old man exploring the possibility of having my tongue tie surgically corrected. Although I manage to communicate effectively, I do notice some speech impediments—especially with certain sounds that come across as mumbling. Furthermore, I experience significant tightness, limited mobility, and issues related to the positioning and strength of my tongue; for instance, I can only touch the roof of my mouth with the tip of my tongue, and it often rests against my teeth. On top of that, I have tightness in my jaw—which may suggest TMJ, given the popping sound I hear when I open my mouth—along with tooth grinding and posture problems that ease when I consciously adjust my tongue to a more appropriate resting position at the base of my mouth. 1. **Will surgery enhance my tongue's extension?** Am I too late to pursue this since I haven't done it sooner? 2. **Post-operative guidance is a concern.** In my conversations with various practices, no one has mentioned the need for tongue exercises or myofunctional therapy after the procedure—simply advising rest and pain relief. Having come across discussions on this topic, I’ve learned that proper exercises both before and after surgery are crucial for optimal outcomes. Should I regard clinics lacking this recommendation as potential warning signs? 3. **Surgical methods are varied.** I’ve found that none of the clinics I’ve contacted utilize lasers for the removal; one oral surgeon uses a scalpel, while ENT specialists offer a clipping procedure. I’ve heard that laser treatments might be preferred; is this accurate? What benefits or drawbacks do these different methods present? 4. **Finding a qualified specialist is key.** I need guidance on how to identify a proficient surgeon for tongue tie removal. What specific qualifications or indicators should I consider when searching online? Is it generally advisable to choose an oral surgeon over an ENT for this operation, assuming cost and insurance coverage are not concerns? 5. **Managing sleep apnea is another factor.** While I recognize the uncertain outcomes regarding improvement, could this surgery potentially exacerbate my sleep apnea? To provide some context, I do intend to continue using my prescribed CPAP machine. 6. **Speech issues are minor for me,** and my tongue's current strength and flexibility suffice for my daily life. My primary motivation for surgery relates to improving my breathing. While I would appreciate any increase in mobility or strength, I am anxious about potential negative outcomes. Considering my age, is there a risk that my speech, swallowing, or other areas reliant on tongue strength could deteriorate following the procedure?
Answers (1)
3/28/2025, 4:40:51 PM
OpenHealth AI
It sounds like you have carefully considered the implications of a tongue tie surgery and are seeking detailed guidance. This is a significant decision, and it’s understandable to have many questions about the process and outcomes, especially given your ongoing concerns around speech, jaw tightness, and breathing. Let’s address your points one at a time.
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Surgery Potential: Surgery can improve your tongue's extension and mobility even as an adult. Many patients see beneficial results at any age, particularly in terms of improved tongue movement, which can positively affect speech and jaw function. It's never too late to consider surgery if it aligns with your goals for better oral function and quality of life.
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Post-operative Guidance: Follow-up care is essential. Proper tongue exercises and possibly myofunctional therapy can significantly improve outcomes after surgery. Clinics that don’t address this may not be fully considering the entire recovery process. It’s crucial to choose a practice that emphasizes post-operative care and ongoing rehabilitation to facilitate adaptation and enhance function after the procedure.
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Surgical Methods: Different methods for tongue tie surgery (frenectomy) exist, including scalpel and laser techniques. Laser surgery often results in less bleeding and a quicker recovery time, but both methods are effective. The choice may depend on the surgeon's expertise and your specific case, so consider asking about the technique’s advantages and how they can address your specific needs.
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Finding a Qualified Specialist: Look for a surgeon experienced in performing tongue tie procedures specifically. Qualifications to consider include board certification in oral and maxillofacial surgery or ENT, experience with myofunctional therapy, and a good patient review record. A comprehensive evaluation of your situation is critical, and oral surgeons often specialize more in soft tissue manipulations in the mouth than ENT specialists.
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Managing Sleep Apnea: While improvement in airflow may help your breathing, surgery may also slightly alter your airway dynamics, which can affect sleep apnea. Continuing your CPAP treatment is wise, and it’s beneficial to discuss this specifically with the surgeon to ensure they are aware of your sleep apnea history and consider this in their approach.
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Concern About Negative Outcomes: While there are risks to any surgery, the majority of patients experience improvements in mobility and function without deterioration in speech or swallowing. Pre-surgery assessments help mitigate risks, and a skilled surgeon will tailor the procedure to minimize potential complications.
Next Steps:
- Research & Consultations: Schedule consultations with multiple specialists who are experienced in tongue tie surgery. Ask about their approach to post-operative care and myofunctional therapy.
- Assessing Techniques: Inquire about the surgical methods they use and request to understand the pros and cons of each based on your specific goals.
- Follow Up on Recovery: Ensure a discussion around post-operative exercises and therapy to aid in recovery, even asking for referrals for specialists who provide myofunctional therapy.
- Discuss Sleep Apnea: Bring up your history of sleep apnea in these consultations to form a comprehensive plan moving forward.
Make sure you feel comfortable and confident with your chosen provider and the surgical plan. It’s a vital step toward improving your functional health and quality of life—I commend you for taking the time to seek this information and make an informed decision.
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