Yetişkin Hastada Şiddetli Ankiloglossinin Miyofrenuloplasti Tekniği ile Tedavisi: Olgu Sunumu

Öz

Ankiloglossi, anormal bir lingual frenulum ile karakterize olup, dil hareketlerini kısıtlayan ve konuşma, yutma ve çiğneme gibi oral fonksiyonları etkileyen bir durumdur. Genellikle doğuştan gelen bu anomali, bazen edinsel olarak da görülebilir ve Ehlers-Danlos veya Beckwith-Wiedemann gibi sendromlarla ilişkili olabileceği gibi izole bir bulgu olarak da ortaya çıkabilir. Doğru tanı, dilin klinik muayenesi ve fonksiyonel değerlendirilmesi ile konulmaktadır. Tedavi seçenekleri, hastanın yaşı ve durumun ciddiyetine bağlı olarak frenotomi, frenektomi, Z-plasti ve miyofrenuloplasti gibi çeşitli cerrahi teknikleri içermektedir. Bu çalışmada, şiddetli ankiloglossiye bağlı konuşma zorlukları yaşayan 25 yaşındaki bir kadın hastanın cerrahi tedavisi sunulmaktadır. Miyofrenuloplasti tekniği kullanılarak, anterior genioglossus kas liflerinin kısıtlayıcı etkisi hedef alınmış ve sublingual yapılar korunarak başarılı bir cerrahi müdahale gerçekleştirilmiştir. Ameliyat sonrası iyileşme sorunsuz ilerlemiş ve dil hareketliliğinde belirgin iyileşme sağlanmıştır. Hasta, fonksiyonel sonuçları artırmak ve postoperatif skar komplikasyonlarını önlemek amacıyla konuşma terapisine yönlendirilmiştir. Bu vaka, anatomik ve fonksiyonel değerlendirmelere dayalı uygun cerrahi teknik seçiminin önemini vurgulamaktadır. Ayrıca, postoperatif rehabilitasyonun konuşma terapisi ile entegre edilmesi, sonuçların optimize edilmesi ve uzun vadeli başarının sağlanması açısından kritik öneme sahiptir.

Anahtar Kelimeler

• ankiloglossi
• lingual frenektomi
• miyofrenuloplasti

Treatment of Severe Ankyloglossia in an Adult Patient Using the Myofrenuloplasty Technique: a Case Report

Abstract

Ankyloglossia, characterized by an abnormal lingual frenulum, is a condition that restricts tongue mobility and impacts oral functions such as speech, swallowing, and chewing. This congenital anomaly, occasionally acquired, may present as an isolated finding or in association with syndromes like Ehlers-Danlos or Beckwith-Wiedemann. Proper diagnosis requires clinical examination and functional assessment of the tongue. Various surgical techniques, including frenotomy, frenectomy, Z-plasty, and myofrenuloplasty, are utilized depending on the severity and age of the patient. This study presents the case of a 25-year-old female with severe ankyloglossia causing speech difficulties. A detailed surgical intervention using the myofrenuloplasty technique was performed, targeting the restrictive anterior genioglossus fibers while preserving sublingual structures. Postoperative recovery was uneventful, with significant improvement in tongue mobility. The patient was subsequently referred for speech therapy to enhance functional outcomes and prevent postoperative scarring complications. This case underscores the importance of selecting appropriate surgical techniques based on anatomical and functional assessments. Furthermore, integrating postoperative rehabilitation with speech therapy is essential for optimizing outcomes and ensuring long-term success in ankyloglossia management.

Keywords

• ankyloglossia
• lingual frenectomy
• miofrenuloplasty

Kaynakça

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