11/02/2025
Congratulations to Soroush Zaghi, MD and The Breathe Institute team on publishing their 2025 update on lingual frenuloplasty (tongue-tie release with sutures) outcomes.
They originally reported a retrospective analysis of 445 patients treated in conjunction with myofunctional therapy in 2019 - a groundbreaking foundation for the field.
This new prospective study of 445 patients aged 4 years and older builds on that work with several key refinements:
✅ Standardized pre- and postoperative myofunctional therapy protocol with readiness assessments to ensure consistent preparation and rehabilitation of tongue and orofacial muscles.
✅ Functional mobility endpoints - the Tongue Range of Motion Ratio (TRMR) and Floor of Mouth (FOM) Hold Maneuver - used to improve diagnosis, guide surgical planning, and determine adequacy of release.
✅ Preserving more fascia and a transition from scissors only to assistance with a LightScalpel CO₂ laser for greater surgical precision, visualization, bleeding control, and less complications.
✅ Use of a tissue glue and reduced sutures for enhanced wound stability, bleeding control, and improved wound healing.
This infographic compares and summarises the results as their approach has evolved.
The field continues to progress through the pioneering work of this team, collaboration with myofunctional therapy, and ongoing innovation in assessment and technique.
These releases are a very gratifying part of my work, and it is very inspiring to see how we can keep learning and evolving to achieve even better outcomes for our patients.
Read the full details of this study here:
https://www.mdpi.com/2694-2526/51/2/11 #