Tongue-tie release

The findings like V-shaped notch at the tip of the tongue, inability to stick out the tongue past the upper gums, inability to touch the roof of the mouth and difficulty moving the tongue from side to side in children should be consulted with the doctor. When a tongue tie has been assessed and found to be restricting movement, many tongue tie procedures are used to correct the adverse affects. There are four options available in the choice of interventions in cases of tongue tie.
  • Cutting the web of skin to free the tongue tip
  • Snipping the frenum or tongue clipping
  • Revision of the frenum by laser without a general anesthesia.
  • Revision by electrocautery using a local anesthesia.

Surgery for tongue tie:
Tongue-tie operation is a simple procedure and with no complications. It is done in infants less than six-weeks-old. Frenulectomy is done under general anesthesia on older children. Frenulectomy done on tongue, called Lingual frenectomy, can yield good results. Parents should consider that this surgery often yields more benefit than is obvious by restoring ease of speech and self-esteem.

Thyroid disorders and Neck swelling

Thyroid disorders are medical conditions impairing the function of the thyroid. Thyroid disorders include those arises due to the hormonal imbalance like hypo and hyper thyroidism, due to anatomical problems like goiter, Thyroglossal duct cyst or which arises from neoplasms or due to deficiencies like cretinism.

Thyroid nodules are a swelling or lump, solid or liquid filled cyst or mass. Most are benign thyroid nodules, but a small percentage can be thyroid cancer nodules. In some cases, a disease of the thyroid nodules causes a swollen neck. A neck swelling is a symptom associated with thyroid disease as well as thyroid cancer. Swelling in the neck is due to the presence of multiple nodules on thyroid. Besides thyroid disease, swelling in the neck can occur from thyroid goiter.

The symptoms of thyroid disorders may depend on the underlying cause. The symptoms of hypothyroidism might include weight gain, fatigue and depression. The symptoms of hyperthyroidism include; Excessive sweating, increased bowel movements, tremor, nervousness, agitation, rapid heart rate, weight loss, fatigue, decreased concentration, irregular and scant menstrual flow. Some symptoms of thyroid nodules include palpitations, insomnia, weight loss, anxiety, and tremors. A goiter is an enlargement of the thyroid. Some symptoms of a goiter include tenderness to the touch, pressing on your windpipe or your esophagus, coughing, hoarseness, shortness of breath, fullness in your neck, choking or shortness of breath at night, or a feeling that food is getting stuck in your throat.

Nodules in the thyroid gland may be found during a physical examination or ultrasound showing thyroid nodules or radioactive thyroid scan. Once diagnosed it should be checked for the underlying reason. For that a thyroid nodule biopsy called fine needle aspiration biopsy is carried out in which a small sample of tissue is removed from the thyroid gland and looked at under a microscope for cancer, infection, or other thyroid problems.

Treatment for thyroid nodules involves the control the hormone irregularities, thyroid hormone replacement drugs will be prescribed. Anti-inflammatory drugs may be recommended to reduce swelling on neck. Surgery for thyroid nodules either removes the nodule or lobe of the thyroid for biopsy.
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