Lecture Notes: Advances in Tongue-Tie and Airway Management by Dr. Zagi

Introduction

• Introduction by Dr. Zagi, a professional in sleep surgery.
• Conference to update on new procedures and research.
• Importance of continual learning in the field of medicine.

Major Points of the Lecture

• Less invasive surgical advancements.
• Integration of Kenalog 10 protocol for wound healing.
• New grading scale for wound healing integration and maturation.
• Updates on the use of non-ablative lasers.
• Expansion surgeries involving adults and children.
• Emphasis on bodywork and its role in successful surgical outcomes.
• Need for a multidisciplinary approach.

Surgical Advancements

Procedure Updates

• New techniques are less invasive compared to older methods.
  • Small cuts, no dissection through the fascia.
• Application of Kenalog 10 for wound healing.
• Introduction of new grading scales for wound healing.

Kenalog 10 Protocol

• Application process and benefits.
• Potential for improved wound healing.
• New methodology for evaluating the integration and maturation of wounds.

Research and Education

Annual Updates and Studies

• Importance of annual updates and continuous research.
• Opportunities to influence future research directions with input from such conferences.
• Introduction of new content, grading scales, and imagery in lectures.

Patient Cases and Personal Experience

• Shared a personal journey about dealing with airway issues and the importance of addressing them early.
• An example from a patient named Austin who benefited from MMA surgery.
• Importance of interdisciplinary approaches for patient treatment plans.

Understanding Tongue-Tie and Airway Management

Diagnosis and Assessment

• Methods to diagnose tongue-tie effectively, including the new sleep tongue posture hold maneuver.
• Distinct categories for diagnosing tongue mobility: compensated, restricted, and good mobility.
• The importance of examining function over anatomical appearance.

Tongue Space vs. Tongue Tie

• Differentiation between tongue space issues and tongue-tie issues.
• Situations where expansion should be preferred over tongue-tie release and vice versa.
• Importance of three-dimensional assessment to determine the best course of action.

Airway Expansion Techniques

Methods and Equipment

• Introduction of MSE technique (maxillary skeletal expansion) with minimal surgery.
• Use of specific appliances to aid in expansion.
• Risks of asymmetric expansion and mitigation techniques.

Patient Post-Operative Care

• Importance of bodywork, craniosacral therapy, and orthodontic treatment following surgical procedures.
• Using ice and photobiomodulation for post-op care.

Advanced Healing Protocols and Post-Treatment Care

Wound Healing Techniques

• Ice application: 15 minutes on, 2 hours off protocol.
• Different light-based therapies for improved healing.

Kenalog 10 for Wound Healing

• Injection into scar tissue to improve mobilization and reduce scarring.
• Successes and complications from using Kenalog 10.
• Procedure specifics: injection methodology and dosage.

New Diagnostic Tools in Evaluation

Functional Tongue Space Analysis

• Use of LPS, palate overflow, and scalloping for diagnosis.
• Inclusion of new FER 6 plus four metrics for better evaluation.

Soft Palate Management

• New non-ablative laser techniques and their application.
• Case study examples showing positive results with these methods.

Lip and Buccal Ties

Recent Studies and Publications

• New research publications regarding lip ties and classifications.
• Importance of understanding natural remission in children.
• Balance between performing procedures versus natural resolutions over time.

Conclusion

Research and Continuous Improvement

• Motivation to keep contributing to research and innovation in the field.
• Importance of a collaborative and interdisciplinary approach for better patient outcomes.