Management of Postoperative Hematoma Following a Lingual Frenectomy: A Case Report

Ankyloglossia, commonly known as tongue-tie, is a congenital condition characterized by a short, thick lingual frenum that restricts tongue mobility, leading to functional and developmental issues. Surgical intervention, such as a lingual frenectomy, is commonly used to restore tongue function. However, postoperative complications like hematomas can pose significant risks. This case report discusses the management of a sublingual hematoma in a 15-year-old male following a conventional lingual frenectomy. Postoperatively, the patient developed swelling, erythema, and restricted tongue movement, later diagnosed as a hematoma in the sublingual space through ultrasonography. Immediately, the patient was transferred to the critical care unit and started on intravenous antibiotics and analgesics, magnesium sulfate dressing, and close monitoring to prevent airway obstruction The patient improved significantly within 48 hours and completely recovered by the seventh day. This report underscores the importance of early recognition of complications, and prompt management to alleviate risks and ensure favorable outcomes. Furthermore, the necessity for better documentation and the use of multidisciplinary approaches in the management of ankyloglossia is emphasized.