CPT® Code 41510

1. Indications

The procedure is indicated for patients diagnosed with micrognathia, a congenital anomaly that presents with the following conditions:

• Feeding Difficulties Patients may experience challenges in feeding due to the restricted space in the oral cavity caused by the small jaw.
• Breathing Problems The anatomical limitations of micrognathia can lead to obstructive breathing issues, particularly during sleep.
• Facial Aesthetics The condition may also impact the overall facial appearance, prompting surgical intervention for cosmetic reasons.

2. Procedure

The procedure consists of several critical steps that are performed in a systematic manner to ensure optimal outcomes for the patient:

• Step 1: Incision in the Lower Lip The surgeon begins by making an incision in the lower lip, which is essential for accessing the underlying tissues. A strip of mucosa is excised during this step to facilitate the subsequent surgical maneuvers.
• Step 2: Incision in the Posterior Aspect of the Tongue Following the initial incision, a second incision is made in the posterior aspect of the tongue. Similar to the first step, a strip of mucosa is excised to allow for proper mobilization of the tongue.
• Step 3: Release of the Tongue The next step involves releasing the tongue from its attachment at the mandibular symphysis. This is a crucial maneuver that allows for the necessary mobility of the tongue, which is vital for the suturing process.
• Step 4: Application of Traction Once the tongue is released, traction is applied to ensure that it is positioned correctly in relation to the lip. This step is important for aligning the structures appropriately before suturing.
• Step 5: Suturing the Tongue to the Lip Finally, the surgeon sutures the tongue to the lip along the length of the previously excised mucosal strips. This step secures the tongue in its new position, which is critical for improving the functional outcomes associated with micrognathia.

3. Post-Procedure

After the procedure, patients may require specific post-operative care to ensure proper healing and recovery. This may include monitoring for any signs of infection at the incision sites, managing pain with appropriate medications, and following dietary restrictions to avoid irritation to the surgical area. Patients will typically be advised on oral hygiene practices to maintain cleanliness and prevent complications. Follow-up appointments will be necessary to assess healing and the effectiveness of the procedure in improving feeding and breathing functions.