Innovative Myofascial Release Technique (MRT) as Adjunct Therapy in Ankyloglossia Management: A Retrospective Clinical Study Including Objective Functional Outcomes

Background : Ankyloglossia can limit tongue mobility and impair orofacial functions. Myofascial restrictions often coexist with structural limitations, necessitating comprehensive therapy. Objective: The aim of this study was to evaluate the effects of an innovative myofascial release protocol—Myofascial Release Technique (MRT)—and a specialized tool for soft tissue mobilization in patients after lingual frenotomy. Methods : This retrospective observational study analyzed 64 patients (2021–2024) who underwent frenotomy followed by MRT therapy Therapy was based on a therapy was based on a device filed for patent protection (UPRP No. P.447009) measuring applied pressure (0.5–1.5 N/ mm ² ). Patients were trained in its use and practiced at home with a non-measuring version. In patients with functional disturbances (e.g., altered breathing pattern), the Multifunctional System (MFS) protocol was added. Preoperative MRT was used in some cases for ~ 1 month. Results : Improvement in tongue mobility and strength depended more on therapy adherence than on anatomical limitation. Most patients Tongue Range of Motion Ratio (TRMR) grade 3 improved to grade 1, representing a 50% increase in tongue mobility. Systematically treated patients with ankyloglossia (grade 4) also improved to grade 1 (75% gain). IOPI measurements confirmed increased tongue strength. No postoperative complications or relapses were observed within the available follow-up period; however, under-reporting cannot be excluded due to the retrospective nature of the data. Conclusions : MRT with a mobilization tool and the MFS protocol support soft tissue remodeling, improve tongue function, and may reduce scar formation after frenotomy. This protocol can be used both postoperatively and as preoperative preparation.