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The procedure identified by CPT® Code 41115 is known as a frenectomy, specifically the excision of the lingual frenum. This surgical intervention is primarily indicated for the treatment of ankyloglossia, commonly referred to as tongue-tie, a condition where the lingual frenum, which is the tissue connecting the underside of the tongue to the floor of the mouth, is abnormally short or thick. This condition can restrict the movement of the tongue, potentially leading to difficulties in speech, feeding, and oral hygiene. During the frenectomy, the frenum is accessed through the placement of tension sutures on either side of the tongue, allowing for a clear view and access to the frenum. The excision is performed starting from the tip of the tongue and extending backward toward the mandibular lingual alveolus, which is the bony ridge in the lower jaw where the teeth are anchored. After the frenum is completely removed, the underlying mucosa of both the tongue and the floor of the mouth is carefully undermined to facilitate proper healing, and the area is then sutured to ensure closure and promote recovery.
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