Case Study: Transforming Breathing and Swallowing with Myofunctional Therapy and Clinical Oral Facial Massage

complex myofunctional therapy cofm
Myofunctional Therapy and Clinical Oral Facial Massage (COFM)

Initial Visit

The 12-year-old patient, presented with complex myofunctional disorders, including a Class 4 Tongue Tie and a Malampati score of 4, indicating severe restrictions in tongue movement and airway space.
His condition was complicated by the presence of lip and buccal ties, contributing to significant difficulties in breastfeeding, eating, sleeping, and breathing.
The patient’s history of snoring, open-mouth breathing, constant congestion, and dry mouth upon waking underscored the need for a comprehensive treatment approach.
Our clinic adopted a holistic treatment strategy, focusing on myofunctional therapy complemented by clinical oral facial massage to address the patient’s complex needs.
Myofunctional Therapy: He underwent extensive myofunctional therapy over almost two years, focusing on exercises designed to improve tongue mobility, breathing patterns, and swallowing functions.
Frenectomy: All of his restricted frenums were released through frenectomy procedures, aiming to alleviate the physical barriers to tongue movement and oral function.
Clinical Oral Facial Massage: These sessions were integrated into the treatment plan to enhance facial muscle function and support the changes brought about by the myofunctional therapy and frenectomies.


The comprehensive treatment approach yielded remarkable improvements in his myofunctional health:
Enhanced Tongue Mobility: Haniel can now move his tongue freely in all directions, demonstrating the ability to lift both the front and back portions of the tongue and achieve suction.
Improved Swallowing and Eating: The ability to swallow pills and the elimination of lateral thrust-swallowing indicate significant progress in oral motor skills.
Respiratory Function: Haniel now breathes through his nose, reducing the instances of snoring, congestion, and dry mouth.
Speech Clarity: There has been a noticeable improvement in speech articulation, contributing to clearer communication.
Behavioral Changes: The need to tilt his head and close his eyes during the day has diminished, indicating alleviation of compensatory mechanisms related to his previous myofunctional restrictions.
Conclusion his journey underscores the efficacy of combining myofunctional therapy with frenectomy and clinical oral facial massage in addressing complex myofunctional disorders.
This case study highlights the transformative impact of a holistic treatment approach on pediatric patients facing multifaceted challenges related to breathing, swallowing, and oral function. By addressing the root causes of the patient’s conditions, our clinic was able to provide him with a significantly improved quality of life and a solid foundation for healthy oral and respiratory functions moving forward.

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