The Surgical Walkthrough Deep Dive is The Breathe Institute’s on-demand, case-based surgical learning experience.

This course features 30+ real-world Functional Frenuloplasty cases personally curated by Dr. Soroush Zaghi to highlight clinical decision-making, anatomical nuance, and surgical technique across a wide range of patient presentations.

Each case walks you from pre-operative assessment through surgical execution and post-operative considerations, with emphasis on anatomy, tissue handling, complication management, and functional outcomes.

Designed for clinicians who want to refine judgment, not just technique. Learn at your own pace and return to cases as often as needed to build confidence in diagnosis, treatment planning, and execution.

Deep Dive Course Offerings

1. Differentiate mucosal restriction from fascial and muscular restriction
2. Identify when a release should remain superficial versus when deeper fascial dissection is required, using intraoperative visual cues and functional assessment.
3. Apply case-specific surgical decision-making
4. Adjust technique based on age, anatomy, airway context, behavioral factors, prior surgery, and patient tolerance, rather than using a one-size-fits-all approach.
5. Demonstrate improved anatomical recognition of the floor of mouth
6. Identify blood vessels, fascia, muscle layers, and high-risk zones to improve safety, precision, and hemostasis during frenuloplasty.
7. Select and execute appropriate surgical techniques
8. Compare and apply laser versus scissor techniques, blunt dissection strategies, suturing methods, glue use, and tension management based on case demands.
9. Manage complex and revision cases with greater confidence
10. Recognize scar tissue patterns, compensatory mechanics, and common pitfalls in revision frenuloplasty and difficult cases.
11. Integrate airway, sleep, and functional considerations into surgical planning
12. Understand how tongue mobility, posture, UARS, OSA, and compensatory patterns influence surgical goals and outcomes.
13. Anticipate and manage intraoperative challenges
14. Including vasovagal syncope, prominent blood vessels, pediatric behavioral issues, and anesthesia-related considerations.

• Pediatric frenuloplasty under general anesthesia with nasal intubation
• Functional frenuloplasty in pre-MMA airway patients
• Fascial-dominant restrictions requiring advanced release
• Scar tissue and revision cases
• Management of prominent blood vessels and hemostasis
• Combined lingual and labial releases
• Pediatric laser cases with behavioral management
• Integration of CBCT imaging and tongue posture analysis
• UARS and sleep-disordered breathing cases
• And much more!

• Are transitioning from basic releases to functional frenuloplasty
• Already perform frenuloplasty and want to refine outcomes
• Want deeper anatomical understanding, not shortcuts
• Manage airway, sleep, and myofunctional cases
• See complex or revision cases and want better pattern recognition

• On-demand, self-paced learning
• 30+ full surgical case walkthroughs
• Pause, rewind, and rewatch anytime
• Designed for repeated viewing as skills evolve