What is a Tongue Tie? Defining the anatomy of the in-situ lingual frenulum (original) (raw)

Ankyloglossia as an oral functional problem and its surgical management

Dental and Medical Problems

Tongue-tie or ankyloglossia is a developmental anomaly of the tongue characterized by an abnormally short, thick lingual frenulum resulting in limited tongue movement. Ankyloglossia can affect feeding, speech and oral hygiene, as well as have mechanical and social effects. Diagnosis of tongue-tie is based on a clinical examination. Tongue mobility and appearance associated with the insertion, as well as the attachment and the shortness of the lingual frenulum should be evaluated. Ankyloglossia management should be considered at any age considering the risk-benefit evaluation and because of the highest vascularization and mobility of tongue; lingual frenectomy should be performed with less traumatic events to avoid postoperative complications. The aim of this article is to report 2 cases of ankyloglossia in young patients who were referred to the Department of Oral Surgery of the Faculty of Dentistry at the Mohamed V University of Rabat, Morocco. According to Kotlow's classification, both patients were diagnosed with Class II and treated with surgical frenectomy, followed by speech therapy for an immediate rehabilitation. A marked improvement in the movement of the tongue was observed at a follow-up visits in the treated cases.

A Novel surgical pre-suturing technique for the management of ankyloglossia

Journal of Surgical Technique and Case Report, 2014

Ankyloglossia or "tongue-tie" is a congenital anomaly caused by tight lingual frenulum that abnormally connects the tongue base to the floor of the mouth. Ankyloglossia can results in difficulty during speech and deglutition. This case series presents a novel surgical technique in the management of ankyloglossia in using presuturing technique in which different sets of sutures are given on lingual frenum before severing it. This results in reduced opening of the wound, minimal bleeding, pain and discomfort. Two male patients with severe ankyloglossia had been managed with this technique and after 2 years of follow-up of these cases showed satisfactory protrusive and lateral movement of the tongue with minimal scarring and discomfort.

Ankyloglossia and its surgical management

International Journal of Applied Dental Sciences, 2021

Ankyloglossia or tongue-tie is the result of a tight and short lingual frenulum which causes difficulty in breast feeding, eating and speech articulation due to limited tongue movement. In this condition, the tip of the tongue cannot be protruded beyond the lower incisor teeth because of a short lingual frenum. In this article, we have reported a 26 year old female patient with tongue-tie who complained of difficult in speech. She underwent frenectomy procedure under local anaesthesis without any complications. This was followed by speech therapy sessions.

Lingual Frenectomy as Treatment of Ankyloglossia in Children: A case report

Indonesian Journal of Dental Medicine

Background: Ankyloglossia or tongue tie is a congenital condition that results when the inferior lingual fraenulum is too short and attached to the tip of the tongue, limiting its normal movements. It causes restricted tongue mobility which in turn causes feeding difficulties and speech problems. Purpose : The article was aimed to report the treatment of an eight years old boy who came with the chief complaint of difficulty in moving his tongue freely which causes speech difficulties. Case Management : The patient was treated for a lingual frenectomy procedure under local anaesthesia using one haemostat method. The haemostats were used to delimit the area to be excised as well as to guide the incisions. One haemostat used to clamp the upper aspect of the fraenulum may be helpful to guide the incision close to the ventral surface of the tongue. After the release of the tongue, care must be taken not to injury the submandibular ducts when making the second incision at the lower asp...

Clinical Guidelines and Management of Ankyloglossia with 1-Year Followup: Report of 3 Cases

e tongue is an important oral structure that affects speech, position of teeth, periodontal tissue, nutrition, swallowing, nursing, and certain social activities. Ankyloglossia (tongue tie) is a congenital anomaly characterized by an abnormally short, thick lingual frenulum which affects movement of tongue. ough the effect of ankyloglossia in general appears to be a minor condition, but a major difference exists concerning the guidelines for tongue-tie division. ere are no accepted practical criteria for the management of such condition, and hence this paper aims at bringing all the compilation in examination, diagnosis, treatment, and management of tongue tie together for better clinical approach. 2 Case Reports in Dentistry F 1: Preoperative photograph (Case 1). F 2: Preoperative photograph (Case 2). the chief complaint of pain in lower right and le posterior region. Oral examination of the patient revealed not only multiple decayed teeth in lower arch but also an ankyloglossia with thick, short frenulum, restricted tongue protrusion, and liing of the tip of the tongue (Figure 1). Case Number 2. An 8-year-old male patient reported to the Department of Pedodontics and Preventive Dentistry with the chief complaint of pain in upper right posterior region. Aer clinical examination, decayed tooth and ankyloglossia with restricted tongue movements were also observed. A bi�d or heart shape of the anterior tip of the tongue was seen upon attempted extension (Figure 2). Case Number 3. An 11-year-old male patient reported to Department of Pedodontics and Preventive Dentistry with the chief complaint of improper speech, and his parents also reported that he was not able to chew solid foods. Clinical examination revealed that patient had ankyloglossia with thick frenum, restricted tongue movements like protrusion, and liing of the tip of the tongue and a bi�d or heart shape of the anterior tip of the tongue, was observed. To assess the extent of limitation of tongue movement, the mouth was carefully inspected under adequate illumination with a tongue depressor (Figure 3).

Treatment of Ankyloglossia-A Two Hemostat Guided Surgery

South Asian Research Journal of Medical Sciences

Ankyloglossia or tongue-tie is a congenital anomaly with a short, tight, lingual frenulum leading to difficulty in pronunciation due to restricted tongue movement. In this case report, we have reported a 19-years-old, 18years-old & 17-years-old male patients with tongue-tie & both were complained of distress in their speech articulation following which they both encountered with frenectomy operation concealed by local anesthesia without any complications. Decisively, they both were habituated by Oral Physiotherapy of tongue.

"Management Of Ankyloglossia" -Case Reports

Tongue tie or ankyloglossia is a developmental anomaly of the tongue characterized by an abnormally short, thick lingual frenum resulting in limitation of tongue movement. It can be categorized into 2 types-Total ankyloglossia and Partial ankyloglossia. Ankyloglossia can affect feeding, speech, and oral hygiene as well as have mechanical/social effects. This article reports two cases of ankyloglossia which was surgically treated with uneventful healing and good patient satisfaction.

Surgical techniques for the treatment of ankyloglossia in children: a case series

This paper reports a series of clinical cases of ankyloglossia in children, which were approached by different techniques: frenotomy and frenectomy with the use of one hemostat, two hemostats, a groove director or laser. Information on the indications, contraindications, advantages and disadvantages of the techniques was also presented. Children diagnosed with ankyloglossia were subjected to different surgical procedures. The choice of the techniques was based on the age of the patient, length of the frenulum and availability of the instruments and equipment. All the techniques presented are successful for the treatment of ankyloglossia and require a skilled professional. Laser may be considered a simple and safe alternative for children while reducing the amount of local anesthetics needed, the bleeding and the chances of infection, swelling and discomfort. Keywords: Frenectomy. Frenotomy. Lingual frenum. Oral surgery. Tongue-tie.

Ankyloglossia or Tongue Tie - Problems Associated With It - A Clinical Report

Clinical Dentistry , 2012

|| Brief Background Ankyloglossia or tongue tie is a clinical condition where in the lingual frenum is attached to the ventral part of the tongue. This article presents a case of a patient in her early thirties who had come to the outpatient department with a chief complaint of missing posterior mandibular teeth due to which she had difficulty in mastication and the possible problems encountered during and after treatment. || Materials and Methods Clinical examination revealed a case of ankyloglossia and functional examination of the speech revealed altered pronunciation of certain sounds. || Discussion The non-apparent nature of tongue tie, its symptoms, blurring of linguo palatal sounds and various other related problems form the subject of discussion. The patient was treated for her missing teeth with a fixed partial denture. || Summary and Conclusions The effect of tongue tie has a pronounced effect on the speech of a person and depending upon the severity of the tie one should diagnose the condition especially if the oral cavity needs some type of prosthetic rehabilitation. || Key Words Ankyloglossia, breast feeding, linguo palatal sounds.