ANKYLOGLOSSIA (TONGUE-TIE)
• A congenital anomaly of variable severity characterised by an abnormally short lingual
frenulum, which may restrict movement of the tongue.
In severe cases the tongue is joined to the bottom of the mouth .
Symptoms
• Many tongue-ties are asymptomatic and cause no problem but some cases may have :
- Breastfeeding difficulties
- sore nipples
- poor weight gain
Treatment :
Frenotomy ( surgical release of the tongue-tie )
Complications of frenotomy
Infrequent, but may include:
• bleeding
• infection
• ulceration
• pain
• damage to tongue and surrounding area
• recurrence of tongue-tie
N.B. In an infant with tongue-tie and feeding difficulties, surgical release of the tongue-tie does not consistently improve infant feeding , but is likely to improve maternal nipple pain .
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