Lingual Frenectomy as Treatment of Ankyloglossia in Children: A case report
Downloads
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 aspect of the fraenulum. After 1 to 2 weeks the incision was completely healed. Discussion: Ankyloglossia occurs due to failure in cellular degeneration leading to longer anchorage between tongue and floor of the mouth. Surgical intervention for treating ankyloglossia includes conventional technique with hemostats, electrocautery and laser. In this case, patient was undertaken surgical intervention using one hemostat method. Conclusion: The ankyloglossia case showed that the frenectomy gave good healing with no post operative complications in 8 years old boy.
"Basic embryology head and neck”. Chicago medical center.2009-08-14. Retrived 2010-05-06.
Braybrook C, Lisgo S, Doudney K, Henderson D, Marçano AC, Strachan T, et al. Craniofacial expression of human and murine TBX22 correlates with the cleft palate and ankyloglossia phenotype observed in CPX patients. Hum Mol Genet, 2002; 11: 2793-804.
Dr Anand Kishore, Dr Vivek Srivastava, Dr Ashish Mahendra. 2014. Ankyloglossia or tongue tie- A case report. Journal of Dental and Medical Sciences. Volume 13, Issue 7 Ver. I (July. 2014), PP 52-54
Edmunds J, Miles SC, Fulbrook P. Tongue-tie and breastfeeding: a review of the literature. Breastfeed Rev 2011; 19(1):19-26.
Kantaputra PN, Paramee N, Kaewkhampa A, Hoshino A, Lees M, McEntagart M, et al. Cleft lip with cleft palate, ankyloglossia, and hypodontia are associated with TBX22 mutations. J Dent Res, 2011; 90: 450-5
Khandelwal Ankita, Ramesh Amitha. 2017. Tongue Tie: Successful Management Using Diode Laser. J Cont Med A Dent September-December 2017 Volume 5 Issue 3: Mangalore
Madhusudhan K S. 2017. Untying the Tongue Tie: A case report. Journal of International Medicine and Dentistry 2017; 4(3): 72-75: India
Messner AH, Lalakea ML. The effect of ankyloglossia on speech in children. Otolaryngol Head Neck Surg.2002 Dec; 127(6): 539-45
Wright JE J. Tongue-tie. Pediatric Child Health 1995; 31: 276-278
This is an open access journal, and articles are distributed under the terms of the Creative Commons Lisence, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
Copyright notice:
IJDM by UNAIR is licensed under a Creative Commons Atribusi 4.0 Internasional.
- The journal allows the author to hold the copyright of the article without restrictions.
- The journal allows the author(s) to retain publishing rights without restrictions.
- The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution (CC BY)