Tongue Tie (Ankyloglossia) - Definition, Symptoms, Diagnosis and Treatment

Tongue Tie (Ankyloglossia)


Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation
Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation

Tongue tie or Ankyloglossia is a health problem which makes it difficult breastfeeding especially in infants and sometimes unrecognized.

Tongue Tie (Ankyloglossia) Definition

Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation
Tongue Tie (Ankyloglossia) Definition

Lingual frenulum is a structure that normally located between the normally floor of the mouth with the tongue. If it become short and thick as congenital oral anomaly it is called as Tongue tie or Ankyloglossia.
 
This structure can be varying degrees of shortness and thickness. It may range in thin short mucosal membrane to thick fibrotic band. Ankyloglossia can affect the feeding, speech and oral hygiene.
 
Etiology of tongue tie not clear whether or not tongue-tie is inherited. Genetic transmission is the most defended cause. In some families may be seen in more than one person.
 

Symptoms of Tongue Tie (Ankyloglossia Related Health Problems)

 
 
Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation
Symptoms of Tongue Tie (Ankyloglossia Related Health Problems)
Tongue movements are restricted in people with ankilogloss. Tongue can not perform with feeding, speech and oral hygiene related jobs. Ankyloglossia can also prevent the tongue from contacting the anterior palate. This can then promote an infantile swallow and hamper the progression to an adult-like swallow which can result in an open bite deformity. It can also result in mandibular prognathism; this happens when the tongue contacts the anterior portion of the mandible with exaggerated anterior thrusts (Source: Horton CE, Crawford HH, Adamson JE, Ashbell TS (1969). "Tongue-tie". The Cleft palate journal 6: 8–23. PMID 5251442).

Tongue tie: MedlinePlus Medical Encyclopedia):
 
The symptoms of tongue-tie can include that (Source:
 
- Acting irritable or fussy, even after feeding
- Difficulty creating or keeping suction on the nipple. The infant may become tired in 1 or 2 minutes, or fall asleep before eating enough.
- Poor weight gain or weight loss
- Problems latching onto the nipple. The infant may just chew on the nipple instead.
- Halitosis (bad breath) may be present, due to caries and accumulated food debris.

Difficulties can include creating sounds that need the tongue or tongue tip to (source: Tongue-tie | Better Health Channel):

- touch the roof of the mouth, to pronounce sounds such as ‘t, d, n, l, s, z’
- arch off the floor of the mouth, to pronounce sounds such as ‘r’.

Structural changes on tongue may occur over time ​​such as:

- Heart-shaped tongue tip
- Square or round tongue tip 
 

Diagnosis of Tongue Tie

 
Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation
Diagnosis of Tongue Tie
 
Generally tongue tie is diagnosed detailed examination of the after difficulties during breastfeeding in babies.
 
Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation
Diagnosis of Tongue Tie
 
In the photo above the normal functions of tongue are seen in photographs of assessed patient. Diagnosis may be delayed if tongue tie is not too short and tense. Because of less symptoms occur and families or physicians may not detect it.
 

Treatment of Tongue Tie

 
Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation
Treatment of Tongue Tie
 
Most breastfeeding problems can be managed easily and the mother has received at least 2 to 3 days of support from a breastfeeding (lactation) specialist.
 
Tongue tie surgery (sometimes referred to as "frenectomy", "frenulectomy", "frenotomy" or "frenuloplasty") can be performed easily in a few months old babies with office conditions.
 
 
Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation
Treatment of Tongue Tie
 
Surgery for more severe cases and greater babies is done in a hospital operating room. A general anaesthesia can be preferred aspecially after 6 months of age. A surgical procedure called a z-plasty closure may be needed to prevent scar tissue from forming. Electrocautery, laser, thermal welding tecnology and cold knife technique can be also used to tonguie tie surgery.
 
Complications of tongue tie release surgery are rare but include ulcers under the tongue, bleeding, infection or damage to the tongue and salivary ducts.
 

Bloodless tongue tie operation with thermal welding device video - 1:

 
 

Bloodless tongue tie operation with thermal welding device video - 2:

 
 

Bloodless tongue tie operation with thermal welding device video - 3:

 
 

Revision tongue tie release surgery video:

 
 

Lingual ferenectomy with thermal welding video:

 
 

Lingual ferenectomy operation video:

 
 
 

Post-operative Exercises for Tongue Tie Surgery

 
 
Post-operative Exercises for Tongue Tie Surgery
Post-operative Exercises for Tongue Tie Surgery
 
Exercise movements, done for regain to restricted movements of the tongue and improve speech. Encourage tongue movements related to cleaning the oral cavity, including sweeping the insides of the cheeks, fronts and backs of the teeth, and licking right around both lips (Source: Information for Families: Tongue-tie (Ankyloglossia)).
 

Post-Operative Instructions for Tongue Tie Surgery

Tongue Tie (Ankyloglossia) Definition - Symptoms of Tongue Tie - Ankyloglossia Related Health Problems - Diagnosis of Tongue Tie - Treatment of Tongue Tie - Tongue Tie Surgery - Frenectomy - Frenulectomy - Frenotomy - Frenuloplasty - Post-operative Exercises for Tongue Tie Surgery - Post-Operative Instructions for Tongue Tie Surgery - Bloodless Tongue Tie Operation
Post-Operative Instructions for Tongue Tie Surgery
 
About 10 days after the surgical procedure, pain and discomfort can be felt. During this time fed a soft warm diet and to use simple pain medications are helpful. After this time speech therapy is recommended. in babies less than 6 months, to be fed with mother's milk is very useful for epithelialization and healing. Recovery rate in this group of patients is higher and speech therapy is usually not required after the procedure. 
 
Source links:
 
  • Dil Bağı Ameliyatı

  • Dil Bağı Ameliyatı Neden Erkenden Yapılmalı?

  • Dil Altı Bağının Kesilmesi Ameliyatı

  • Ankyloglossia - Wikipedia, the free encyclopedia

  • Tongue-tie (ankyloglossia) - Mayo Clinic

  • Breastfeeding a Baby with Tongue-Tie (Resources)

  • Babies: Is your baby tongue tied?

  • Breastfeeding should be fun and enjoyable

  • Tongue-tie: To clip or not to clip?

  •  
    Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

    Private Office:
    Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
    Appointment Phone: +90 212 561 00 52
    E-Mail: muratenoz@gmail.com
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