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Ankyloglossia, also known as tongue-tie, is a congenital oral anomaly that may decrease the mobility of the tongue tip [1] and is caused by an unusually short, thick lingual frenulum, a membrane connecting the underside of the tongue to the floor of the mouth. [2]
The sublingual saliva glands empty through a series of tiny ducts in the tissue on either side of Wharton's ducts. The tongue is attached to the floor of the oral cavity by the frenulum. Sketch of an open mouth showing the frenulum and surrounding structures. Superficial veins run through the base of the frenulum known as varicosities.
Assessment of the ventral (bottom) surface of the tongue is done by having the patient touch the tip of their tongue against the roof of their mouth. If healthy, it should have prominent veins and be pink, smooth, moist, glistening and free of lesions. The frenulum should be centered under the tongue. Abnormal findings includes marked redness ...
It then passes between the sublingual gland and the genioglossus and opens by a narrow opening on the summit of a small papilla (the "sublingual caruncle") at the side of the frenulum of the tongue. It lies superior to lingual and hypoglossal nerves .
Acquired causes include carcinoma, [14] lingual thyroid, [5] myxedema, [14] and amyloidosis. [ 14 ] Consequences may include noisy breaths – airway obstruction in severe cases, drooling, difficulty eating, lisping speech, open bite , and protruding tongue, which may ulcerate and undergo necrosis.
Rochelle Garett had her lingual frenulum (tissue that connects the tongue to the bottom of the mouth) sliced off. Skip to main content. 24/7 Help. For premium support please call: 800-290-4726 ...
The lingual raphe on the tongue. Obvious physical evidence of the lingual raphe includes the frenulum (also called the frenum), or band of mucous membrane that is visible under the tongue attaching it to the floor of the mouth. If this raphe is too tight at birth, movement of the tongue is restricted and the child is said to be "tongue tied".
A tight frenulum in this context is sometimes referred to as "tongue-tie" which is also known as ankyloglossia. In this condition the frenulum of the tongue restricts range of motion which may interfere with breastfeeding or speech. A less extensive clipping of the lingual frenulum is known as a frenotomy. [1]