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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]
In addition to the tongue-tie symptoms babies may show, O'Connor says breastfeeding moms may notice physical symptoms of their own that could be clues to the presence of a tongue-tie in their baby.
A frenulum that is attached near the bottom of the tongue, and is sometimes submucosal (not visible), but causes restriction is referred to as a "posterior tongue-tie". [ 7 ] Additionally, an abnormally short frenulum in infants can be a cause of breastfeeding problems, including sore and damaged nipples and inadequate feedings. [ 8 ]
The sides of the tongue are inspected with a gloved hand holding a piece of gauze. The tongue is moved side to side and inspected; it should be pink, moist, smooth and glistening. 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.
The shape and color of the tongue is examined and observed diagnostically in traditional Chinese medicine. For example, scalloping of the tongue is said to indicate qi vacuity. [13] Some modern medical sources still describe the tongue as "the mirror of physical health". [14]
Minor physical anomalies (MPAs) are relatively minor (typically painless and, in themselves, harmless) congenital physical abnormalities consisting of features such as low-set ears, single transverse palmar crease, telecanthus, micrognathism, macrocephaly, hypotonia and furrowed tongue.
Some women will have a gynecologic exam as part of their annual exam with their provider but, if you already see an ob-gyn for these, it should not be a part of your exam, Levine says. Pediatrician
The score is assessed by asking the patient, in a sitting posture, to open their mouth and to protrude the tongue as much as possible. [1] The anatomy of the oral cavity is visualized; specifically, the assessor notes whether the base of the uvula, faucial pillars (the arches in front of and behind the tonsils) and soft palate are visible.