Ankyloglossia or commonly known as Tongue-tie is a congenital oral deformity. This condition usually decreases the free movement of the tongue and suggested to undergo ankyloglossia surgery. There is a thick and short frenulum typically in these cases. Tongue-tied patients have a different degree of severity. Normal Tongue movement is important in the speech development
This is the case of one such patient with a tongue tie who came to Richardsons Dental and Craniofacial Hospital. The patient was eleven years old. The main complains were poor speech and intelligibility. The boy had no other relevant medical history. The boy was examined by Dr. Sunil Richardson and was suggested Tongue-tie release. This procedure is normally done under general anesthesia. but for this patient, it was done under local anaesthesia as he was cooperative.
ankyloglossia surgery Procudure:
The ankyloglossia surgery procedure was done under anaesthesia. The frenulum was clamped close to the tongue. The release of the tongue tie is checked for effective mobility of the tongue in order to improve the child’s speech. The Lingual Vein was cautiously not disturbed. The patient was able to stick out his tongue for the first time.
The speech was improved drastically post-procedure. Follow-up exercises and stretching were recommended for 3 weeks. His mother reported improved speech intelligibility immediately after the procedure and noted the presence of speech sounds that the patient was previously unable to produce.
Such procedures are very simple and patients will be discharged immediately after the initial precautionary measures.
Untreated tongue-tie can cause problems for children and adults because of the tightness that may occur as the mouth develops. However, for infants who have had no difficulty feeding, tongue-tie may not cause any symptoms as they get older. Speech therapy may also be recommended in some cases, following tongue tie surgery in older children and adults.