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Head and Neck Muscles
Published in Eve K. Boyle, Vondel S. E. Mahon, Rui Diogo, Handbook of Muscle Variations and Anomalies in Humans, 2022
Eve K. Boyle, Vondel S. E. Mahon, Rui Diogo, Warrenkevin Henderson, Hannah Jacobson, Noelle Purcell, Kylar Wiltz
In a sample of 956 African American patients, Schaumann et al. (1970) found partial ankyloglossia in 21 individuals (2.2%). In 17 of the cases, the degree of ankyloglossia was minor. In four of the cases, both the frenulum and the fibers of genioglossus were markedly fibrosed.
Treating conditions related to breastfeeding
Published in Wendy Jones, Breastfeeding and Medication, 2018
Ankyloglossia (tongue tie) is a congenital anomaly characterised by an abnormally short lingual frenulum: the tip of the tongue cannot be protruded beyond the lower incisor teeth. Incidence has been reported to be up to 10% of births. It varies in degree, from a mild form in which the tongue is bound only by a thin mucous membrane to a severe form in which the tongue is completely fused to the floor of the mouth. Breastfeeding difficulties may arise as a result of the inability to use the tongue to suck effectively, causing sore nipples and poor infant weight gain. Where feeding difficulties present in infants, snipping of the frenulum can be carried out painlessly, without sedation or local anaesthesia, using a blunt-ended pair of scissors with immediate resolution of symptoms in many cases (see Figure 5.3). In some cases the tie may be posterior behind a membrane at the back of the tongue. This may be less visible and only apparent on digital examination of the mouth if the mother continues to experience painful breastfeeding despite help to optimise attachment. It appears sore but apparently does not concern the baby.
Oral cavity
Published in Paul Ong, Rachel Skittrall, Gastrointestinal Nursing, 2017
Ankyloglossia or ‘tongue tie’ is a congenital abnormality associated with a short, tight or thickened lingual frenulum which ‘ties’ the tongue to the floor of the mouth. The prevalence is approximately 2%–5% and occurs with greater frequency in males (Hong, 2013; Power and Murphy, 2015). There are no specific known causes for ankyloglossia; however, it can occur with other congenital abnormalities such as cleft lip and palate.
Effectiveness of frenectomy for ankyloglossia correction in terms of breastfeeding and maternal outcomes: A critically appraised topic
Published in Evidence-Based Communication Assessment and Intervention, 2019
Hannah Butenko, Vanessa Fung, Sarahlouise White
Ankyloglossia, also known as tongue tie, is a congenital oral abnormality where an unusually thick, short or tight band of tissue limits lingual movement (Ottawa, 2016). Tongue tie is associated with breastfeeding difficulties related to an inability of the infant to successfully latch on to the nipple and to form a strong seal. Often there is considerable maternal nipple pain (Hogan et al., 2005). Breastfeeding difficulties caused by ankyloglossia are often initially managed through intensive counseling and support provided by the lactation consultant (Manipon, 2016). Lactation consultants in Australia are health professionals that hold an International Board-Certified Lactation Consultation (IBCLC) qualification; who work in hospitals and child health services and support women with establishing and maintaining breastfeeding.
A systematic review: The effects of frenotomy on breastfeeding and speech in children with ankyloglossia
Published in International Journal of Speech-Language Pathology, 2021
Alison Visconti, Emily Hayes, Kristen Ealy, Donna R. Scarborough
Ankyloglossia, also known as tongue-tie, is a congenital abnormality that occurs when the connective tissue, or frenulum, positioned between the floor of the mouth and the underside of the tongue is abnormally short, thick, or tight (Messner & Lalakea, 2002; Emond et al., 2014). Because of this tethering, the tongue is restricted in mobility and/or range of motion, which may interfere with breastfeeding or speech intelligibility (Berry, Griffiths, & Westcott, 2012; Buryk, Bloom, & Shope, 2011; Ghaheri et al., 2017; Messner & Lalakea, 2002; O’Callahan, Macary, & Clemente, 2013; Walls et al., 2014). The location of the frenulum on the undersurface of the tongue determines one type of classification of ankyloglossia, commonly described as anterior or posterior. Anterior ankyloglossia encompasses two types (Type I and Type II) (Coryllos, Genna, Salloum, & American Academy of Pediatrics, 2004). Type I ankyloglossia is when the insertion of the lingual frenulum is located directly on the tip of the tongue. Type II ankyloglossia occurs when the insertion of the lingual frenulum is on the inferior surface at the blade of the tongue, which is located slightly behind the tongue tip (Coryllos et al., 2004). Posterior ankyloglossia includes Type III and Type IV. Type III ankyloglossia occurs when the lingual frenulum is located inferiorly at the mid-tongue. Type IV ankyloglossia, also known as a submucosal frenulum, restricts movement at the base of the tongue. Type IV ankyloglossia are also described as the tongue appearing similar to a flat mound and the frenular tissue is not visible (Coryllos et al., 2004). Both Type III and Type IV ankyloglossia have been described as having frenular tissue that is more inelastic than the first two types (Coryllos et al., 2004).
Sevoflurane Inhalation Anesthesia for Uncooperative Pediatric Outpatients in the Treatment of Ankyloglossia: A Retrospective Study of 137 Cases
Published in Journal of Investigative Surgery, 2021
Ankyloglossia or tongue-tie is a congenital oral anomaly with short, tight, and thick lingual frenulum [13]. The patients with ankyloglossia, who needed surgical release of lingual frenulum, were usually very young. They were naturally uncooperative under local anesthesia. In this study, sevoflurane inhalation anesthesia was used for the treatment of ankyloglossia which resulted in rapid onset and recovery, with few adverse reactions and significant clinical efficacy, so this treatment was suited to uncooperative pediatric outpatients.