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Tongue-tie (ankyloglossia). American Academy of Otolaryngology-Head and Neck Surgery. http://www.entnet.org/content/tongue-tie-ankyloglossia. Accessed Feb. 13, 2018.
Isaacson GC. Ankyloglossia (tongue-tie) in infants and children. https://www.uptodate.com/contents/search. Accessed Feb. 14, 2018.
Chinnadurai S, et al. Treatment of ankyloglossia for reasons other than breastfeeding: A systemic review. Pediatrics. 2015;135:e1467.
Baker AR, et al. Surgical treatment of ankyloglossia. Operative Techniques in Otolaryngology. 2015;26:28.
Walsh J, et al. Diagnosis and treatment of ankyloglossia in newborns and infants. JAMA Otolaryngology-Head and Neck Surgery. 2017;143:1032.
O'Shea JE, et al. Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systemic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD011065.pub2/abstract. Accessed Feb. 14, 2018.
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Tongue-tie is typically diagnosed during a physical exam. For infants, the doctor might use a screening tool to score various aspects of the tongue's appearance and ability to move.
Treatment for tongue-tie is controversial. Some doctors and lactation consultants recommend correcting it right away — even before a newborn is discharged from the hospital. Others prefer to take a wait-and-see approach.
The lingual frenulum may loosen over time, resolving tongue-tie. In other cases, tongue-tie persists without causing problems. In some cases, consultation with a lactation consultant can assist with breast-feeding, and speech therapy with a speech-language pathologist may help improve speech sounds.
Surgical treatment of tongue-tie may be needed for infants, children or adults if tongue-tie causes problems. Surgical procedures include a frenotomy or frenuloplasty.
Tongue-tie (ankyloglossia) is a condition in which an unusually short, thick or tight band of tissue (lingual frenulum) tethers the bottom of the tongue's tip to the floor of the mouth. If necessary, tongue-tie can be treated with a surgical cut to release the frenulum (frenotomy). If additional repair is needed or the lingual frenulum is too thick for a frenotomy, a more extensive procedure known as a frenuloplasty might be an option.
A simple surgical procedure called a frenotomy can be done with or without anesthesia in the hospital nursery or doctor's office.
The doctor examines the lingual frenulum and then uses sterile scissors to snip the frenulum free. The procedure is quick and discomfort is minimal since there are few nerve endings or blood vessels in the lingual frenulum.
If any bleeding occurs, it's likely to be only a drop or two of blood. After the procedure, a baby can breast-feed immediately.
Complications of a frenotomy are rare — but could include bleeding or infection, or damage to the tongue or salivary glands. It's also possible to have scarring or for the frenulum to reattach to the base of the tongue.
A more extensive procedure known as a frenuloplasty might be recommended if additional repair is needed or the lingual frenulum is too thick for a frenotomy.
A frenuloplasty is done under general anesthesia with surgical tools. After the frenulum is released, the wound is usually closed with sutures that absorb on their own as the tongue heals.
Possible complications of a frenuloplasty are similar to a frenotomy and are rare — bleeding or infection, or damage to the tongue or salivary glands. Scarring is possible due to the more extensive nature of the procedure, as are reactions to anesthesia.
After a frenuloplasty, tongue exercises might be recommended to enhance tongue movement and reduce the potential for scarring.
Here's some information to help you get ready for your appointment and know what to expect from your doctor.
Prepare a list of questions ahead of time, such as:
The doctor is likely to ask you a number of questions. For example:
Preparing and anticipating questions will help you make the most of your time with the doctor.
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1. Having the mobility of one's tongue restricted by an abnormally short frenum that binds it to the floor of the mouth. We couldn't figure out why our baby was having such trouble breastfeeding, until a specialist finally realized that he was mildly tongue-tied. Your son is severely tongue-tied, a condition that could impact his ability to speak properly if it is not treated soon enough.
2. Incapable of or having difficulty speaking, as due to fear, confusion, shyness, embarrassment, etc. I had a great pitch ready for the board of directors, but I found myself totally tongue-tied when I stepped into the room in front of them. The poor child gets awfully tongue-tied whenever she is confronted by an adult. The shocking event left everyone in the room tongue-tied.
3. Having trouble saying words clearly due to difficult alliteration or pronunciation, as found in tongue twisters. The doctor said the condition is called aceruloplasminemia. Just trying to say it out loud leaves me tongue-tied! In the game, you see who can say the silly rhyming phrase the fastest without getting tongue-tied.
Farlex Dictionary of Idioms. © 2022 Farlex, Inc, all rights reserved.
1. mod. unable to speak from fear or confusion. (Standard English.) Why do you get tongue-tied in front of a crowd?
2. mod. alcohol intoxicated. He was tongue-tied and couldn’t stand up.
McGraw-Hill's Dictionary of American Slang and Colloquial Expressions Copyright © 2006 by The McGraw-Hill Companies, Inc. All rights reserved.
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1. Having the mobility of one's tongue restricted by an abnormally short frenum that binds it to the floor of the mouth. We couldn't figure out why our baby was having such trouble breastfeeding, until a specialist finally realized that he was mildly tongue-tied. Your son is severely tongue-tied, a condition that could impact his ability to speak properly if it is not treated soon enough.
2. Incapable of or having difficulty speaking, as due to fear, confusion, shyness, embarrassment, etc. I had a great pitch ready for the board of directors, but I found myself totally tongue-tied when I stepped into the room in front of them. The poor child gets awfully tongue-tied whenever she is confronted by an adult. The shocking event left everyone in the room tongue-tied.
3. Having trouble saying words clearly due to difficult alliteration or pronunciation, as found in tongue twisters. The doctor said the condition is called aceruloplasminemia. Just trying to say it out loud leaves me tongue-tied! In the game, you see who can say the silly rhyming phrase the fastest without getting tongue-tied.
Farlex Dictionary of Idioms. © 2022 Farlex, Inc, all rights reserved.
1. mod. unable to speak from fear or confusion. (Standard English.) Why do you get tongue-tied in front of a crowd?
2. mod. alcohol intoxicated. He was tongue-tied and couldn’t stand up.
McGraw-Hill's Dictionary of American Slang and Colloquial Expressions Copyright © 2006 by The McGraw-Hill Companies, Inc. All rights reserved.
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All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional.
https://idioms.thefreedictionary.com/tongue-tied
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English Español Deutsch Français Italiano العربية 中文简体 Polski Português Nederlands Norsk Ελληνική Русский Türkçe אנגלית
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1. Having the mobility of one's tongue restricted by an abnormally short frenum that binds it to the floor of the mouth. We couldn't figure out why our baby was having such trouble breastfeeding, until a specialist finally realized that he was mildly tongue-tied. Your son is severely tongue-tied, a condition that could impact his ability to speak properly if it is not treated soon enough.
2. Incapable of or having difficulty speaking, as due to fear, confusion, shyness, embarrassment, etc. I had a great pitch ready for the board of directors, but I found myself totally tongue-tied when I stepped into the room in front of them. The poor child gets awfully tongue-tied whenever she is confronted by an adult. The shocking event left everyone in the room tongue-tied.
3. Having trouble saying words clearly due to difficult alliteration or pronunciation, as found in tongue twisters. The doctor said the condition is called aceruloplasminemia. Just trying to say it out loud leaves me tongue-tied! In the game, you see who can say the silly rhyming phrase the fastest without getting tongue-tied.
Farlex Dictionary of Idioms. © 2022 Farlex, Inc, all rights reserved.
1. mod. unable to speak from fear or confusion. (Standard English.) Why do you get tongue-tied in front of a crowd?
2. mod. alcohol intoxicated. He was tongue-tied and couldn’t stand up.
McGraw-Hill's Dictionary of American Slang and Colloquial Expressions Copyright © 2006 by The McGraw-Hill Companies, Inc. All rights reserved.
Please log in or register to use Flashcards and Bookmarks. You can also log in with Facebook Twitter Google
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