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Lingual Frenectomy in a Pediatric Patient: A Case Report

Received: 8 October 2021     Accepted: 11 November 2021     Published: 23 March 2022
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Abstract

Ankyloglossia, commonly known as tongue-tie, is a congenital developmental anomaly caused by a short, thickened, or abnormally tight lingual frenulum that impedes the full protrusion and elevation of the tip of the tongue. Patients suffering this condition would present a range of symptoms as affected phonetic function, atypical swallowing, as well as malocclusion problems, gingival recession, mechanical problems such as inability to clean the oral cavity, social implications, lactation difficulties among others. Their effect on oral motor function have become themes of interest within health care professional. However, there is no consensus on the ideal treatment in each case. Thus, there are different surgical procedures to treat this pathology. Therefore, this report presents one of the treatment options in the case of moderate ankyloglosia. This article is a case study of incomplete tongue-tie in an 8-year-old pediatric patient, who presented problems in verbal articulation. The child received speech therapy at school, which resulted unsuccessful and derived in search for a solution through dental care. The diagnosis was ankyloglossia, and the cure procedure was a frenectomy by means of rhomboid technique. Conclusion: The surgical intervention using the technique of rhomboid lingual frenectomy reestablished a greater tongue mobility. The patient showed improvement in verbal articulation after a 12th month medical control.

Published in International Journal of Dental Medicine (Volume 8, Issue 1)
DOI 10.11648/j.ijdm.20220801.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Ankyloglossia, Rhomboid Technique, Lingual Frenulum, Frenectomy

References
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[2] Jamilian, A., Fattahi, FH., kootan, NG. (2014). Ankyloglossia and tongue mobility. European Archives of Paediatric Dentistry (Springer Science & Business Media B. V.). 1 (15): 33–35.
[3] Ferrés-Amat, E., Pastor-Vera, T., Ferrés-Amat, E., Mareque-Bueno, J., Prats-Armengol, J., & Ferrés-Padró, E. (2016). Multidisciplinary management of ankyloglossia in childhood. Treatment of 101 cases. A protocol. Medicina oral, patologia oral y cirugia bucal, 21 (1),
[4] Gandevivala A. (2005). Surgical correction of ankyloglossia with four-flap. Oral Surgery. 54 (6): 38–40.
[5] Tsaousoglou, P., Topouzelis, N., Vouros, I., & Sculean, A. (2016). Diagnosis and treatment of ankyloglossia: A narrative review and a report of three cases. Quintessence international (Berlin, Germany: 1985), 47 (6), 523–534.
[6] Bhowmik A. (2016). Tongue Tie/Ankyloglossia. International Journal of Clinical & Medical Imaging. 03 (10).
[7] American Academy of Pediatric Dentistry. Policy on management of the frenulum in pediatric dental patients. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2020: 74-8.
[8] Messner, A. H., Walsh, J., Rosenfeld, R. M., Schwartz, S. R., Ishman, S. L., Baldassari, C., Brietzke, S. E., Darrow, D. H., Goldstein, N., Levi, J., Meyer, A. K., Parikh, S., Simons, J. P., Wohl, D. L., Lambie, E., & Satterfield, L. (2020). Clinical Consensus Statement: Ankyloglossia in Children. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery, 162 (5), 597–611.
[9] Francis, D. O., Krishnaswami, S., & McPheeters, M. (2015). Treatment of ankyloglossia and breastfeeding outcomes: a systematic review. Pediatrics, 135 (6), e1458–e1466.
[10] Kotlow LA. (1999). Ankyloglossia (tongue-tie). A diagnostic and quandary. 30 (4): 259–62.
[11] Belmehdi, A., Harti, K. E., & Wady, W. E. (2018). Ankyloglossia as an oral functional problem and its surgical management. Dental and medical problems, 55 (2), 213–216.
[12] Brookes, A., & Bowley, D. M. (2014). Tongue tie: the evidence for frenotomy. Early human development, 90 (11), 765–768.
[13] Khan, S., Sharma, S., & Sharma, V. K. (2017). Ankyloglossia: Surgical management and functional rehabilitation of tongue. Indian journal of dental research: official publication of Indian Society for Dental Research, 28 (5), 585–587.
[14] Ghaheri B, Cole M, Mace J. Revision lingual frenotomy improves patient-reported breastfeeding outcomes: A prospective cohort study. J Hum Lact 2018; 34 (3): 566-74.
[15] Ortiz, G., Gonzáles, F., Gonzáles, B. (2009). Anquiloglosia parcial (incompleta). Reporte de un caso y revisión de la literatura. Órgano Oficial de la Asociación dental Mexicana. (2): 42-47.
[16] Khairnar, M., Pawar, B., & Khairnar, D. (2014). A Novel Surgical Pre-suturing Technique for the Management of Ankyloglossia. Journal of surgical technique and case report, 6 (2), 49–54.
[17] Magaña M, Robles M, Guerrero. (2014). Alteraciones bucales del recién nacido. ADM. 71 (3): 115-119.
[18] Chinnadurai, S., Francis, D. O., Epstein, R. A., Morad, A., Kohanim, S., & McPheeters, M. (2015). Treatment of ankyloglossia for reasons other than breastfeeding: a systematic review. Pediatrics, 135 (6), e1467–e1474.
[19] Walsh, J., Tunkel, D. (2017). Diagnosis and Treatment of Ankyloglossia in Newborns and Infants: A Review. 143 (10): 1032-1039.
Cite This Article
  • APA Style

    Daniela Chavez, Paul Pena, Constanza Sanchez, Ximena Navarrete. (2022). Lingual Frenectomy in a Pediatric Patient: A Case Report. International Journal of Dental Medicine, 8(1), 1-4. https://doi.org/10.11648/j.ijdm.20220801.11

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    ACS Style

    Daniela Chavez; Paul Pena; Constanza Sanchez; Ximena Navarrete. Lingual Frenectomy in a Pediatric Patient: A Case Report. Int. J. Dent. Med. 2022, 8(1), 1-4. doi: 10.11648/j.ijdm.20220801.11

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    AMA Style

    Daniela Chavez, Paul Pena, Constanza Sanchez, Ximena Navarrete. Lingual Frenectomy in a Pediatric Patient: A Case Report. Int J Dent Med. 2022;8(1):1-4. doi: 10.11648/j.ijdm.20220801.11

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  • @article{10.11648/j.ijdm.20220801.11,
      author = {Daniela Chavez and Paul Pena and Constanza Sanchez and Ximena Navarrete},
      title = {Lingual Frenectomy in a Pediatric Patient: A Case Report},
      journal = {International Journal of Dental Medicine},
      volume = {8},
      number = {1},
      pages = {1-4},
      doi = {10.11648/j.ijdm.20220801.11},
      url = {https://doi.org/10.11648/j.ijdm.20220801.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20220801.11},
      abstract = {Ankyloglossia, commonly known as tongue-tie, is a congenital developmental anomaly caused by a short, thickened, or abnormally tight lingual frenulum that impedes the full protrusion and elevation of the tip of the tongue. Patients suffering this condition would present a range of symptoms as affected phonetic function, atypical swallowing, as well as malocclusion problems, gingival recession, mechanical problems such as inability to clean the oral cavity, social implications, lactation difficulties among others. Their effect on oral motor function have become themes of interest within health care professional. However, there is no consensus on the ideal treatment in each case. Thus, there are different surgical procedures to treat this pathology. Therefore, this report presents one of the treatment options in the case of moderate ankyloglosia. This article is a case study of incomplete tongue-tie in an 8-year-old pediatric patient, who presented problems in verbal articulation. The child received speech therapy at school, which resulted unsuccessful and derived in search for a solution through dental care. The diagnosis was ankyloglossia, and the cure procedure was a frenectomy by means of rhomboid technique. Conclusion: The surgical intervention using the technique of rhomboid lingual frenectomy reestablished a greater tongue mobility. The patient showed improvement in verbal articulation after a 12th month medical control.},
     year = {2022}
    }
    

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    T1  - Lingual Frenectomy in a Pediatric Patient: A Case Report
    AU  - Daniela Chavez
    AU  - Paul Pena
    AU  - Constanza Sanchez
    AU  - Ximena Navarrete
    Y1  - 2022/03/23
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijdm.20220801.11
    DO  - 10.11648/j.ijdm.20220801.11
    T2  - International Journal of Dental Medicine
    JF  - International Journal of Dental Medicine
    JO  - International Journal of Dental Medicine
    SP  - 1
    EP  - 4
    PB  - Science Publishing Group
    SN  - 2472-1387
    UR  - https://doi.org/10.11648/j.ijdm.20220801.11
    AB  - Ankyloglossia, commonly known as tongue-tie, is a congenital developmental anomaly caused by a short, thickened, or abnormally tight lingual frenulum that impedes the full protrusion and elevation of the tip of the tongue. Patients suffering this condition would present a range of symptoms as affected phonetic function, atypical swallowing, as well as malocclusion problems, gingival recession, mechanical problems such as inability to clean the oral cavity, social implications, lactation difficulties among others. Their effect on oral motor function have become themes of interest within health care professional. However, there is no consensus on the ideal treatment in each case. Thus, there are different surgical procedures to treat this pathology. Therefore, this report presents one of the treatment options in the case of moderate ankyloglosia. This article is a case study of incomplete tongue-tie in an 8-year-old pediatric patient, who presented problems in verbal articulation. The child received speech therapy at school, which resulted unsuccessful and derived in search for a solution through dental care. The diagnosis was ankyloglossia, and the cure procedure was a frenectomy by means of rhomboid technique. Conclusion: The surgical intervention using the technique of rhomboid lingual frenectomy reestablished a greater tongue mobility. The patient showed improvement in verbal articulation after a 12th month medical control.
    VL  - 8
    IS  - 1
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Author Information
  • Deparment of Pediatric Dentistry, Dentistry Faculty, San Francisco University, Quito, Ecuador

  • Deparment of Maxillofacial Surgery, Dentistry Faculty, San Francisco University, Quito, Ecuador

  • Deparment of Pediatric Dentistry, Dentistry Faculty, San Francisco University, Quito, Ecuador

  • Deparment of Pediatric Dentistry, Dentistry Faculty, San Francisco University, Quito, Ecuador

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