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Short lingual frenulum in pediatrics: when to act and how to select the appropriate surgical technique
Julián A Simkin1, María Del P Mighera1, Paz F Borrmann2
1Otolaryngology; Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina.
Insights
Tongue-tie, a condition limiting tongue movement, affects 1.7-10% of children and can cause functional issues. This review details its age-related symptoms, surgical needs, timing, and techniques.
Area of Science:
- Pediatric medicine
- Otolaryngology
- Congenital anomalies
Background:
- Tongue-tie (ankyloglossia) is a congenital condition restricting tongue mobility.
- Prevalence varies (1.7%-10%) based on diagnostic criteria.
- Can lead to functional problems from infancy through childhood.
Purpose of the Study:
- Describe age-specific clinical manifestations of tongue-tie.
- Outline primary indications for surgical intervention.
- Discuss optimal timing and surgical techniques for tongue-tie release.
Main Methods:
- Literature review on tongue-tie.
- Analysis of clinical presentations across age groups.
- Synthesis of evidence regarding surgical indications and techniques.
Main Results:
- Tongue-tie presents with varied symptoms depending on age.
- Functional impairments often necessitate surgical consideration.
- Surgical timing and techniques are crucial for optimal outcomes.
Conclusions:
- Early identification and intervention are key for managing tongue-tie.
- Surgical release is indicated for significant functional deficits.
- Tailored approaches based on age and severity improve results.
Abstract:
Tongue-tie is a congenital condition characterized by an abnormal insertion that limits tongue mobility. Its prevalence in pediatrics ranges from 1.7% to 10%, depending on the diagnostic criteria applied. Although it can be asymptomatic, in many cases it causes significant functional repercussions from the neonatal period to late childhood. This article aims to describe the clinical manifestations by age, the primary surgical indications, the optimal timing for intervention, and the currently available surgical techniques.
