II. Epidemiology

  1. Prevalence varies from 0.1 to 10% of infants
    1. Prevalence varies significantly due to subjective nature of the definition

III. Pathophysiology

  1. Congenital disorder of limited Tongue mobility due to a tight lingual frenulum
  2. Short frenulum tethers the Tongue to the mouth floor and may inhibit feeding

IV. Signs

  1. Short Lingual Frenulum
  2. Decreased Tongue protrusion

V. Management

  1. Conservative measures
    1. See Lactation Problems for the Infant
    2. Parental education and Lactation Support
    3. Speech therapy if needed
  2. Surgical Management (Lingual Frenectomy)
    1. Has historically been controversial, but growing evidence for benefit
    2. Lactation benefits
      1. May reduce Nipple Soreness in Lactation
      2. May decrease Lactation Problems for the Infant
    3. Speech benfits
      1. May improve speech articulation in young children
    4. References
      1. Carnino (2024) Ann Otol Rhinol Laryngol 133(6):566-74 +PMID: 38444142 [PubMed]
      2. Cordray (2024) Pediatr Res 95(1):34-42 +PMID: 37608056 [PubMed]

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Related Studies

Ontology: Ankyloglossia (C0152415)

Concepts Congenital Abnormality (T019)
MSH C562396
ICD9 750.0
ICD10 Q38.1
SnomedCT 156946003, 67787004
English TONGUE TIE, ANKYLOGLOSSIA, 'TONGUE-TIE', tongue tie (diagnosis), tongue tie, tongue-tie, ankyloglossia, tie tongue, tied tongue, Tongue tied, ties tongue, Ankyloglossia congenital, Tongue Tie, Ankyloglossia, Ankyloglossia (disorder), Tongue tie, Tongue tie (disorder), Tongue-tie, tongue tied
Spanish FRENILLO LINGUAL, Frenillo lingual, anquiloglosia (trastorno), anquiloglosia, Anquiloglosia congénita
Italian Anchiloglossia congenita, Lingua legata
Dutch tongriem, Ankyloglossie, ankyloglossie, congenitaal
French Ankyloglosse, ANKYLOGLOSSE, Ankyloglossie congénitale
German Frenulum, Ankyloglosson, ZUNGENBANDVERKUERZUNG, Ankyloglosson kongenital
Portuguese Freio da língua curto, MALFORMACAO DO FREIO DA LINGUA, Anciloglossia congénita
Japanese 舌小帯短縮, 先天性舌小帯短縮症, センテンセイゼツショウタイタンシュクショウ, ゼツショウタイタンシュク
Czech Vrozená ankyloglosie, Frenulum lingue
Korean 혀유착증
Hungarian Veleszületett ankyloglossia, Nyelv nyakkendő

Ontology: Excision of lingual frenum (C0192146)

Concepts Therapeutic or Preventive Procedure (T061)
ICD9 25.92
ICD10 30278-00
SnomedCT 149031004, 23933004
CPT 41115
Dutch frenectomie van de tong
French Frénectomie linguale
German Frenulektomie
Italian Frenectomia linguale
Portuguese Frenectomia da língua
Spanish Frenectomía lingual, resección del frenillo lingual (procedimiento), escisión del frenillo lingual (procedimiento), resección del frenillo lingual, frenectomía de la lengua, escisión del frenillo lingual, frenectomía lingual
Japanese 舌小帯切除, ゼツショウタイセツジョ
English excision of lingual frenum (treatment), excision of lingual frenum, Excision of lingual frenum (frenectomy), Removal of tissue connecting tongue and floor of mouth, Lingual fraenectomy (procedure), EXCISION LINGUAL FRENUM FRENECTOMY, Excision of lingual frenum, Lingual frenectomy, Frenectomy of tongue, Excision of fraenum of tongue, Excision of frenulum of tongue, Excision of frenum of tongue, Lingual fraenectomy, Excision of lingual fraenum, Excision of lingual frenum (procedure), EXCISION OF TONGUE FOLD, Excision of tongue fold
Czech Frenulektomie jazyka
Hungarian Frenectomia lingualis