Bahadure Rakesh Namdeo, Jain Eesha, Singh Parul, Pandey Rameshkumar, Chuk Rakeshkumar
Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Nagpur, Maharashtra, India.
Contemp Clin Dent. 2016 Oct-Dec;7(4):555-557. doi: 10.4103/0976-237X.194119.
Tongue-tie or ankyloglossia is the congenital short thick lingual frenulum resulting in reduced mobility of the tongue. It limits the possibilities of the extension such as the protrusion and elevation of the tip of the tongue due to either the short of frenulum or genioglossus muscle or both. It can be observed at different ages with specific indications for treatment for each group and cause problems in the feeding, dental hygiene, speech, appearance, and self-esteem of affected patients. Although various degrees of the tongue-tie are mostly observed from the tip of tongue to the base of tongue, sometimes it may present unusually. The present article reports an unusual unique pattern of ankyloglossia where lingual frenum was exceptionally extended and merged with mandibular labium frenum. Reported case is one of the rarest types of ankyloglossia and emphasizes on its clinical implications, need for modifying diagnostic criteria, surgical management, and postoperative exercises.
舌系带过短或舌粘连是一种先天性的舌系带短而粗，导致舌头活动受限。由于系带过短或颏舌肌或两者皆有问题，它限制了舌头伸展的可能性，如舌尖的前伸和抬高。在不同年龄段都可观察到舌系带过短，且每组有特定的治疗指征，它会给受影响患者的喂养、口腔卫生、言语、外观及自尊方面带来问题。虽然舌系带过短的不同程度大多从舌尖到舌根都可观察到，但有时也可能呈现异常情况。本文报告了一种不寻常的独特舌粘连模式，即舌系带异常延长并与下颌唇系带融合。报告的病例是最罕见的舌粘连类型之一，并强调了其临床意义、修改诊断标准的必要性、手术管理及术后锻炼。
