Felemban Raneem, Mawardi Hani
King Abdul-Aziz University - Faculty of Dentistry, Jeddah, Saudi Arabia.
Department of Oral Diagnostic Sciences, King Abdul-Aziz University - Faculty of Dentistry, Jeddah, Saudi Arabia.
J Med Case Rep. 2019 Mar 10;13(1):56. doi: 10.1186/s13256-018-1966-7.
The lingual frenum is a fold of mucous membrane connecting the ventral tongue to the floor of the mouth. In general, lingual frenum serves multiple roles; its main function is to support the tongue and aid in limiting its movement in different directions. Any anatomical or functional deficiency of lingual frenum may have an impact on tongue functions based on its severity. Historically, the absence of lingual frenum was linked to multiple genetic and developmental conditions such as infantile hypertrophic pyloric stenosis, non-syndromic ankyloglossia diseases, and Ehlers-Danlos syndromes and was never reported in otherwise healthy individuals.
We report the absence of lingual frenum in an otherwise healthy 21-year-old Middle Eastern woman diagnosed during a routine dental examination.
To the best of our knowledge, this is the first case to be reported in the literature with similar clinical presentation. Even without a significant impact on tongue movement or speech, it is important for health practitioners to be aware of such conditions and evaluation steps for diagnosis and management.
舌系带是连接舌腹与口腔底部的一层黏膜皱襞。一般来说,舌系带具有多种作用;其主要功能是支撑舌头,并协助限制舌头在不同方向的运动。舌系带的任何解剖学或功能缺陷,根据其严重程度,都可能对舌头功能产生影响。从历史上看,舌系带缺失与多种遗传和发育状况有关,如婴儿肥厚性幽门狭窄、非综合征性舌系带过短疾病和埃勒斯-当洛综合征,且从未在其他方面健康的个体中报道过。
我们报告了一名21岁中东健康女性在常规牙科检查中被诊断为舌系带缺失的病例。
据我们所知,这是文献中首次报道的具有类似临床表现的病例。即使对舌头运动或言语没有显著影响,医疗从业者了解此类情况以及诊断和管理的评估步骤也很重要。