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Çakırtepe Hastanesi
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Tongue-Tie (Ankyloglossia)

Diagnosis, symptoms, and treatment methods.

General Information About Tongue-Tie

Tongue-tie (Ankyloglossia) is a congenital condition in which the mucosal fold (frenulum) connecting the underside of the tongue to the floor of the mouth is unusually short, thick, or tight. It causes sucking difficulties in infants and speech and articulation disorders in older children. It is rapidly corrected with a simple surgical incision (frenectomy) performed in an outpatient setting by our ENT and Pediatric Surgery specialists.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Tongue-Tie (Ankyloglossia)?

It is a condition where the tongue's range of motion is restricted by connective tissue due to the tongue not fully separating from the floor of the mouth during fetal development.

How Does it Affect Breastfeeding in Infants?

An infant who cannot adequately extend and cup their tongue cannot latch onto the breast properly. They make a clicking sound while nursing, tire easily, have slow weight gain, and cause severe soreness/irritation to the mother's nipple.

Does it Impair Speech in Children?

It does not delay the onset of speech but can make it difficult to correctly articulate letters that require the tongue to touch the upper palate or teeth, such as L, R, T, D, S, Z, potentially causing a lisp.

How is it Diagnosed?

A doctor or dentist examines the inside of the child's mouth. A typical finding is the tip of the tongue forming a V or heart shape (pulling from the center) when the child attempts to stick it out.

Should Every Tongue-Tie be Cut?

No. If the tie is flexible, there are no feeding issues for the baby, and speech development is normal, intervention may not be necessary. Only ties that significantly restrict function are treated.

How is the Operation Performed (Frenectomy)?

In infants, it is usually cut in seconds using scissors or a laser in an outpatient setting during the first few months, often without the need for anesthesia. Bleeding is minimal, and the baby can breastfeed immediately. Mild sedation may be required for older children.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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