The tongue tie (frenulum) is the structure under the tongue that attaches to the floor of the mouth. As a result of a disorder that occurs during embryological development, it can become short and thickened in a way that prevents the free movement of the tongue in the mouth. This condition is called the tongue ligament (hypertrophic frenulum or frenulum linguale).
Specialists of the Department of Otorhinolaryngology manage the diagnosis and treatment of this condition.
Specialists of the Department of Otorhinolaryngology perform the surgical treatment of this condition.
In newborn babies from sucking problems understand that there is a tongue tie. In this period, inability to gain weight and developmental delay can also be seen. As a false belief, the speech problem in children who cannot speak is thought to be due to language. However, the tongue tie only causes impaired speech and articulation disorder, so there may be language ties in a child who does not speak, but it is not a reason for not speaking.
The tongue tie does not prevent speaking, it prevents certain sounds to be heard during speech. In the evaluation of speech impairment, "L, r, s, t, z" The patient is asked to make sounds where the anterior region of the tongue is actively used.
Tongue tie can be seen under the examination light and sometimes with the help of the tongue press. The child with tongue tie is asked to make movements such as pulling the tongue out, lifting it up and touching the palate, and the diagnosis is confirmed because the patient cannot do these exactly.
In most patients, the tongue ligament can be cut with local anesthesia using a small scalpel / scissors. Although bleeding or pain may occur after the procedure, it is usually a painless and bleeding-free procedure. It may be necessary to rinse the mouth with pressure or cold water for leakage after the procedure. If it is performed with local anesthesia, the patient can start eating and drinking water immediately after the procedure.
Rarely, general anesthesia may be needed in children who are afraid of the procedure and cannot be persuaded or kept still or in the presence of a large tongue tie. The procedure is done in the same way under general anesthesia. In the case of a large or wide tongue tie, stitches may be required after the tongue tie is cut.