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LETTER TO THE EDITOR Table of Contents   
Year : 2015  |  Volume : 12  |  Issue : 1  |  Page : 101
Ankyloglossia (tongue-tie)

Department of Oral and Maxillofacial Surgery, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire, BB2 3HH, United Kingdom

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Date of Web Publication6-Feb-2015

How to cite this article:
Hasan A, Cousin G. Ankyloglossia (tongue-tie). Afr J Paediatr Surg 2015;12:101

How to cite this URL:
Hasan A, Cousin G. Ankyloglossia (tongue-tie). Afr J Paediatr Surg [serial online] 2015 [cited 2021 Oct 24];12:101. Available from:
Illustrated is a brief vignette highlighting the benefits of neonatal tongue tie release.


A 4-week-old male infant was referred by his midwife with difficulty breastfeeding, poor weight gain and the mother reported nipple pain. There was also a history of inadequate latching during attempted suckling compromising milk transfer. Examination revealed short frenulum linguae with the resultant inability to protrude the tongue over the lower alveolar ridge and notching of the tongue tip [Figure 1]. Following release of the tongue-tie (frenotomy) without anaesthetic or undue discomfort to the infant the mother was able to return to normal breastfeeding [1] with a subjective relief in nipple pain. [2]
Figure 1: Image depicting scar tissue (arrow) on ventral surface of tongue

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Ankyloglossia is a congenital anomaly characterised by the aforementioned findings with a reported incidence amongst newborn infants of up to 4.8%. [3] There is still much dubiety amongst clinicians as to the perceived benefit of such a procedure with consequent variation in clinical practice. Current National Institute of Clinical Excellence guidance suggests that the evidence is adequate to support the use of division. [4]

   Acknowledgements Top

Medical Illustration Department. Royal Bolton Hospital.

   References Top

Buryk M, Bloom D, Shope T. Efficacy of neonatal release of ankyloglossia: A randomized trial. Pediatrics 2011;128:280-8.  Back to cited text no. 1
Dollberg S, Botzer E, Grunis E, Mimouni FB. Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: A randomized, prospective study. J Pediatr Surg 2006;41:1598-600.  Back to cited text no. 2
Ballard JL, Auer CE, Khoury JC. Ankyloglossia: Assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics 2002;110:e63.  Back to cited text no. 3
National Institute for Clinical Excellence (NICE) IPG149. Division of Ankyloglossia (tongue-tie) for Breastfeeding; 2005. Available from:  Back to cited text no. 4

Correspondence Address:
Dr. Asif Hasan
Department of Oral and Maxillofacial Surgery, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire, BB2 3HH
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-6725.151010

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