Tongue Tie

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Hyderabad, Telangana,
India. Pin Code: 500003

: 040-27848166
: 90593 11554


Tongue-tie (ankyloglossia) is a congenital anomaly characterized by unusual short, thick band of tissue (lingual frenum) attached at or close to the tip of the tongue. This restricts the movement of the tongue and beyond the lower incisor teeth. The main concerns associated with tongue-tie include speech, swallowing, and poor oral hygiene. The etiology of the tongue tie is not known, although in some cases it is associated with certain genetic factors.

Signs and Symptoms of Tongue-Tie:

  • Difficulty in lifting their tongue to the upper teeth or moving the tongue from side to side.
  • Trouble sticking out the tongue A tongue that looks notched or heart shaped when stuck out or stuck in.

Complications Associated with Tongue-Tie:

  • Breast-feeding problems: As the baby is unable to move the tongue or keep it in the right position, the baby can have feeding problems, that may lead to nipple pain and inadequate nutrition to baby.
  • Speech difficulties: Tongue-tie interferes with the ability to make some certain sounds like "t," "d," "z," "s," "th," "r" and "l."
  • Poor oral hygiene: In case of adults or older children, the restricted movement of tongue causes inability to sweep the food debris from the teeth. This results in tooth decay and inflammation of the gums (gingivitis).
  • Challenges with other oral activities: Few other oral activities like licking an ice-cream, lips or playing with wind instrument can be a challenge.

Diagnosis and Treatment Options:

Some babies who have tongue-tie don't seem to be bothered by it. In others, it can restrict the tongue's movement, making it harder to breastfeed.

It is diagnosed by physical examination and other screening methods to evaluate the various aspects of the tongue.

In some cases, the lingual frenulum loosens over the time and resolves by itself. Sometimes it may not cause problems and some cases may require a simple surgical procedure for correction. Surgical options include frenotomy or frenuloplasty.

  • Frenotomy: is a simple surgical procedure which can be performed under anaesthesia. This is quick with minimal discomfort to the patient.
  • Frenuloplasty: It is a more extensive procedure performed under anaesthesia and is recommended when the lingual frenulum is thicker or if additional repair is required. After the frenulum is released, the wound is usually closed with sutures, that is absorbed on its own, as the tongue heals.


BSR is a renowned ENT (ear, nose, and throat) hospital, for treatment services and patient care since 1982.. The hospital has full-time otolaryngologists / ENT specialists like Dr. B. Shanker Rao, MS, DLO, FICS and Dr. B. Kalyan Chakravarthy, MS ENT / Head and Neck Surgeon, who are highly qualified and experienced in treating ENT related problems.

The hospital is equipped with advanced technologies making possible minimally invasive procedures that enable effective treatment for patients.

With our own in-house laboratory, we help patients with quick diagnosis. Our emergency care facility enables patients receive immediate consultations and timely treatment.

Have questions or need an appointment for any of your ENT problems ?

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