Images
Tongue Tie
Is a congenital oral anomaly which may decrease mobility of tongue tip & is caused by an unusually short thick lingual frenulum. Severity varies from mucous membrane bands to complete ankyloglossia, where tongue is tethered (attached) to floor of mouth.
What do you see – Presentation
Difficulty of tongue protruding from the mouth, speech articulation may be affected.
When I see such patients, I find..
- A thin or thick band from the tip of tongue to floor of mouth.
- Clinical examination only by inspecting the opened mouth
- Impossible to touch roof of mouth with tongue
- V shaped notch at the tip of tongue.
- Restriction in side to side movement of tongue.
Treatment why...?...when..?
Poor orodental hygiene - Due to inability to clean the mouth with tongue & stasis of food material. Oral play : Child can’t do play routines involving tongue movements.
Treatment options
Surgical release of the tongue tie.
Follow Up care
Day care procedure,hospital stay is for one day only,child can take liquids after few hrs of surgery,sutures are dissolvable,follow up after two weeks.
My Experience
I have done more than three thousand tongue tie releases.
Dr. C. SankkaraBarathi
MBBS, MS (Gen), MCh (Paediatric Surgery)
Paediatric Surgeon
Paediatric Urologist
Quick Contact
- SRI SAINATH HOSPITAL AND RESEARCH INTITUTE, Old No.11, New No.9, McNichols Road, 4th Lane, Chetpet, Chennai – 600031 (Opp. to Chetpet Police Station)
- drcsbarathi@yahoo.co.in
- 044-28363234 / 28361535 / 48639988 / 42867758
- 9840113875
My Advice on Common Conditions
Undescended Testis
Undescended testis is found in 3% of term boys and 30% of preterm boys.
When the baby is formed in the womb, the testis is initially formed inside the baby’s belly.
Wilms Tumour
This is one of the most common childhood tumour, it affect the kidney, usually affects school going kids, one of the good prognostic tumour.
Phimosis
Narrowing of foreskin or non retractile foreskin. Empty scrotum one side or both sides, can be identify in new born. It can descend in three to four months without any intervention.
Tongue Tie
Is a congenital oral anomaly which may decrease mobility of tongue tip & is caused by an unusually short thick lingual frenulum.
Hypospadias
Abnormal opening of Urethral opening in the under surface of penis, very common pediatric urological problem Incidence is one in five hundred.
Intussusception
Intussusception is the invagination of one part of intestine into another. This occurs in one in 2000 infants. It is the most common abdominal emergency in infants.
Habit Constipation
This is one of the common condition - a child with constipation may have bowel movements less frequently than normal, hard bowel movements, or large, difficult, painful bowel movements.
Hernia - Hydrocele
A small passage has developed or left open connecting the belly to baby's groin, the second common surgical condition next to phimosis.
Appendicitis
Most common acute surgical condition in pediatric age group incident is nearly nine percent in male children and seven percent in female children.
Congenital pyloric stenosis
This occurs between 4th week of age to 6 week of age, can occur in new born also, exact cause not known.