Saif Ud Din.
Atypical tongue-tie due to congenital tongue-palate fusion.
J Coll Physicians Surg Pak Jan ;13(8):459-60.

A neonate was brought in an emergency with feeding problem. The major complaint was neonate`s inability to take nipple or teat in the mouth cavity for feeding. Signs of respiratory distress were also present. Intraoral examination revealed a tongue curtain across the oral cavity formed by the stretched anterior two-third of the tongue having its tip fused with palate. Moreover, lateral sides of the tongue were also seen approximating with pharyngeal pillars on both sides. This tongue curtain was obstructing nipple or teat passage into the neonate`s oral cavity as well as blocking the natural oral communication with the alimentary canal. This developmental anomaly was of grievous nature and needed immediate surgical correction. In this particular case the thick fibrous band causing tongue-palate fusion was snipped with sterile scissors under general anesthesia. It involved minimal bleeding and was simple and risk-free procedure. Recovery was uneventful. Normal feeding activity was established immediately after band snipping and tongue-release.

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