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Tongue Tie

Discussion

A 1-year-old child was brought to a local health clinic in sub-Saharan Africa by their mother, who was concerned about feeding difficulties. The mother reported that the child struggled to latch during breastfeeding and often made clicking noises while trying to suck. Additionally, she noted that the child had started to speak but was limited in producing certain sounds.

During the examination, the healthcare worker observed a short, tight band of tissue (frenulum) connecting the underside of the tongue to the floor of the mouth, indicating a condition known as tongue tie (ankyloglossia). The healthcare worker explained to the mother how this condition could impact feeding and speech development.

The worker discussed potential treatment options, including a simple procedure to release the frenulum if the child continued to have difficulties. They provided guidance on feeding techniques in the meantime and encouraged regular follow-up to monitor the child's progress. The mother left the clinic feeling hopeful and informed about her child's condition.

Questions
1. What is the primary symptom of tongue tie in infants?

- A). Difficulty breathing

- B). Inability to suck effectively during breastfeeding

- C). Frequent ear infections

- D). Excessive drooling

2. What is the term used to describe the tissue that connects the underside of the tongue to the floor of the mouth?

- A). Lingual frenulum

- B). Buccal frenulum

- C). Labial frenulum

- D). Palatine frenulum

3. What potential issue can arise from untreated tongue tie in older children?

- A). Increased appetite

- B). Speech difficulties

- C). Vision problems

- D). Skin rashes

4. What is the typical treatment for a significant case of tongue tie?

- A). Observation and dietary changes

- B). Frenotomy (surgical release of the frenulum)

- C). Speech therapy only

- D). Antibiotics

Reveal answers

Answers

  1. B). Inability to suck effectively during breastfeeding
  2. A). Lingual frenulum
  3. B). Speech difficulties
  4. B). Frenotomy (surgical release of the frenulum)