Abstract:Ankyloglossia is a condition where there is a limitation to the tongue movement due to the congenitally short frenulum. This condition eventually lead to early weaning and poor weight gain. Frenotomy, or tongue tie division can be performed by few methods. Iris scissors or scalpel traditionally has been used. In adults a muscle release may be needed to give a good muscle tension upon closing. Laser use in adult has been described. We utilized ultrasonic scissors in this case.
Constitutional symptoms are the most common clinical manifestation of the systemic disease. When there is the presence of cervical lymphadenopathy concurrently, systemic infection or malignancy has to be taken into consideration. At the paediatric or adolescent age group, tuberculosis and lymphoma are the common diseases that associated with these symptoms. We should consider patient’s age group, risk factors and the disease presentation for the diagnosis. With the guidance of the imaging studies, laboratory and histopathological studies, the precise final diagnosis is made.
Bangladesh Journal of Medical Science Vol.18(1) 2019 p.149-152
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