CASE PRESENTATION

Presented By:

Dr. SUJAY PATIL.M.D.S. - IIIOral And Maxillofacial Surgery

HISTORY

Mrs Jayshree.

Age: 34yrs

Sex: Female

H/o: Did not gave any relevant history.

No relevant Medical History

GENERAL EXAMINATION

•Well built

•Vitals stable

•No pallor, icterus, cyanosis

•CVS: NAD

•RS: NAD

INSPECTION

Site – lower lingual

Difficulty in protrusion and elevation of tongue

Occlussion:Class II on both the sides.

Apperance:V-shaped

Elasticity:Moderate

Lateralisation:Body but not tongue

Lift of tongue:Tip to mid mouth

PALPATION

Temperature – no rise in local temperature

Tenderness – absent

Consistency – Soft

Fluctuation - +ve

Fluid thrill - -ve

Translucency - -ve

Lymph nodes – non tender and non palapable

PROVISIONAL DIAGNOSIS

On the basis of the patient’s history and the clinicalexamination provisional diagnosis of Ankyloglossiawas made.

CONVENTIONAL SURGICAL TECHNIQUE..

Coryllos anatomical classification:•Type I: thin and elastic frenulum; attaches the tip of the tongue to the alveolar ridge, and the tongue

forms a heart shape.

•Type II: thin and elastic frenulum; 2---4 mm behind the tongue tip, attaches by the alveolar ridge.

•Type III: thick, fibrous, and non-elastic frenulum; attaches mid-tongue to the floor of the mouth.

•Type IV: the frenulum is not seen, but felt, with fibrous or submucosal thick and shiny attachment from the base of the tongue to the floor of the mouth.