PACT Spry Menu Pages
Congenital or Other Oral Findings, continued
Ankyloglossia refers to a congenitally short lingual frenulum that ties the tongue to the floor of the mouth, decreasing its mobility. The tongue appears notched or heart-shaped at the tip. 
Ankyloglossia: A congenital defect characterized by limited mobility of the tongue due to shortness of its frenulum.

In general, no intervention is recommended. Treat with frenectomy if severe enough to interfere with feeding or speech.

Frenectomy: Excision of a frenulum.

Cleft Lip/Palate
Cleft lip and/or palate may cause feeding, swallowing, and respiratory difficulties in infancy, along with speech and cosmetic concerns. Surgical repair is typically approached in a step-wise fashion.

Outcomes are best with a team treatment approach. Primary care providers are encouraged to utilize an interdisciplinary team for cleft lip and palate management.

A notched or heart-shaped tongue tip indicates ankyloglossia.
A frenectomy may improve feeding success.
Cleft lip is the most common congenital craniofacial anomaly.

View the Chapter 11 Photo Gallery.