Ankyloglossia Superior (Palato-glossal Adhesion in the Newborn Infant)

Wilson, Reginald A.; Kliman, M. R.; Hardyment, A. F.

doi:10.1542/peds.31.6.1051

Cited by 21 publications

(1 citation statement)

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“…Gartlan posits that the etiologic event occurs in utero between the eighth and 11 th week of gestation, the period of development for the oromandibular region. 13 On the other hand, Lekkas and Bruaset 10 and Wilson et al 14 suggest that injury or de-epithelization of the tongue tip during palatal fusion in utero results in this adhesion.…”

Section: Case Reportmentioning

confidence: 99%

Tied to the Top: A Case Report on an Isolated Ankyloglossia Superior

Tan

Agullo

2022

Philipp J Otolaryngol Head Neck Surg

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Objective: To report a case of isolated ankyloglossia superior in a one-month-old boy. Methods: Design: Case Report Setting: Tertiary Government Training Hospital Patient: One Results: A one-month-old boy with failure to thrive, feeding difficulties and a palatoglossal band that limited mouth opening and anterior posturing of the tongue was diagnosed to have non-syndromic ankyloglossia superior and underwent surgical transection of the fibrous ankylosis under intravenous sedation due to difficulty of insinuating an endotracheal tube orally. Direct latch breastfeeding was successfully adapted from the second to tenth postoperative day before they were lost to follow up. Conclusion: Despite a complicated pediatric airway, coordinated surgical and anesthesia management successfully restored tongue function and mouth opening to allow effective feeding.

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Section: Case Reportmentioning

confidence: 99%

Tied to the Top: A Case Report on an Isolated Ankyloglossia Superior

Tan

Agullo

2022

Philipp J Otolaryngol Head Neck Surg

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Similarity of effects—experimental hyperthermia as a teratogen and maternal febrile illness associated with oromandibular and limb defects

Superneau

Wertelecki

Opitz³

et al. 1985

Am. J. Med. Genet.

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Experimental hyperthermia in pregnancy causes oromandibular and limb anomalies. In humans, hyperthermia has been suspected of being teratogenic. Two patients were investigated; both had limb defects and one had oromandibular anomalies. Their mothers had a febrile illness at about the 10th wk of gestation. The similarity of defects produced by experimental hyperthermia and those reported here is striking.

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Palatomandibular and maxillo‐mandibular fusion, partial aglossia and cleft palate in a human embryo. Report of a case

Shah

1977

Teratology

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A 32-mm CRL male human embryo was examined for malformation. Histological observation showed fusion between the left vertical palatal shelf and mandible and the maxilla and mandible in the posterior part of the oronasal cavity. The right shelf was horizontal anteriorly, vertical posteriorly and changing its position from a vertical to a horizontal plane in the middle. The tongue was underdeveloped anteriorly and completely absent posteriorly. The mandibular tooth buds were not formed. Both clinical and experimental literature were analyzed to find the mechanism of statu nascendi defect observed in the present case. It was deduced that the tongue may not play an active role during normal palatal development and that it may not have played any role during the fusion between different intraoral structures observed in the present case. It was concluded that, had the embryo developed further, then at the birth a cleft palate, partial aglossia and associated intraoral malformation would have been expected.

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Ankyloglossia Superior (Palato-glossal Adhesion in the Newborn Infant)

Abstract: A case of "ankyloglossa superior" is described. The operative treatment of this lesion is illustrated. The association between the tongue lesion and digital anomalies is discussed. An acquired etiology is suggested.

Cited by 21 publications

References 0 publications

Tied to the Top: A Case Report on an Isolated Ankyloglossia Superior

Tied to the Top: A Case Report on an Isolated Ankyloglossia Superior

Similarity of effects—experimental hyperthermia as a teratogen and maternal febrile illness associated with oromandibular and limb defects

Palatomandibular and maxillo‐mandibular fusion, partial aglossia and cleft palate in a human embryo. Report of a case

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