Tongue tie is a condition in which the midline sheath of tissue attached to the base of the tongue (lingual frenum) is attached too far forward on the tongue, causing restriction of tongue motion.

If the lingual frenum extends to the tip of the tongue, a V-shaped notch may be visible. Tongue tie may cause feeding problems, tooth problems, and speech problems.

• Inability to protrude tongue
• V-shaped notch in tip of tongue
• Excessive attachment of tongue to floor of the mouth by the lingual frenum membrane

Physical examination confirms that the lingual frenum is attached too far forward.

Surgery is seldom necessary. If it is necessary, it should be postponed until the child is approximately 9 months old.

Surgery involves cutting of the lingual frenum, either in the office (mild cases), or in the operating room (more advanced cases). A surgical reconstruction (z-plasty closure) maybe required to prevent scar tissue formation.

Surgery, if performed, is usually successful.

The complications are rare, but recurrence of tongue tie, tongue swelling, bleeding, infection, and damage to the ducts of the salivary glands�may occur.

If you are concerned that your child may have tongue tie, have your health care provider examine it during a routine well-baby examination.