Frenotomia lingual em bebês diagnosticados com anquiloglossia pelo Teste da Linguinha: série de casos clínicos / Lingual frenectomy in babies diagnosed with ankyloglossia through the Tongue Test: a series of case reports

Objetivo: relatar uma série de casos clínicos de frenotomia lingual em bebês diagnosticados com anquilo-glossia pelo Teste da Linguinha. Relato de casos: cinco bebês, de 0 a 2 anos de idade, foram diagnosticados nas Unidade Básicas de Saúde e na Santa Casa de Misericórdia de Sobral, Ceará, com anquiloglossia mode-rada a severa. As mães relataram dificuldades de amamentação e engasgos das crianças. Os pacientes foram submetidos a procedimentos cirúrgicos de frenotomia lingual, que foram realizados na Universidade Federal do Ceará (UFC), Campus Sobral, no Grupo de Estudos em Odontopediatria (GEOP) do curso de graduação em Odontologia. As cirurgias foram realizadas com os pacientes conscientes e sob estabilização protetora. Foi administrada apenas anestesia tópica nos pacientes menores de 1 ano e anestesia infiltrativa naqueles com faixa etária maior que 1 ano. Em seguida, foi executado um pequeno corte na porção mediana do freio lingual e, quando necessário, realizada divulsão dos tecidos adjacentes. Ao final, foi feita a limpeza do local da cirurgia com a confirmação visual da efetiva liberação da língua. Por fim, as crianças receberam atestado e as mães, recomendações pós-cirúrgicas. Além disso, as crianças foram encaminhadas para consulta com o fonoaudiólogo e foram marcadas três consultas de retorno para o acompanhamento dos casos. Considera-ções finais: a frenotomia lingual mostrou-se uma técnica cirúrgica conservadora, eficaz e segura. Os bebês apresentaram excelentes resultados pós-operatórios e encontram-se em acompanhamento multiprofissional. (AU)

Objective: to report a series of clinical cases of lin-gual frenectomy in babies diagnosed with ankylo-glossia through the tongue test. Case Reports: five babies aged 0 to 2 years were diagnosed with moderate to severe ankyloglossia in Basic Health Units and in Santa Casa de Misericórdia do So-bral, Ceará, Brazil. The mothers of the children reported difficulties in breastfeeding and gagging. The patients were submitted to surgical procedu-res of lingual frenectomy, which were performed at the Federal University of Ceará (UFC), Cam-pus Sobral, in the Group of Studies in Pediatric Dentistry of the undergraduate dental course. The surgeries were performed with conscious patients under protective stabilization. Only topical anesthesia was administered in patients younger than 1 year and infiltrative anesthesia was used for those older than 1 year. Thereafter, a small cut was per-formed on the median portion of the lingual fre-nulum and, if necessary, divulsion of the adjacent tissues was performed. At the end, the surgical site was cleaned and the effective release of the tongue was confirmed visually. Finally, the chil-dren received medical certification and the mo-thers received postoperative recommendations. In addition, the children were referred to visits with a speech therapist and three follow-up ap-pointments were scheduled. Final considerations: lingual frenectomy proved to be a conservative, effective, and safe surgical technique. The babies presented excellent postoperative results and they are under multi-professional follow-up. (AU)

Rigid swelling of sublingual caruncle area due to the salivary gland duct obstruction by a sialolith

Sialolithiasis is the presence of calculus within the ductal system of a salivary gland. Among the diagnostic methods are inspection, palpation, checking the amount of saliva secreted and the identification of a sialolith. The authors present the case of a 37-year-old female patient with edema of the submandibular area and a bulging sublingual caruncle due to a calculus that obstructed the salivary gland ostium.

Prevalence of bifid tongue and Ankyloglossia in South Indian population with an emphasis on its embryogenesis / Prevalencia de lengua bífida y anquiloglosia en el Sur de la población India con énfasis en su embriogénesis

Disturbance in the organogenesis of tongue might lead to some malformations like tongue tie, bifid tongue and hairy tongue. Severe degrees of these anomalies may cause speech impairment or periodontal defects. The present study was done on patients of the southern coastal belt of India during the past two years, on gross tongue anomalies. The results of the present study reveal that occurrence of tongue tie is 0.2 percent and bifid tongue is 0.3 percent in the southern coastal population. Since great majority of these oral anomalies have genetic basis the purpose of the present report is to highlight that these anomalies can exist without any familial background and also to suggest that environmental factor may play a role in the etiogenesis of these anomalies.

La alteración en la organogénesis de la lengua puede dar lugar a algunas malformaciones como anquiloglosia, lengua bífida y lengua vellosa. Grados severos de estas anomalías puede provocar un trastorno del habla o defectos periodontales. El presente estudio se realizó, durante los últimos dos años, en pacientes de la franja costera del Sur de la India con anomalías graves en la lengua. Los resultados del estudio revelaron que, en la población costera del sur, la incidencia de anquiloglosia era de 0,2 porciento y de lengua bífida de 0,3 por ciento. Dado que la gran mayoría de estas anomalías orales tienen base genética, el propósito del presente informe fue poner de relieve que estas anomalías pueden existir sin ningún tipo de antecedentes familiares y también sugerir que los factores ambientales podrían jugar un papel en el etiogenesis de estas anomalías.

Lingual granuloma gravidarum

Granuloma gravidarum or pregnancy tumor is a benign lesion of the gingival mucosa which occurs during pregnancy. It is a pyogenic granuloma. This case report presents the clinical, histopathological features and the treatment of a grauloma gravidarum in a Sudanese patient in the puerperium