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All Journal Oto Rhino Laryngologica Indonesiana eJournal Kedokteran Indonesia
Widodo, Dini Widiarni
Departemen Ilmu Kesehatan Telinga Hidung Tenggorok-Bedah Kepala Leher, Fakultas Kedokteran Universitas Indonesia/ Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Penatalaksanaan ankyloglossia pada anak Supit, Ivana; Widodo, Dini Widiarni
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.723

Abstract

Background: Ankyloglossia, or tongue-tie, is a congenital oral anomaly characterized by an abnormally short, thick, or tight lingual frenulum that restricts tongue mobility. While mild cases may be asymptomatic, moderate to severe cases can impair essential functions such as breastfeeding, swallowing, mastication, speech articulation, and oral hygiene. In children, untreated ankyloglossia may also affect psychosocial development, including self-esteem and interpersonal communication. Purpose: To provide a comprehensive overview of ankyloglossia, emphasizing its anatomical and clinical aspects, classification systems, diagnostic tools, and current treatment options. Literature review: A narrative review was conducted using relevant literature from peer-reviewed journals and academic textbooks. The review covers various classification systems such as the Coryllos and Kotlow classifications, which assist clinicians in assessing severity, and determining management. Clinical manifestations vary with age and may include breastfeeding difficulties in infants, speech disturbances in children, and social or functional challenges in adults. Diagnostic approaches rely on clinical examination and standardized assessment tools like the Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF). Management approaches include conservative methods or surgical intervention, with options such as frenotomy, frenectomy, or frenuloplasty, depending on the patient’s age and symptom severity. Conclusion: Ankyloglossia can significantly affect oral function and quality of life. Early recognition and appropriate intervention are essential for preventing long-term complications. Standardized diagnostic criteria and evidence-based treatment guidelines are needed to optimize care and ensure consistent clinical outcomes.
Co-Authors Akbar, Viharsyah Aulia Alida Harahap Amelia, Indira Djohan, Raditya Putra Eka Dian Safitri Gustria, Wulan Mega Hanrahan, Joanna Erin Helmi Helmi Hemastia Manuhara Harba'i Irfan Irfan Jenny Bashiruddin M, Mesiwisani Mayangsari, Ika Dwi Mirta Hediyati Reksodiputro Nuri Aslami Nurjati Chairani Siregar Priyono, Harim Raden Ayu Anatriera Raden Ayu Anatriera Ranakusuma, Respati Wulansari Reksodiputro, Mirta Hediyati Satria Dipo Putra Asmoro Shabrina, Febby Solly Aryza Supit, Ivana Suryati, Irma Taty Zubaidah Cornain Trimartani, Trimartani Trmartani