This case presentation discusses a 34-year-old female patient who presented with ankyloglossia (tongue-tie). On examination, the patient had difficulty protruding and elevating her tongue, with a V-shaped appearance. Palpation found the tongue to be soft with fluid fluctuation. Based on these findings, the provisional diagnosis was ankyloglossia. The presentation then discusses the conventional surgical technique for treating ankyloglossia and Coryllos' anatomical classification system for tongue-tie.

1. CASE PRESENTATION
Presented By:
Dr. SUJAY PATIL.
M.D.S. - III
Oral And Maxillofacial
Surgery

2. HISTORY
Mrs Jayshree.
Age: 34yrs
Sex: Female
H/o: Did not gave
any relevant history.
No relevant Medical
History

3. GENERAL EXAMINATION
•Well built
•Vitals stable
•No pallor, icterus, cyanosis
•CVS: NAD
•RS: NAD

4. INSPECTION
Site – lower lingual
Difficulty in protrusion and elevation of tongue
Occlussion:Class II on both the sides.
Apperance:V-shaped
Elasticity:Moderate
Lateralisation:Body but not tongue
Lift of tongue:Tip to mid mouth

5. PALPATION
Temperature – no rise in local temperature
Tenderness – absent
Consistency – Soft
Fluctuation - +ve
Fluid thrill - -ve
Translucency - -ve
Lymph nodes – non tender and non palapable

6. PROVISIONAL DIAGNOSIS
On the basis of the patient’s history and the clinical
examination provisional diagnosis of Ankyloglossia
was made.

7. CONVENTIONAL
SURGICAL TECHNIQUE..

10. Coryllos anatomical classification:
•Type I: thin and elastic frenulum; attaches the tip of the tongue to the alveolar ridge, and the tongue
forms a heart shape.
•Type II: thin and elastic frenulum; 2---4 mm behind the tongue tip, attaches by the alveolar ridge.
•Type III: thick, fibrous, and non-elastic frenulum; attaches mid-tongue to the floor of the mouth.
•Type IV: the frenulum is not seen, but felt, with fibrous or submucosal thick and shiny attachment
from the base of the tongue to the floor of the mouth.