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In the past, physicians often made decisions empirically about the presence of inferior ankyloglossia (tongue-tie) in infants and children and performed a frenectomy when the observers thought that there was sufficient tongue-tie to interfere with articulation. In the April issue of Archives of Otolaryngology (99:292-296, 1974), Fletcher and Daly recount their experience with precise measurements of the undersurface of the tongue in 50 children ranging in age from 1 month to 5 years. Earlier similar studies had been conducted, but only with school-age children so that the results were not applicable to younger subjects. Not surprisingly, in the present study, the measurements bore significant relationship to age of the subjects.
Fletcher and Daly found that their technique of measurement had clinical applicability for diagnosis of tongue-tie as a reason for speech difficulties. The authors present three cases in each of which ankyloglossia seemed to be the cause for poor articulation
Tongue-Tie. JAMA. 1974;228(6):735. doi:10.1001/jama.1974.03230310045030
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