ANKYLOGLOSSIA

TONGUE TIE
Lya Novya, S.Ked
I 1011131004

Pembimbing : dr. Sumardi Fransiskus Simanjuntak, M.Biomed, Sp.A

UNIVERSITAS TANJUNGPURA
RUMAH SAKIT ABDUL AZIZ SINGKAWANG
2017
Pendahuluan
Ankyloglossia
Frenulum lidah Penghisapan ASI Berbicara
Tongue Tie

Eropa 3-4%

Tatalaksana
Inggris 10% Usia
Keparahan

Indonesia 12,3%
Non-bedah Pembedahan
(Asti,2015)

Ricke LA, Baker NJ, Madlon-Kay DJ. Newborn Tongue Tie : Prevalence and Effect on Breast-Feeding.2015.
Dezio M. Tongue-tie. From Embriology to Treatment. 2015.
Asti P. Early Frenotomy Improves Breastfeeding Outcomes for Tongue-Tied Infants. 2015. 1
Kupietzky, A., Eyal, Botzer. Congenital Tongue Tie and Its Impact On Breastfeeding. 2005.
 TONGUE - TIE
Epidemiologi Definisi
Laki-laki : Perempuan Frenulum lidah pendek
3 : 1 Tebal/kencang/diujung
Ringan : Sedang : Berat lidah
27% : 66% : 7%

Patofisiologi
Etiologi normal:
Idiopatik frenulum akan menipis dan
mengecil.
Pada ankyloglossia tetap
menebal
Kliegman, MR. Nelson Textbook of Pediatrics. 20th ed. 2016.
Antony, VV., Khan, R. Management Of Ankyloglossia. 2013
Aldebei, OM. Tongue Tie (Ankyloglossia). 2016.
Darshan, H.E., Pavithra, P.M. Tongue Tie : From Confusion to Clarity-A Review. 2011.
Ruffoli R, Giambelluca MA, Scavuzzo MC, et al. Ankyloglossia: a morphofunctional investigation in children. 2013.
 Klasifikasi
Letak Keterbatasan Gerak Lidah

Lalakea ML, Messner AH. Ankyloglossia: does it matter?. 2013.

Kupietzky, A., Eyal, Botzer. Ankyloglossia In The Infant and Young Child :Clinical Suggestions For Diagnosis and Management. 2005.
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 MANIFESTASI KLINIK

Kesulitan dalam Menyusui

Tongue-Tie Kesulitan Minum dan Makan

Gangguan Bicara

Keterbatasan Gerak Lidah

Aldebei, OM. Tongue Tie (Ankyloglossia). 2016. 5

 Diagnosis

Kupietzky, A., Eyal, Botzer. Ankyloglossia In The Infant and Young Child :Clinical Suggestions For Diagnosis and Management. 2005. 6
 Diagnosis

Kupietzky, A., Eyal, Botzer. Ankyloglossia In The Infant and Young Child :Clinical Suggestions For Diagnosis and Management. 2005.
7
 Tatalaksana
Terapi Non-Bedah

Terapi bicara Konsultasi Laktasi

Terapi Bedah

Frenotomy Anatesi lokal/tanpa anastesi

Frenuloplasty teknik z plasty flap closure

Kupietzky, A., Eyal, Botzer. Ankyloglossia In The Infant and Young Child :Clinical Suggestions For Diagnosis and Management. 2005.
Lalakea ML, Messner AH. Ankyloglossia: does it matter?. 2013. 8
Harris EF, Friend GW, Tolley EA.Enhanced prevalence of ankyloglossia with maternal cocaine use. 2012.
 Frenotomy

1 3

2 4

Kupietzky, A., Eyal, Botzer. Ankyloglossia In The Infant and Young Child :Clinical Suggestions For Diagnosis and Management. 2005.
Lalakea ML, Messner AH. Ankyloglossia: does it matter?. 2013.
Harris EF, Friend GW, Tolley EA.Enhanced prevalence of ankyloglossia with maternal cocaine use. 2012.
9
 Frenuloplasty

Kupietzky, A., Eyal, Botzer. Ankyloglossia In The Infant and Young Child :Clinical Suggestions For Diagnosis and Management. 2005.
Lalakea ML, Messner AH. Ankyloglossia: does it matter?. 2013.
Harris EF, Friend GW, Tolley EA.Enhanced prevalence of ankyloglossia with maternal cocaine use. 2012.
10
 Komplikasi

Gangguan perkembangan organ mulut

bayi.
Gizi kurang - buruk

Kemampuan berbicara terganggu; huruf-

huruf r, s, z, th, d, dan t.
Kerusakan gigi dan gingivitis.

Kupietzky, A., Eyal, Botzer. Ankyloglossia In The Infant and Young Child :Clinical Suggestions For Diagnosis and Management. 2005.
Lalakea ML, Messner AH. Ankyloglossia: does it matter?. 2013. 11
 Prognosis

Ad vitam : bonam
Ad fungtionam : bonam
Ad sanationam : bonam

Edukasi
Jelaskan:
1. Ankyloglossia tidak memerlukan perawatan tindak lanjut yang spesifik.
2. Pasca operasi, Gumpalan fibrin putih pascaoperasi terbentuk di tempat
sayatan selama beberapa hari pertama.
3. Ankyloglossia rekuren karena jaringan parut atau operasi primer yang
tidak optimal.

Kupietzky, A., Eyal, Botzer. Congenital Tongue Tie and Its Impact On Breastfeeding. 2005.
Kupietzky, A., Eyal, Botzer. Ankyloglossia In The Infant and Young Child :Clinical Suggestions For Diagnosis and Management. 2005.
12
TERIMAKASIH