$Unique_ID{BRK00375} $Pretitle{} $Title{Heart-Shaped Tongue: Causes and Treatment} $Subject{tongue frenulum tongue-tied Digestive Frenulum frenulum linguae} $Volume{I-11} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Heart-Shaped Tongue: Causes and Treatment ------------------------------------------------------------------------------ QUESTION: My 7 month old daughter was born with a "heart-shaped" tongue. The tissue that connects under the tongue extends all the way to the tip of her tongue. What is this called? Is it painful? How might it affect her? What is the recommended treatment? What causes this? ------------------------------------------------------------------------------ ANSWER: Slow down, mother, and we will try to answer all your concerned queries. If we are both on the same wavelength, and I understand your description correctly, the name of this tissue is a "Frenulum" or "frenulum linguae" to be specific. The name comes from a Latin word that means "a bridle or curb". It usually causes no pain, but observing your baby should convince you about that. In the past it has been associated with a condition called "tongue-tied" that provoked speech difficulties, but this does not always occur. It is a rather simple procedure to cut this thin, fragile tissue, and release the tongue completely. Your own physician is the best advisor on this, for an examination is the only way to fully evaluate the need for this. There is no specific "cause" for the existence of a frenulum; everyone has one. It's just that it develops more in some babies than others. Here is an interesting side light. Many of us have used dissecting kits during our educations, in high school biology, for example. Those kits usually came with a probe, useful for exploring anatomical structures. One side of the probe had a flattened, heart-like shape, provided with a slit down the middle. This was originally designed to hold up the tongue, placing the frenulum in the slit, and making cutting this tissue a real breeze. With a simple procedure to correct any problems, it shouldn't be as frightening to you any more, and I hope you are feeling better about it now. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.