Ankyloglossia is a congenital anomaly that restricts the tongue’s range of motion. Lingual frenulum connects the bottom of the tongue’s tip to the floor of the mouth with a band of tissue which is tight, thick and short. This results in difficulty in speech and tongue movements. Lingual frenulum is a small fold of tissue. Lingual frenectomy which is also known as a frenulectomy, frenulotomy or frenotomy is the removal of a frenulum. A novel surgical technique known as presuturing technique in the management of ankyloglossiahas been used in this case report. In this case different sets of sutures are used on lingual frenum before giving the insicion. It resultedin reduced opening of the wound, minimal pain, bleeding and discomfort. A23 yr old male patient with tongue tie had been managed with this technique. 1 year of follow-up had been recorded which showed satisfactory protrusive and lateral movement of the tongue without any complications.
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