A 6years old girl with Tongue tie came with complaint of dif | Figure 1

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A 6 years old girl with Tongue tie came with complaint of difficulty in speech

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• Age: 4 years and 5 months • Sex: Female • Handedness: Right-handed Chief Complaint & Clinical Presentation The patient is a 4.5-year-old female presenting with severe expressive language delay, mild generalized hypotonia, and features consistent with Attention-Deficit/Hyperactivity Disorder (ADHD). • Language Profile: There is a significant dissociation between receptive and expressive language skills. The child’s receptive language (speech comprehension) is relatively age-appropriate. However, expressive language is severely impaired. Her current expressive vocabulary is limited to approximately 20 words. Progression has been remarkably slow, with the acquisition of these 20 words spanning over a 6-month period. • Speech Production: The patient exhibits profound difficulty in coordinating the speech articulators to execute motor commands and formulate new words, highly suggestive of Childhood Apraxia of Speech (CAS). • Neuromotor Examination: On physical examination, the child is diffusely hypotonic ("floppy body") Normal Brain MRI • Behavioral Profile: Marked symptoms of hyperactivity, impulsivity, and severe attention deficit are reported Predominantly Hyperactivity

Background history. I've been following this patient for 12 years, since the first diagnosis and surgical decision. I'm surprised it's taken that long for them to regenerate and bummed for the patient at the same. She will have to go back and have them removed. If you live in the world of ENT or a seasoned medical speech language pathologist, then this should be an easy one.

30yr old male presents for release of his tongue. ankyloglossia - tongue tie. Images before tx with laser and one week after

Tongue tie

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