the Long Structure Under Your Tongue: ENT Insights - Otolaryngology

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There is a slender structure under the tongue?


I recently discovered a long, thin structure under my tongue as shown in the image http://ppt.cc/wqc58.
Is this something to be concerned about?

Luo, 20~29 year old female. Ask Date: 2016/09/13

Dr. Li Jiaxuan reply Otolaryngology


If you are referring to one thin hanging polyp on each side, it is generally considered inflammatory tissue; however, due to the bilateral symmetry, it cannot be ruled out that they are congenital benign growths.

Reply Date: 2016/09/13

More Info


The structure you are referring to under your tongue is likely the lingual frenulum, which is a thin band of tissue that connects the underside of your tongue to the floor of your mouth. This structure is normal and present in everyone, but its appearance can vary from person to person. In some cases, individuals may notice a more pronounced or elongated frenulum, which can sometimes lead to concerns about its implications for oral function or health.

If the frenulum appears unusually long or tight, it can potentially restrict the movement of the tongue, a condition known as ankyloglossia or "tongue-tie." This can affect various functions, including speech, eating, and oral hygiene. However, many people with a longer frenulum do not experience any significant issues and may not require any treatment.

In terms of health implications, a prominent frenulum is generally not a cause for concern unless it is causing discomfort or functional limitations. If you are experiencing pain, difficulty in moving your tongue, or any other symptoms, it would be advisable to consult with an Ear, Nose, and Throat (ENT) specialist or a dentist who can evaluate your specific situation. They may perform a physical examination and, if necessary, recommend treatment options, which could include a frenectomy (a minor surgical procedure to release a tight frenulum).

It's also important to note that variations in the frenulum's appearance can be completely normal and may not indicate any underlying health issues. If you are not experiencing any discomfort or functional limitations, it is likely that what you are observing is simply a normal anatomical variation.

In summary, while the lingual frenulum is a normal structure, if you have concerns about its appearance or function, it is best to seek professional advice. An ENT specialist can provide a thorough examination and address any questions or concerns you may have regarding your oral health. Regular dental check-ups can also help monitor any changes in your oral structures and ensure that your mouth remains healthy.

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