ASSESSMENT OF THE TONGUE FRENULUM IN BECKWITH-WIEDEMANN SYNDROME: PRE- AND POSTFRENECTOMY FINDINGS

Abstract

Beckwith-Wiedemann syndrome (BWS) is a genetic condition of overgrowth characterized by the presence of congenital anomalies and manifested through the triad omphalocele, gigantism, and macroglossia. The aim of this study is to report the pre- and postfrenectomy findings in a female patient aged 9 months with BWS. The patient was evaluated by the protocol of the tongue's frenulum for babies (Neonatal Tongue Screening Test) and scored 16 points, indicating the need for frenectomy. The surgical procedure was performed using the traditional technique. Wound healing was satisfactory, and the total score obtained in the protocol reapplication (5 points) showed functional results of improvement in sucking and tongue mobility, confirming the importance of the frenectomy. After the surgery, macroglossia was observed as a maternal complaint (previously not mentioned). Frenectomy, despite the macroglossia related to the BWS, allowed anatomical and functional advances of the tongue in the present clinical case.