Abstract

Abstract : A bifid or cleft tongue (glossoschissis) is a tongue where a groove or split runs lengthwise along the tip of the tongue. They can be syndromic or non-syndromic and may occur along with other oral abnormalities. Disturbance in the organogenesis of tongue can lead to malformations like tongue tie, bifid tongue and hairy tongue.
Case Report: History
51-year-old women reported with a chief complaint of difficulty in pronunciation during talking from her childhood. History revealed that she had a consanguineous marriage and that her mother had no history of abortion or drug intake during pregnancy. There was also no history of hereditary predispositions and postnatal trauma. Surgical correction of the defect was planned under local anesthesia. Past medical history revealed that she was hypertensive and was on medication for the same for the past 15 years.
Case Report: Examination
General examination revealed that she was obese with a body mass index of 29kg/m2.Extra oral examination revealed -slanted palpebral fissures, alopecia, dry scalp with coarse hair, prominent nose tip, excessive facial hair with no orofacial defects. Intraoral examination revealed a split in the tip and anterior 2/3rd of the tongue with the tip diverted to the left There was absence of any tongue piercings. The upper frenum was hypertrophic and the cleft between the upper lateral incisors and canines. Intraoral examination also revealed the presence of bilateral deciduous canines