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Tongue Ties and Speech Sound Disorders: What Are We Overlooking?

“The conversation for tongue tie in the speech pathology community is growing louder among some groups of speech-language pathologists (SLPs) (ASHA Leader, 2015). An ASHA literature search has suggested a correlation between tongue ties and difficulty producing lingual alveolar phonemes (Merkel-Walsh & Jahn, 2014). Furthermore, Eschler, Klein, and Overby (2010) indicated that SLPs’ diagnostic criteria, treatment, goals, and discharge criteria for ankyloglossia differ depending on comorbid behavior (i.e., SSDs or feeding/swallowing difficulty).

Recently, there is a rise in the identification of posterior tongue ties in infants who are having trouble feeding and toddlers/adolescents who are exhibiting continuous speech sound errors despite years of speech-language pathology services. Posterior ankyloglossia is characterized by a thickened frenulum (Type III) or a submucosal frenulum visualized as a flat, broad mound absent of any typical protruding frenular tissue, and restricts movement at base of tongue (Type IV) (Kutlow, 2011).”

Meaux, A., Savage, M., & Gonsoulin, C. presented the poster “Tongue Ties and Speech Sound Disorders: What Are We Overlooking?” at the 2016 Annual ASHA Convention, November 17-19 in Philadelphia, PA.

View the full poster here

Authors: Ashley Meaux, PhD, CCC-SLP, Meghan Savage, PhD, CCC-SLP, & Courtney Gonsoulin, MA, CCC-SLP

tongue-ties-poster

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