Please click to enlarge.
Note what signs you see.
I (W. Wertelecki, M.D.) see a third illustration of this girl. Previously we stressed that she had alternating esotropia. Here we see evidence of a tongue frenulum.
PERSPECTIVE: In most instances, frenectomy is not necessary. However, in some instances there is impediment of tongue movements that impact sucking and speech. Often, tight frenulums recede spontaneously.
This series of images seeks to stress subtle dysmorphic signs. Please view the full array and the overall comment.