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Living with Isolated congenital hypoglossia/aglossia

A rare condition present from birth in which the tongue is partly or fully missing, which can affect feeding, breathing, and speech.

Understanding Isolated congenital hypoglossia/aglossia

Isolated congenital hypoglossia/aglossia is a rare head and neck condition in which the tongue is partly or fully missing from birth.

Babies may have trouble feeding and breathing. Later, speech may be delayed or slurred. Taste is not severely affected. Other features can include a small lower jaw, fewer teeth than usual (oligodontia), and a bite that does not line up (malocclusion). It is noticed in newborns and infants.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Small or missing tongue
  • Feeding difficulties
  • Breathing difficulties
  • Delayed speech and language
  • Small lower jaw (micrognathia)
  • Small or missing fingers

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include ear, nose, and throat specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What feeding support does my child need right now?
Which specialists, such as speech therapy or a jaw specialist, should we see?
How can we watch for breathing problems?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says changes in genes (also called variants) cause this condition. It does not name specific genes or describe inheritance.

Genetic

Also known as: hypoglossia with situs inversus

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Isolated congenital hypoglossia/aglossiaGARD ID 16972 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Isolated congenital hypoglossia/aglossia.

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