titicuinaltia.

Headword: 
titicuinaltia.
Principal English Translation: 

to puncture, perforate something (see Karttunen)

Orthographic Variants: 
tihticuīnaltiā
IPAspelling: 
tihtikwiːnɑltiɑː
Frances Karttunen: 

TIHTICUĪNALTIĀ vt to puncture, perforate something / lo punza (Z) [(2).103,198]. Both attestations in Z mark the vowel of the fourth syllable long, although by general rule it should be short. caus. TIHTICUĪN(I).
Frances Karttunen, An Analytical Dictionary of Nahuatl (Norman: University of Oklahoma Press, 1992), 240.