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Journal of Human Lactation : Official... Sep 1990Tongue-tie (partial ankyloglossia) is a congenital condition in which the membrane under the tongue is too short or may be attached too near the tip of the tongue,... (Review)
Review
Tongue-tie (partial ankyloglossia) is a congenital condition in which the membrane under the tongue is too short or may be attached too near the tip of the tongue, thereby preventing tongue protrusion. Considerable controversy among health professionals persists regarding the appropriate treatment of partial ankyloglossia. Therefore, lactation consultants need to be aware of tongue-tie and its potential negative impact on breastfeeding. This discussion examines issues relating to the possible need for treatment and the role of the lactation consultant in the evaluation and care of the infant who presents with ankyloglossia.
Topics: Breast Feeding; Congenital Abnormalities; Consultants; Humans; Infant, Newborn; Lingual Frenum; Nursing Assessment
PubMed: 2205229
DOI: 10.1177/089033449000600315 -
European Archives of Paediatric... Feb 2014Ankyloglossia or tongue-tie is a congenital condition of newborns when the inferior lingual fraenulum is too short and is attached to the tip of the tongue limiting its...
AIM
Ankyloglossia or tongue-tie is a congenital condition of newborns when the inferior lingual fraenulum is too short and is attached to the tip of the tongue limiting its movement. The aim of this study was to evaluate the relationship between ankyloglossia classification and tongue mobility. In addition, the prevalence of ankyloglossia among males and females was assessed.
METHODS
300 subjects (150 boys and 150 girls) with an age range of 7-12 years were randomly selected from different schools. The distance between the uppermost point of lingual fraenulum and its insertion into the oral floor was measured in the subjects. The subjects were categorised from having no ankyloglossia to severe tongue-tie based on the measurements.
RESULTS AND CONCLUSION
This study showed that ankyloglossia was more common in males. It also showed that only subjects with a lingual fraenulum of <1.5 cm suffered from inadequate tongue movement.
Topics: Child; Female; Humans; Lingual Frenum; Male; Movement; Sex Factors; Tongue
PubMed: 23860620
DOI: 10.1007/s40368-013-0049-0 -
General Dentistry 1991
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CMAJ : Canadian Medical Association... Feb 2013
Review
Topics: Ankyloglossia; Child; Child, Preschool; Humans; Infant; Infant, Newborn; Mouth Abnormalities
PubMed: 23071373
DOI: 10.1503/cmaj.120785 -
Journal of Oral and Maxillofacial... Jan 2020Ankyloglossia superior is an exceedingly rare congenital condition that consists of a connection between the tongue and hard palate. This abnormality is considered part...
Ankyloglossia superior is an exceedingly rare congenital condition that consists of a connection between the tongue and hard palate. This abnormality is considered part of the ankyloglossia superior syndrome when found with other malformations such as limb deformities, gastrointestinal malformation, and cleft palate. Ankyloglossia superior can also be associated with other known syndromes. We have presented the case of a female infant born with multiple malformations, including partial agenesis of the feet and hands, micrognathia, a lack of expression of the facial muscles, convergent strabismus, mouth opening limitation, and tongue-palate adhesion. The patient's presenting diagnosis was ankyloglossia superior associated with Moebius syndrome. Computed tomography revealed the extent of the ankyloglossia superior and the loss of integrity of the palatal shelf. Surgical release of the ankyloglossia superior was performed with the patient under general anesthesia. Multiple management challenges were encountered postoperatively. To the best of our knowledge, ankyloglossia superior presenting in conjunction with Moebius syndrome had not been formally described in a case report.
Topics: Abnormalities, Multiple; Ankyloglossia; Cleft Palate; Female; Humans; Infant; Mobius Syndrome; Tongue
PubMed: 31557452
DOI: 10.1016/j.joms.2019.08.017 -
Canadian Family Physician Medecin de... Jun 2007To review the diagnostic criteria for, the prevalence of, and the effectiveness of frenotomy for treatment of ankyloglossia. (Review)
Review
OBJECTIVE
To review the diagnostic criteria for, the prevalence of, and the effectiveness of frenotomy for treatment of ankyloglossia.
DATA SOURCES
MEDLINE and CINAHL databases were searched for articles suitable for a methodologic review of studies on various aspects of ankyloglossia.
STUDY SELECTION
Studies that presented data on patients and addressed ankyloglossia in relation to breastfeeding were selected. Case reports, case series, retrospective studies, prospective controlled studies, and randomized controlled trials were included in the analysis. Opinion pieces, literature reviews, studies without data on patients, studies that did not focus on breastfeeding, position statements, and surveys were excluded.
SYNTHESIS
There is no well-validated clinical method for establishing a diagnosis of ankyloglossia. Five studies using different diagnostic criteria found a prevalence of ankyloglossia of between 4% and 10%. The results of 6 non-randomized studies and 1 randomized study assessing the effectiveness of frenotomy for improving nipple pain, sucking, latch, and continuation of breastfeeding all suggested frenotomy was beneficial. No serious adverse events were reported.
CONCLUSION
Diagnostic criteria for ankyloglossia are needed to allow for comparative studies of treatment. Frenotomy is likely an effective treatment, but further randomized controlled trials are needed to confirm this. A reliable frenotomy decision rule is also needed.
Topics: Breast Feeding; Humans; Infant; Infant, Newborn; Lingual Frenum; Prevalence; Sucking Behavior; Tongue Diseases; Treatment Outcome; United Kingdom; United States
PubMed: 17872781
DOI: No ID Found -
CoDAS 2021To diagnose ankyloglossia in newborns and compare two lingual frenulum assessment instruments.
PURPOSE
To diagnose ankyloglossia in newborns and compare two lingual frenulum assessment instruments.
METHODS
This cross-sectional study was carried out in Recife, Pernambuco, Brazil, in 2018, with 147 mothers/newborns aged up to 30 days. The Bristol Tongue Assessment Tool and the Lingual Frenulum Evaluation Protocol for Infants were the instruments used. Sociodemographic data were also recorded. The two ankyloglossia diagnostic methods were compared using the McNemar test, obtaining the kappa agreement value and the confidence interval.
RESULTS
Ankyloglossia was present in 4.8% when diagnosed with the Bristol Tongue Assessment Tool, and in 17.0% with the Tongue-Tie Test. Regarding sex, 53.1% of the newborns were males and 46.9% were females; however, there was no association between ankyloglossia and the newborn's sex in either of the assessment methods.
CONCLUSION
The ankyloglossia diagnosis in newborns varied depending on the assessment instrument used.
Topics: Aged; Ankyloglossia; Brazil; Breast Feeding; Cross-Sectional Studies; Female; Humans; Infant; Infant, Newborn; Lingual Frenum; Male; Tongue
PubMed: 33950147
DOI: 10.1590/2317-1782/20202019209 -
Journal of Stomatology, Oral and... Dec 2019Ankyloglossia, also known as tongue-tie, is an embryological anatomical malformation of the tongue, characterized by an abnormally short and a thick lingual frenum.... (Review)
Review
Ankyloglossia, also known as tongue-tie, is an embryological anatomical malformation of the tongue, characterized by an abnormally short and a thick lingual frenum. Tongue-tie restricts the physiologic movements of the tongue and results in various functional, behavioral and speech abnormalities along with the development of frontal and lateral lisps. Ankyloglossia in infants is also linked with the difficulty in breastfeeding difficulty, gagging, choking or vomiting food, delayed development or deterioration of speech and behavioral issues. A lingual frenectomy is a common oral surgical procedure done to correct an ankylosed lingual frenum by severing the abnormal frenal attachment on the ventral surface of the tongue. However, lingual frenectomy is associated with few complications that should be addressed to achieve a good overall prognosis. Though a lot of research is available on the various techniques and rationale to correct ankyloglossia, no paper has yet highlighted the surgical complications associated with lingual frenectomy. Therefore, the present paper for the first time review and highlight the common intraoperative and postoperative complications following lingual frenectomy.
Topics: Ankyloglossia; Breast Feeding; Humans; Infant; Lingual Frenum; Tongue; Tongue Diseases
PubMed: 31255827
DOI: 10.1016/j.jormas.2019.06.003 -
Journal of Indian Society of... Jul 2011Ankyloglossia or tongue-tie is the result of a short, tight, lingual frenulum causing difficulty in speech articulation due to limitation in tongue movement. In this...
Ankyloglossia or tongue-tie is the result of a short, tight, lingual frenulum causing difficulty in speech articulation due to limitation in tongue movement. In this article, we have reported a 24-year-old male with tongue-tie who complained of difficulty in speech following which he underwent frenectomy procedure under local anesthesia without any complications. Finally, he was given speech therapy sessions.
PubMed: 22028516
DOI: 10.4103/0972-124X.85673 -
Journal of Human Lactation : Official... Aug 2013
Topics: Ankyloglossia; Breast Feeding; Humans; Infant; Mouth Abnormalities; Movement; Physical Examination; Tongue
PubMed: 23855034
DOI: 10.1177/0890334413491143