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Indian Pediatrics Feb 2017To study the prevalence, clinical presentation and management of infants with ankyloglossia.
OBJECTIVE
To study the prevalence, clinical presentation and management of infants with ankyloglossia.
METHODS
A retrospective file review of infants less than 6 months of age with a diagnosis of ankyloglossia.
RESULTS
Of the 25786 babies born during the assessment period (2007-2015), 134 (0.52%) had ankyloglossia. Sixty-four (47.7%) infants who presented with breastfeeding difficulties were diagnosed significantly earlier than the asymptomatic group (P<0.05). Of the symptomatic group, 85.9% underwent frenotomy with satisfactory results. Seventy asymptomatic infants were managed conservatively with counselling.
CONCLUSION
Frenotomy seems to be a safe and effective procedure in infants with symptomatic ankyloglossia.
Topics: Ankyloglossia; Breast Feeding; Female; Humans; India; Infant; Infant, Newborn; Male; Retrospective Studies
PubMed: 28285282
DOI: 10.1007/s13312-017-1014-5 -
Otolaryngology--head and Neck Surgery :... Nov 2020
Topics: Ankyloglossia; Child; Humans; Lingual Frenum
PubMed: 33137274
DOI: 10.1177/0194599820937298 -
Otolaryngology--head and Neck Surgery :... Nov 2020Ankyloglossia, or "tongue-tie," refers to limited tongue mobility caused by a restrictive lingual frenulum. Previous studies have demonstrated rapid increases in...
Ankyloglossia, or "tongue-tie," refers to limited tongue mobility caused by a restrictive lingual frenulum. Previous studies have demonstrated rapid increases in diagnosis and treatment of ankyloglossia in the United States up to 2012. We performed an updated retrospective review of data from the National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality (AHRQ) to evaluate trends in diagnosis of ankyloglossia and use of lingual frenotomy in the hospital setting. From 2012 to 2016, there was an 110.4% increase in reported diagnosis of ankyloglossia in the inpatient setting with similar increases in lingual frenotomy procedures. As seen previously, sex, type of insurance, median income ZIP code, and geographic region were associated with diagnosis of ankyloglossia. The observed trends from prior to 2012 have continued to increase, while unanswered questions about diagnostic criteria and about which infants should undergo frenotomy remain.
Topics: Ankyloglossia; Databases, Factual; Humans; Infant; Lingual Frenum; Medical Overuse; Retrospective Studies; United States
PubMed: 32427523
DOI: 10.1177/0194599820925415 -
Nutrients Aug 2021Researchers have recently called for human lactation research to be conceptualized as a biological framework where maternal and infant factors impacting human milk, in... (Review)
Review
Researchers have recently called for human lactation research to be conceptualized as a biological framework where maternal and infant factors impacting human milk, in terms of composition, volume and energy content are studied along with relationships to infant growth, development and health. This approach allows for the development of evidence-based interventions that are more likely to support breastfeeding and lactation in pursuit of global breastfeeding goals. Here we summarize the seminal findings of our research programme using a biological systems approach traversing breast anatomy, milk secretion, physiology of milk removal with respect to breastfeeding and expression, milk composition and infant intake, and infant gastric emptying, culminating in the exploration of relationships with infant growth, development of body composition, and health. This approach has allowed the translation of the findings with respect to education, and clinical practice. It also sets a foundation for improved study design for future investigations in human lactation.
Topics: Ankyloglossia; Body Composition; Breast; Breast Feeding; Child Development; Female; Gastrointestinal Microbiome; Humans; Infant; Infant Nutritional Physiological Phenomena; Infant, Newborn; Lactation; Male; Milk, Human
PubMed: 34578947
DOI: 10.3390/nu13093071 -
Revue de Stomatologie, de Chirurgie... Sep 2015Ankyloglossia is a common condition. Its prevalence is between 3.2% and 4.8% depending on the series and is largely underestimated given the fact of non-diagnosis when... (Review)
Review
Ankyloglossia is a common condition. Its prevalence is between 3.2% and 4.8% depending on the series and is largely underestimated given the fact of non-diagnosis when the symptoms are limited. It is defined as a short lingual frenulum resulting in a limitation of the lingual mobility. It is due to a defect in cellular apoptosis embryogenesis between the floor of the mouth and tongue. The result is a fibrous and short lingual frenulum. Several classifications were used to make the diagnosis. However, these are the clinical implications, particularly on food and primarily breastfeeding in the baby and phonation in older children that will motivate the management. This is surgical and different techniques are available: infants before the age of 6 months and when the lingual frenulum is still a fine cellular membrane, frenotomy is recommended. Frenectomy with or without frenoplasty is indicated for the older child. The surgery is simple, the results are good and rapidly improving grievances. Complications are rare. Finally, speech therapy is important when there are implications for phonation.
Topics: Ankyloglossia; Articulation Disorders; Breast Feeding; Child; Child, Preschool; Humans; Infant; Infant, Newborn; Maxillofacial Development; Mouth Abnormalities; Plastic Surgery Procedures; Tongue
PubMed: 26296275
DOI: 10.1016/j.revsto.2015.06.003 -
Indian Pediatrics Dec 2005
Topics: Humans; Infant, Newborn; Male; Palate; Tongue
PubMed: 16424566
DOI: No ID Found -
Oral Surgery, Oral Medicine, and Oral... Jun 1983
Topics: Cleft Palate; Humans; Infant, Newborn; Male; Tongue
PubMed: 6576285
DOI: 10.1016/0030-4220(83)90368-7 -
International Journal of Pediatric... Aug 2007Ankyloglossia (tongue-tie) is a congenital anomaly with a prevalence of 4-5% and characterized by an abnormally short lingual frenulum. For unknown reasons the...
Ankyloglossia (tongue-tie) is a congenital anomaly with a prevalence of 4-5% and characterized by an abnormally short lingual frenulum. For unknown reasons the abnormality seems to be more common in males. The pathogenesis of ankyloglossia is not known. The author reports a family with isolated ankyloglossia inherited as an autosomal dominant trait. The identification of the defective gene(s) causing ankyloglossia might reveal novel information on the craniofacial embryogenesis and its disorders.
Topics: Humans; Lingual Frenum; Pedigree; Tongue Diseases
PubMed: 17588677
DOI: 10.1016/j.ijporl.2007.05.018 -
Journal of Human Lactation : Official... Sep 1990
Topics: Breast Feeding; Humans; Infant, Newborn; Lingual Frenum
PubMed: 2400547
DOI: 10.1177/089033449000600302 -
Pediatrics International : Official... Aug 2014The aim of this systematic review was to critically examine the existing literature regarding the effectiveness of tongue-tie division in infants with ankyloglossia,... (Comparative Study)
Comparative Study Review
The aim of this systematic review was to critically examine the existing literature regarding the effectiveness of tongue-tie division in infants with ankyloglossia, using the new grades of recommendations, assessment, development, and evaluation (GRADE) rating system. A clinical question was structured according to patient, intervention, comparison, and outcome, as follows: in infants with poor breast-feeding and ankyloglossia (patient), does frenotomy (intervention), compared to lactation support alone (comparison), improve feeding (outcome)? An electronic literature search was systematically conducted from databases including PubMed, Japana Centra Revuo Medicina (Igaku Chuo Zasshi), CINAHL, and Cochrane Library using the key words "ankyloglossia," "tongue-tie," "frenotomy," and/or "breast-feeding" in English and equivalent terms in Japanese. The literature search yielded four randomized clinical trials, and 12 observational studies for analysis. The quality of the literature was rated in regard to the two most important outcomes (sucking/latching, and nipple pain) and five less important outcomes (milk supply/milk production, continuation of breast-feeding, weight gain, adverse events, and dyad distress) in accordance with the GRADE system. Evidence levels of the most important outcomes were rated either A (strong evidence) or B (moderate evidence), and less important outcomes were rated C (weak evidence); every outcome consistently showed a favorable effect of frenotomy on breast-feeding. The literature review supported an overall moderate quality of evidence for the effectiveness of frenotomy for the treatment of breast-feeding difficulties in infants with ankyloglossia. No major complications from frenotomy were reported.
Topics: Ankyloglossia; Breast Feeding; Female; Humans; Infant; Infant, Newborn; Lingual Frenum; Mouth Abnormalities; Nipples; Pain; Postoperative Complications; Treatment Outcome
PubMed: 24978831
DOI: 10.1111/ped.12429