Tongue position for lingual frenulum assessment

Martinelli, Roberta Lopes de Castro; Marchesan, Irene Queiroz; Berretin-Felix, Giédre

doi:10.1590/1982-0216/20202210120

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…In nursing newborns, there was also a weak association between tongue and lips posture at rest (closed, parted, or open lips). This is in contrast to a study 23 that showed no correlations between these characteristics. The analysis of tongue and lip position, in combination with the other evaluation criteria, is thought to aid in identifying any abnormalities in the lingual frenulum.…”

Section: Discussioncontrasting

confidence: 99%

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Orofacial Myofunctional Aspects of Nursing Infants and Preschoolers

Medeiros,

Assis,

Alves

et al. 2023

Int Arch Otorhinolaryngol

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Introduction Clinical assessment in orofacial motricity is required for the speech therapist to diagnose and treat disorders involving the stomatognathic system. Validated tools can help establish a prognosis and outline intervention methods connected to human development. Objective The goal of the present study was to examine the domains of the oromyofunctional assessment of nursing infants and preschoolers according to sex and age group, as well as the application of the MMBGR Protocol – Nursing Infants and Preschool Children. Methods A quantitative technique was used to conduct an analytical and cross-sectional investigation. The present study included a total of 214 healthy breastfeeding infants and preschoolers of both sexes. The Mann-Whitney test was used to compare the medians. The Spearman correlation of each test domain was determined. R Core Team 2021 (R Foundation, Vienna, Austria) was used, and the significance threshold was set at 5%. Results In intraoral and extraoral examinations, there was a difference between sexes for tongue scores in nursing infants (d = - 0.428; p = 0.045), worse in males. When the orofacial functions were considered in nursing infants, there were differences between the sexes for the liquid/solid/semisolid deglutition scores (d = 0.479; p = 0.031), with females performing worse. There were sex differences in solid/semisolid deglutition (d = - 0.335; p = 0.043), and speech in preschoolers (d = - 0.478; p = 0.034), including the production of phones/phonemes (d = - 0.599; p = 0.007), which were always worse in males. Conclusion The research revealed sex disparities and related the domains of oromyofunctional assessment, according to scores, of the domains of myofunctional assessment, as recorded in a standardized oromyofunctional assessment protocol by age group.

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Section: Discussioncontrasting

confidence: 99%

“…The intraoral exam revealed only a difference in tongue scores in nursing infants, with males having lower findings, which corresponds to a study 23 that identified a higher incidence of frenulum abnormalities in boys. Another study 4 found that similar changes are common in newborn males.…”

Section: Discussionsupporting

confidence: 86%

Orofacial Myofunctional Aspects of Nursing Infants and Preschoolers

Medeiros,

Assis,

Alves

et al. 2023

Int Arch Otorhinolaryngol

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“…One of the biggest limiting factors for clinical research on the topic of ‘functional ankyloglossia’ is the paucity of objective measurements to define the presence or absence of the condition. Most definitions of the condition are based on structural characterisations of the lingual frenulum 15,17‐19 or subjective descriptions of mobility, 20‐24 as there are limited objective tools to actually quantify functional variations in tongue mobility on a continuous numeric scale 25…”

Section: Introductionmentioning

confidence: 99%

Assessment of posterior tongue mobility using lingual‐palatal suction: Progress towards a functional definition of ankyloglossia

Zaghi¹,

Shamtoob²,

Peterson³

et al. 2021

J of Oral Rehabilitation

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Background A functional definition of ankyloglossia has been based on assessment of tongue mobility using the tongue range of motion ratio (TRMR) with the tongue tip extended towards the incisive papilla (TIP). Whereas this measurement has been helpful in assessing for variations in the mobility of the anterior one‐third of the tongue (tongue tip and apex), it may be insufficient to adequately assess the mobility of the posterior two‐thirds body of the tongue. A commonly used modification is to assess TRMR while the tongue is held in suction against the roof of the mouth in lingual‐palatal suction (LPS). Objective This study aims to explore the utility and normative values of TRMR‐LPS as an adjunct to functional assessment of tongue mobility using TRMR‐TIP. Study Design Cross‐sectional cohort study of 611 subjects (ages: 3‐83 years) from the general population. Methods Measurements of tongue mobility using TRMR were performed with TIP and LPS functional movements. Objective TRMR measurements were compared with subjective self‐assessment of resting tongue position, ease or difficulty elevating the tongue tip to the palate, and ease or difficulty elevating the tongue body to the palate. Results There was a statistically significant association between the objective measures of TRMR‐TIP and TRMR‐LPS and subjective reports of tongue mobility. LPS measurements were much more highly correlated with differences in elevating the posterior body of the tongue as compared to TIP measurements (R2 0.31 vs 0.05, P < .0001). Conclusions This study validates the TRMR‐LPS as a useful functional metric for assessment of posterior tongue mobility.

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The Impact of Ankyloglossia Beyond Breastfeeding: A Scoping Review of Potential Symptoms

Cordray,

Mahendran,

Tey

et al. 2023

Am J Speech Lang Pathol

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Objective: The purpose of this study was to evaluate the spectrum of pediatric quality-of-life sequelae associated with ankyloglossia that may affect children who do not undergo tongue-tie release (frenotomy) during infancy. Data Sources: This study contains data from PubMed, Embase, CINAHL, PsycINFO, Web of Science, and Google Scholar (1961–January 2023). Review Method: The review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews reporting guidelines. Experimental and observational studies were eligible if they reported baseline outcomes associated with ankyloglossia in children above a year of age. Two reviewers independently screened studies, extracted data, and assessed quality. Low-quality studies were excluded. Conclusions: Twenty-six of 1,568 screened studies (> 1,228 patients) were included. Six studies were high quality and 20 were medium quality. Studies identified various symptoms that may be partially attributable to ankyloglossia after infancy, including speech/articulation difficulties, eating difficulties, dysphagia, sleep-disordered breathing symptoms, dental malocclusion, and social embarrassment such as oral hygiene issues. Multiple comparative studies found associations between ankyloglossia and risk factors for obstructive sleep apnea; a randomized controlled trial found that frenotomy may attenuate apnea severity. Ankyloglossia may also promote dental crowding. Implications for Practice: Ankyloglossia may be associated with myriad effects on children's quality of life that extend beyond breastfeeding, but current data regarding the impact are inconclusive. This review provides a map of symptoms that providers may want to evaluate as we continue to debate the decision to proceed with frenotomy or nonsurgical therapies in children with ankyloglossia. A continuing need exists for controlled efficacy research on frenotomy for symptoms in older children and on possible longitudinal benefits of early frenotomy for maxillofacial development. Supplemental Material: https://doi.org/10.23641/asha.23900199

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Tongue position for lingual frenulum assessment

Cited by 4 publications

References 23 publications

Orofacial Myofunctional Aspects of Nursing Infants and Preschoolers

Orofacial Myofunctional Aspects of Nursing Infants and Preschoolers

Assessment of posterior tongue mobility using lingual‐palatal suction: Progress towards a functional definition of ankyloglossia

The Impact of Ankyloglossia Beyond Breastfeeding: A Scoping Review of Potential Symptoms

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