Ankyloglossia with Deviation of the Epiglottis and Larynx

Mukai, Susumu; Mukai, Chikako; Asaoka, Kazuyuki

doi:10.1177/00034894911000s501

Cited by 27 publications

(25 citation statements)

References 24 publications

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“…Despite this result, the infant' s oxygen saturation was not reduced, suggesting that the infant may have stopped sucking (reduced the duration of suck bursts) to limit any adverse affects. Mukai et al 24 has previously reported breathing difficulties in infants with ankyloglossia, suggesting possible disturbances of the suck, swallow, breathe reflex. More research is required in this area.…”

Section: Discussionmentioning

confidence: 98%

Evidence of Improved Milk Intake After Frenotomy: A Case Report

et al. 2013

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Ankyloglossia (tongue tie) is a well-recognized cause of breastfeeding difficulties and, if untreated, can cause maternal nipple pain and trauma, ineffective feeding, and poor infant weight gain. In some cases, this condition will result in a downregulation of the maternal milk supply. Milk-production measurements (24-hour) for a breastfeeding infant with ankyloglossia revealed the ineffective feeding of the infant (78 mL/24 hours), and a low milk supply (350 mL/24 hours) was diagnosed. Appropriate management increased milk supply (1254 mL/24 hours) but not infant milk intake (190 mL/24 hours). Test weighing convincingly revealed the efficacy of frenotomy, increasing breastfeeding milk transfer from 190 to 810 mL/24 hours. Postfrenotomy, breastfeeding almost completely replaced bottle-feeding of expressed breast milk. This case study confirms that ankyloglossia may reduce maternal milk supply and that frenotomy can improve milk removal by the infant. Milk-production measurements (24-hour) provided the evidence to confirm these findings.

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Section: Discussionmentioning

confidence: 98%

Evidence of Improved Milk Intake After Frenotomy: A Case Report

et al. 2013

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“…To make respiration easier the baby turns its face toward the direction of the laryngeal deviation [21]. This leads to distortion of the body and has resulted in lumbago in the aged [22] [23].…”

Section: Discussionmentioning

confidence: 99%

“…The causes of the retardation in healing might be that a multitude of people are right handed as well as the fact that the right deviation of the epiglottis and larynx is more numerous in ADEL. In addition, babies might be able to latch onto the right breast easier than the left breast [21]- [23].…”

Section: (B) Nipplesmentioning

confidence: 99%

Changes in Breastfeeding and of Breasts before and after Babies’ Surgeries for Ankyloglossia with Deviation of the Epiglottis and Larynx (ADEL) <br/>—Healthy Breastfeedin

Mukai¹

2016

Health

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Background: Historically frenotomy was performed at newborn babies' baptism for healthy breastfeeding over many centuries. Although it was necessary for nursing babies, its application was denied subjectively without clinical observation since the early 20th century. As a result solutions for breastfeeding and breast problems are confused now. Methods: We studied changes in breastfeeding and mothers' breasts before and one month after the surgeries for ADEL by standards for healthy breastfeeding and breasts. Results: With regard to suckling, before the surgeries 24% of babies opened their eyes during breastfeeding, while after surgeries 76% opened eyes while nursing. 30% of the babies latched onto the mother's breast with a wide-open mouth. After surgeries, 84% properly latched on. 73% of the babies had calluses on the upper lip before surgeries, and no calluses were observed after surgeries. 27% of babies before surgeries moved the jaws during breastfeeding, but after surgeries 88% moved the jaws while nursing. White debris was on the dorsum tongue in 70% of babies prior to surgeries. After surgeries, 22% were with debris. 67% of mothers experienced nipple pain before their babies' surgeries while 6% had pain after the surgeries. Flattened nipples were observed in 55% of mothers before the infants' surgeries, 7% after surgeries. 23% of mothers had breast pain before the surgeries, and 4% had breast pain after the surgeries. Mastitis was also reduced from 9% to 1% after surgeries. 73% of women had palpable breast masses, and after the surgeries 25% had palpable masses. Summary: Remarkable improvements in breastfeeding and in women's breasts were achieved after their infants underwent operations for ADEL. These results indicate the necessity of surgical interventions in babies with ADEL for healthy breastfeeding and breasts (279).

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“…[3][4][5] They were studied by monitoring apnea, snoring, SaO 2 and pulse rate during sleep with MycroSleep (Synectics Medical Co., Stockholm, Sweden) before and after the operation. The second sleep monitoring was performed 1 month after surgery.…”

Section: Methodsmentioning

confidence: 99%

Functions of the uvula and Z‐pharyngoplasty

Mukai

Nitta

2000

Psychiatry Clin Neurosci

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UPPP includes uvulotomy. The uvula works as the pilot for eating and swallowing. We performed an operation which left the uvula intact and opened the pharynx by Z-opening the palate, Zpharyngoplasty (ZPP). Twenty-four patients were studied before and after ZPP. The results of the operations were satisfactory. No patients complained of symptoms after uvulectomy. As for the changes indicated by sleep monitoring, minimum SaO 2 increased significantly (P = 0.0026), pulse rate decreased significantly (P = 0.0144), apnea index decreased significantly (P = 0.0392), snoring decreased (P = 0.064), and the amount of hours of sleep when SaO 2 was over 95% increased (P = 0.0690) after ZPP.

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Ankyloglossia with Deviation of the Epiglottis and Larynx

Cited by 27 publications

References 24 publications

Evidence of Improved Milk Intake After Frenotomy: A Case Report

Evidence of Improved Milk Intake After Frenotomy: A Case Report

Changes in Breastfeeding and of Breasts before and after Babies’ Surgeries for Ankyloglossia with Deviation of the Epiglottis and Larynx (ADEL) <br/>—Healthy Breastfeedin

Functions of the uvula and Z‐pharyngoplasty

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Ankyloglossia with Deviation of the Epiglottis and Larynx

Cited by 27 publications

References 24 publications

Evidence of Improved Milk Intake After Frenotomy: A Case Report

Evidence of Improved Milk Intake After Frenotomy: A Case Report

Changes in Breastfeeding and of Breasts before and after Babies’ Surgeries for Ankyloglossia with Deviation of the Epiglottis and Larynx (ADEL) &lt;br/&gt;—Healthy Breastfeedin

Functions of the uvula and Z‐pharyngoplasty

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Changes in Breastfeeding and of Breasts before and after Babies’ Surgeries for Ankyloglossia with Deviation of the Epiglottis and Larynx (ADEL) <br/>—Healthy Breastfeedin