Congenital Ankyloglossia with Deviation of the Epiglottis and Larynx: Symptoms and Respiratory Function in Adults

Mukai, Susumu; Mukai, Chikako; Asaoka, Kazuyuki

doi:10.1177/000348949310200810

Cited by 23 publications

(18 citation statements)

References 9 publications

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“…Others feel that ankyloglossia may lead to a host of problems. These problems include infant breast-feeding because of difficulties with appropriate seal 10 -15 ; dyspnea from forward dislocation of the epiglottis and larynx 16,17 ; speech problems 4,18 ; and various mechanical and social issues such as inability to lick lips, maintain oral hygiene, play a wind instrument, and French kiss. 19,20 Of these, the most significant concern is speech and articulation problems related to poor tongue-tip mobility.…”

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confidence: 99%

Improved Ankyloglossia Correction With Four-Flap Z-Frenuloplasty

Heller

Gabbay

O’Hara

et al. 2005

Annals of Plastic Surgery

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Ankyloglossia, or tongue-tie, is the result of a short, tight, lingual frenulum causing tethering of the tongue tip. Although most cases resolve or are asymptomatic, some patients develop articulation problems and other concerns related to poor tongue-tip mobility. In this study, we evaluated the treatment of patients greater than 3 years of age with persistent articulation problems related to ankyloglossia (n = 16). All patients underwent surgical correction either via a novel application of the 4-flap Z-frenuloplasty (n = 11) or via the more traditional horizontal-to-vertical frenuloplasty (n = 5). Frenulum length, tongue protrusion length, and speech evaluations (4-grade scaling) were documented preoperatively and at follow-up. For the 4-flap Z-frenuloplasty, 91% of patients showed at least 2 orders of improvement in speech, 64% showed complete resolution of articulation errors, and 9% demonstrated no improvement in speech. Frenulum length and tongue protrusion gained 37.5 +/- 13.5 mm (P< 0.001) (315% increase) and 36.2 +/- 7.6 mm (P < 0.001), respectively. In contrast, with the horizontal-to-vertical frenuloplasty, only 40% showed 1 order of improvement in speech, and 60% had no change in articulation. Frenulum length and tongue protrusion gained 11.2 +/- 4.15 mm (98% increase) and 13.2 +/- 2.6 mm (P = 0.0003), respectively. Our data indicated that the 4-flap Z-frenuloplasty was superior to the horizontal to vertical frenuloplasty with respect to tongue lengthening, protrusion, and articulation improvement for patients with symptomatic ankyloglossia.

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mentioning

confidence: 99%

Improved Ankyloglossia Correction With Four-Flap Z-Frenuloplasty

Heller

Gabbay

O’Hara

et al. 2005

Annals of Plastic Surgery

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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%

“…Ankyloglossia with deviation of the epiglottis and larynx (ADEL) was named for these conditions instead mere ankyloglossia [6]- [11]. Correction of the glosso-larynx (CGL) and expansion of the vestibular oris (EVO) were employed to cure ADEL [12]- [15].…”

Section: Introductionmentioning

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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Congenital Ankyloglossia with Deviation of the Epiglottis and Larynx: Symptoms and Respiratory Function in Adults

Cited by 23 publications

References 9 publications

Improved Ankyloglossia Correction With Four-Flap Z-Frenuloplasty

Improved Ankyloglossia Correction With Four-Flap Z-Frenuloplasty

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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Congenital Ankyloglossia with Deviation of the Epiglottis and Larynx: Symptoms and Respiratory Function in Adults

Cited by 23 publications

References 9 publications

Improved Ankyloglossia Correction With Four-Flap Z-Frenuloplasty

Improved Ankyloglossia Correction With Four-Flap Z-Frenuloplasty

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