Defining Tip–Frenulum Length for Ankyloglossia and Its Impact on Breastfeeding: A Prospective Cohort Study

Walker, Ryan; Messing, Susan; Rosen-Carole, Casey; Benoit, Margo McKenna

doi:10.1089/bfm.2017.0116

Cited by 16 publications

(31 citation statements)

References 18 publications

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“…These findings demonstrated that tongue elevation is the position that allows for the best observation of the shape of the tip of the tongue, being possible to identify, more accurately, the presence of V-shaped or heart-shaped tip in subjects with ankyloglossia. Thus, those findings agree with proposals of most assessment tools 5,6,8,[12][13][14][17][18][19][20][21][22][31][32][33] .…”

Section: Discussionsupporting

confidence: 88%

“…Several lingual frenulum assessment tools for infants, children, adolescents, and adults have been published by professionals, such as dentists, lactation consultants, midwives, speech-language pathologists [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] .…”

Section: Introductionmentioning

confidence: 99%

“…Most authors recommend tongue elevation for diagnosing ankyloglossia [5][6]8,[12][13][14][17][18][19][20][21][22] . A few authors propose tongue protrusion for assessing the lingual frenulum 7,11,15 .…”

Section: Introductionmentioning

confidence: 99%

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Tongue position for lingual frenulum assessment

Martinelli¹,

Marchesan²,

Berretin-Felix

2020

Rev. CEFAC

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Purpose: to compare the movements of elevation and protrusion of the tongue in order to determine which position provides better lingual frenulum assessment. Methods: a database of 92 audiovisual recordings of subjects over six-years of age diagnosed with ankyloglossia was used to verify the shape of the tip of the tongue during tongue elevation and protrusion. The Chi-Square Test for Proportion was applied to verify possible differences between the postures of elevation and protrusion. The significance level of 5% (p<0.05) was adopted. Results: the statistical analysis demonstrated that both shapes, i.e., the V-shaped one and the heart-shaped one are more visible during tongue elevation than during tongue protrusion. Conclusion: elevation is the position that allows the best observation of the shape of the tip of the tongue.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

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Tongue position for lingual frenulum assessment

Martinelli¹,

Marchesan²,

Berretin-Felix

2020

Rev. CEFAC

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“…Still others feel that it does not exist as an anatomic entity and that the term ''posterior ankyloglossia'' should be abandoned. [17][18][19][20][21][22][23][24] Figure 1 shows an example of anterior versus possible posterior ankyloglossia.…”

Section: Ankyloglossia (General)mentioning

confidence: 99%

Clinical Consensus Statement: Ankyloglossia in Children

Messner

Walsh

Rosenfeld

et al. 2020

Otolaryngol.--head neck surg.

157

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Objective To identify and seek consensus on issues and controversies related to ankyloglossia and upper lip tie in children by using established methodology for American Academy of Otolaryngology–Head and Neck Surgery clinical consensus statements. Methods An expert panel of pediatric otolaryngologists was assembled with nominated representatives of otolaryngology organizations. The target population was children aged 0 to 18 years, including breastfeeding infants. A modified Delphi method was used to distill expert opinion into clinical statements that met a standardized definition of consensus, per established methodology published by the American Academy of Otolaryngology–Head and Neck Surgery. Results After 3 iterative Delphi method surveys of 89 total statements, 41 met the predefined criteria for consensus, 17 were near consensus, and 28 did not reach consensus. The clinical statements were grouped into several categories for the purposes of presentation and discussion: ankyloglossia (general), buccal tie, ankyloglossia and sleep apnea, ankyloglossia and breastfeeding, frenotomy indications and informed consent, frenotomy procedure, ankyloglossia in older children, and maxillary labial frenulum. Conclusion This expert panel reached consensus on several statements that clarify the diagnosis, management, and treatment of ankyloglossia in children 0 to 18 years of age. Lack of consensus on other statements likely reflects knowledge gaps and lack of evidence regarding the diagnosis, management, and treatment of ankyloglossia. Expert panel consensus may provide helpful information for otolaryngologists treating patients with ankyloglossia.

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“…A literatura científica aponta para controvérsias a respeito do correto diagnóstico de alterações na anatomia do freio lingual, denominado anquiloglossia, e dificuldades na padronização de protocolos eficazes e de fácil aplicação pelos profissionais da área da saúde 7,15,16 . Segundo Martinelli (2015), 17 diagnosticar e diferenciar as variações anatômicas do freio lingual requer conhecimento bastante aprofundado da anatomia da língua e das áreas adjacentes para identificar se os achados anatômicos podem comprometer a movimentação da língua e, consequentemente, as funções orais.…”

Section: Discussionunclassified

Conhecimento Dos Profissionais Da Saúde Sobre O Diagnóstico E Conduta Para Anquiloglossia Em Bebês

et al. 2019

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O estudo avaliou o conhecimento de profissionais da área de saúde, sobre o diagnóstico e conduta clínica para o tratamento da anquiloglossia em bebês. A amostra (n=84) foi dividida em: G1 (46 médicos da ESF); G2 (13 pediatras); G3 (5 fonoaudiólogas) e G4 (20 dentistas da ESF), que responderam ao questionário (dados pessoais e aplicação do protocolo de avaliação do freio lingual, preconizado por Martinelli et al. (2012)6. Um total de 21 profissionais responderam adequadamente o questionário sendo estes 66,6% do gênero feminino, com idade média de 46,4±12,5 anos de modo que 80,9% já receberam pacientes com queixa de anquiloglossia. Quanto à obrigatoriedade do teste da linguinha constatou-se que o Grupo 1 apresentou menor grau de informação (57,1%) comparado ao Grupo 4 (21,4%), no entanto 57,1% dos profissionais avaliados não o fazem rotineiramente. Referente ao protocolo, nos itens 1, 2 e 3, três profissionais (14,2%) assinalaram figuras com diagnóstico correto (G1 e G3); em relação ao item 4, dez profissionais (47,6%) pontuaram corretamente. Conclui-se que houve grande desconhecimento quanto à obrigatoriedade do teste da linguinha e dificuldade no correto diagnóstico de anquiloglossia em bebês.

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Defining Tip–Frenulum Length for Ankyloglossia and Its Impact on Breastfeeding: A Prospective Cohort Study

Cited by 16 publications

References 18 publications

Tongue position for lingual frenulum assessment

Tongue position for lingual frenulum assessment

Clinical Consensus Statement: Ankyloglossia in Children

Conhecimento Dos Profissionais Da Saúde Sobre O Diagnóstico E Conduta Para Anquiloglossia Em Bebês

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