Is ankyloglossia associated with obstructive sleep apnea?

Bussi, Marieli Timpani; Corrêa, Camila de Castro; Cassettari, Arthur Justi; Giacomin, Lorena Torres; Faria, Ana Paula; Moreira, Ana Regina Oliveira; Magalhães, Itamá; Cunha, Mila Oliveira da; Weber, Silke Anna Theresa; Zancanella, Edilson; Júnior, Almiro José Machado

doi:10.1016/j.bjorl.2021.09.008

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…22 When tongue mobility is tethered, such as in ankyloglossia, mouth breathing can occur. 1 Improper breathing mechanics associated with mouth breathing can be associated with a decrease in diaphragm amplitude. 9 The pelvic floor and diaphragm work together during respiration and together they maintain optimal intra-abdominal pressure.…”

Section: Discussionmentioning

confidence: 99%

“…It is a congenital condition and inherited as an X-linked autosomal dominant trait. 1 The overall prevalence of ankyloglossia is 5%; however, the number varies in the literature. The prevalence is higher among certain age groups, such as infants.…”

Section: Introductionmentioning

confidence: 99%

“…Breastfeeding difficulties such as dysphagia and aspiration are the most common presentation of ankyloglossia 3. In adolescents and adults, symptoms include mouth breathing, snoring, bruxism, myofascial tension or pain in the head and neck, swallowing difficulties,4 speech and pronunciation difficulties, dental malocclusion, gingival recession,5 and sleep apnea risk 1…”

Section: Introductionmentioning

confidence: 99%

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Ankyloglossia, a Contributor to Pelvic Pain: A Case Report

Guan

2023

Journal of Women's &Amp; Pelvic Health Physical Therapy

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Background: Ankyloglossia is a congenital condition of the tongue in which the lingual frenulum is shortened, causing restrictions in the mobility of the tongue. Improper tongue mechanics have an impact on breathing, and impairments can cause a strain on the diaphragm, muscles of the head and neck, as well as the pelvic floor via the connective tissue and fascia. Evidence is largely lacking for the impact ankyloglossia has on pelvic floor function and pain. Case Description: The patient is a 31-year-old woman who reported primary dyspareunia, with significant exacerbation of symptoms postpartum. Six months after the physical therapy initial evaluation she was diagnosed with ankyloglossia, with the frenotomy performed 1 month later. Outcomes: The connective tissue restrictions, muscular restrictions, and myofascial trigger points were addressed via manual therapy. Her planned home exercise program was focused on down-training and breathing. She was initially improving at a slower rate than patients with similar symptoms and history. The first time she attempted intercourse following the frenotomy, she noticed a marked difference in her dyspareunia symptoms and her ability to relax her pelvic floor voluntarily. Discussion: The impact ankyloglossia had on the patient's pelvic floor was missed and her slow progress was attributed solely to other factors. Asking the proper patient history questions and understanding the potential impact that ankyloglossia can have on pelvic floor function can help physical therapists identify an easily missed underlying contributor for pelvic pain.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ankyloglossia, a Contributor to Pelvic Pain: A Case Report

Guan

2023

Journal of Women's &Amp; Pelvic Health Physical Therapy

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“…Changes in craniofacial growth can decrease the size of the upper airways, causing breathing disorders such as obstructive sleep apnea. The inability of the tongue to be positioned upward against the palate at rest also contributes to the development of obstructive sleep apnea associated with ankyloglossia, impairing sleep quality [17,[20][21][22]. Moreover, restriction of tongue movements can provoke articulatory disorders, leading to detrimental compensatory strategies for speech production and eating patterns [20,52].…”

Section: Consequences Of Untreated Ankyloglossiamentioning

confidence: 99%

“…Ankyloglossia has been considered a risk factor for breastfeeding difficulties [4][5][6][7][8][9][10][11][12][13][14][15][16]. Recent evidence indicates that TOTs can be also associated with whole-body consequences, such as reflux, dental malocclusion, and respiratory disorders, ultimately increasing the risk of sleep and speech disorders, and detrimental changes in posture and eating patterns [13,[17][18][19][20][21][22][23][24][25]. The prevalence of TOTs is highly variable across populations and is still a matter of ample debate.…”

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confidence: 99%

Tongue-and lip-tie beyond breastfeeding difficulties

Pereira¹

2022

Jaw funct. orthop., craniofac. growth

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The diagnosis and treatment of tethered oral tie tissues, such as ankyloglossia (tongue-tie) and lip-tie, have grown substantially. Although robust evidence indicates that these abnormal anatomic variations are associated with breastfeeding difficulties, impaired craniofacial growth, sleep, speech and posture in children, both diagnosis and treatment of oral ties remain controversial. The oral cavity displays considerable morphological variation across individuals. One of these variations includes tight, restrictive connective tissue between oral structures known as tethered oral tie tissues (TOTs). The clinical view regarding these anomalies has evolved with increasing interest not only in tongue-tie (ankyloglossia) but also in lip-tie [1-3]. Ankyloglossia has been considered a risk factor for breastfeeding difficulties [4-16]. Recent evidence indicates that TOTs can be also associated with whole-body consequences, such as reflux, dental malocclusion, and respiratory disorders, ultimately increasing the risk of sleep and speech disorders, and detrimental changes in posture and eating patterns [13, 17-25]. The prevalence of TOTs is highly variable across populations and is still a matter of ample debate. Currently, there is a lack of consensus on diagnosis criteria, best surgical treatment techniques, and pre- and post-surgery care [19, 26, 27]. Yet, the diagnosis and surgical treatment of TOTs have substantially increased in recent years [28-31]. This mini-review will summarize evidence-based data regarding the cascade of consequences of tongue-tie and lip-tie in children and the main signs and symptoms of these anomalies in newborns. It will also discuss the available evidence on treatment options for TOTs, including pre- and post-surgical care that may enable better outcomes and prevention of possible complications. For a better understanding, tongue-tie and lip-tie will be addressed separately.

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Relationship of ankyloglossia and obstructive sleep apnea: systematic review and meta-analysis

Camañes-Gonzalvo,

Montiel-Company,

Paredes-Gallardo

et al. 2024

Sleep Breath

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Purpose Recent studies have highlighted the potential role of a short lingual frenulum as a risk factor for pediatric obstructive sleep apnea syndrome. A shortened frenulum may contribute to abnormal orofacial development, leading to increased upper airway resistance and susceptibility to upper airway collapsibility during sleep. Recognizing early indicators, such as a short lingual frenulum, is crucial for prompt intervention. This systematic review aims to evaluate the association between a short lingual frenulum and the risk of obstructive sleep apnea syndrome in children. Methods This systematic review adheres to PRISMA criteria for a quantitative analysis. A comprehensive search was conducted on five databases until January 2024 to identify relevant studies. The selected articles underwent rigorous analysis, considering study design, sample characteristics, lingual frenulum characterization, sleep assessment methods, and key findings. Results A total of 239 references were initially identified. Finally, six studies were included in the qualitative synthesis, with four studies eligible for the quantitative synthesis. The Newcastle–Ottawa scale was employed to assess study quality. Meta-analysis, supported by a moderate evidence profile according to the GRADE scale, revealed statistically significant differences, with odds ratios of 3.051 (confidence interval: 1.939 to 4.801) for a short frenulum and 12.304 (confidence interval: 6.141 to 24.653) for a high-arched palate. Conclusion This systematic review and meta-analysis provide evidence supporting the association between ankyloglossia and obstructive sleep apnea in children. Nevertheless, it is crucial to consider additional factors such as tongue mobility and the presence of a high-arched palate in further evaluations.

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Is ankyloglossia associated with obstructive sleep apnea?

Cited by 8 publications

References 23 publications

Ankyloglossia, a Contributor to Pelvic Pain: A Case Report

Ankyloglossia, a Contributor to Pelvic Pain: A Case Report

Tongue-and lip-tie beyond breastfeeding difficulties

Relationship of ankyloglossia and obstructive sleep apnea: systematic review and meta-analysis

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