Lacking Consensus: The Management of Ankyloglossia in Children

Ghaheri, Bobak A.; Tylor, Dale A; Zaghi, Soroush

doi:10.1177/0194599820937299

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Of note, conducting sham-controlled randomized trials for tongue-tie represents a significant research challenge, as sham frenotomy can be considered an unethical procedure. The replacement of randomized evidence with evidence from observational studies has been suggested as a way to overcome such ethical issues [63,64]. Overall, a large body of observational evidence indicates that frenotomy is associated with significant improvements in breastfeeding in about 50-79 % of newborns.…”

Section: Treatmentmentioning

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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Section: Treatmentmentioning

confidence: 99%

Tongue-and lip-tie beyond breastfeeding difficulties

Pereira¹

2022

Jaw funct. orthop., craniofac. growth

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“…Além disso, os estudos até o momento, em relação aos efeitos em longo prazo, não são claros sobre as taxas de amamentação para bebês submetidos à frenotomia. A falta de consenso reflete lacunas de conhecimento e falta de evidências sobre o diagnóstico, manejo e tratamento da AQL (Ghaheri, et al, 2020;Messner et al, 2020;Solis-Pazmino et al, 2020;Wongwattana, 2022).…”

Section: Introductionunclassified

Anquiloglossia e frenotomia lingual em neonatos: protocolo de revisão de escopo

Zander

Kluthcovsky²,

Amaral³

et al. 2023

RSD

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Este artigo apresenta o protocolo de revisão de escopo acerca dos métodos de avaliação da anquiloglossia em neonatos submetidos a cirurgia de frenotomia, nos últimos cinco anos, com foco nos protocolos diagnósticos para decisão de intervenção cirúrgica, resultados pós-operatórios da frenotomia lingual e períodos de proservação. O protocolo tem como objetivo documentar os processos afetos ao planejamento e condução metodológica de uma extensão revisão de escopo, orientado pelas diretrizes do Joanna Briggs Institute (JBI). O protocolo da revisão foi elaborado seguindo os itens do PRISMA Extension for Scopings Reviews (PRISMA-ScR): Checklist and Explanation. O mesmo foi registrado no Open Science Framework.

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Lacking Consensus: The Management of Ankyloglossia in Children

Cited by 2 publications

References 5 publications

Tongue-and lip-tie beyond breastfeeding difficulties

Tongue-and lip-tie beyond breastfeeding difficulties

Anquiloglossia e frenotomia lingual em neonatos: protocolo de revisão de escopo

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