Prevalence of ankyloglossia according to different assessment tools

Cruz, Poliana Valdelice; Souza-Oliveira, Ana Clara; Notaro, Sarah Queiroz; Occhi-Alexandre, Ingrid Gomes Perez; Maia, Raiane Machado; Canto, Graziela De Luca; Bendo, Cristiane Baccin; Martins, Carolina Castro

doi:10.1016/j.adaj.2022.07.011

Cited by 15 publications

(23 citation statements)

References 58 publications

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“…10,28 However, it should be noted that these estimates are based on the results of studies published in the early 2000s and do not necessarily reflect current healthcare practice; more recent estimates of TT in infants range from 2% to 20% depending on the assessment tool used. 11 The importance of providing multidisciplinary, wraparound services for mother-infant dyads who are experiencing breastfeeding difficulties due to TT cannot be overstated. The majority of infants referred for evaluation in our study were diagnosed with TT; however, the number of referrals was lower than expected, and not all babies required frenotomy.…”

Section: Discussionmentioning

confidence: 99%

“…2,18 The choice of tool is an important one since it can have a direct impact on the identified prevalence of TT in a population. 11 We became interested in studying the epidemiology of TT in breastfeeding infants because of clinical experience, low provincial exclusivity rates at six months, and a desire to support breastfeeding families in our Canadian province. Breastfeeding initiation rates increased in our province from 64% in 2007 to 76% in 2017; however, exclusive breastfeeding to 6 months remains low at 15%.…”

Section: Introductionmentioning

confidence: 99%

“…The use of inconsistent diagnostic criteria and continued debate on this topic has likely contributed to the wide variation in the reported prevalence of TT where population‐based estimates range from 4% to 11% 9,10 . Furthermore, the overall prevalence of TT is directly influenced by the tool used for diagnosis 11 . Increases in support for breastfeeding initiation and the Baby Friendly Hospital Initiative may have contributed in a substantial way to the increased rates of TT diagnosis in Canada and beyond 12 .…”

Section: Introductionmentioning

confidence: 99%

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A cross‐sectional study of breastfed infants referred for tongue tie assessment and frenotomy in one Canadian health region

Lee,

Bishop,

Drover

et al. 2024

Pediatric Investigation

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ImportanceTongue tie (TT) is a condition that can cause infant feeding difficulties due to restricted tongue movement. When TT presents as a significant barrier to breastfeeding, a frenotomy may be recommended. Universally accepted diagnostic criteria for TT are lacking and wide prevalence estimates are reported. New referral processes and a Frenotomy Assessment Tool were implemented in one Canadian health region to connect breastfeeding dyads with a provider for TT evaluation and frenotomy.ObjectiveTo determine the proportion of babies with TT as well as the frequency of frenotomy.MethodsThis cross‐sectional study included infants who initiated breastfeeding at birth and were referred for TT evaluation over a 14‐month period. Data were collected retrospectively by chart review and analyzed using SPSS. Factors associated with frenotomy were examined using logistic regression.ResultsTwo hundred and forty‐one babies were referred. Ninety‐two percent (n = 222) were diagnosed with TT and 66.0% (n = 159) underwent frenotomy. In the multivariate model, nipple pain/trauma, inability to latch, inability to elevate tongue, and dimpling of tongue on extension were associated with frenotomy (P < 0.05). Most referrals in our region resulted in a diagnosis of TT; however, the number of referrals was lower than expected, and of these two‐thirds underwent frenotomy.InterpretationTT is a relatively common finding among breastfed infants. Future research should examine whether a simplified assessment tool containing the four items associated with frenotomy in our multivariate model can identify breastfed infants with TT who require frenotomy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A cross‐sectional study of breastfed infants referred for tongue tie assessment and frenotomy in one Canadian health region

Lee,

Bishop,

Drover

et al. 2024

Pediatric Investigation

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“…The prevalence is higher among certain age groups, such as infants. 2 Proper mobility of the tongue is required for speech, mastication, swallowing, oral hygiene, and breathing. Impairments to the mobility of the tongue will lead to challenges in holding the tongue in place and allow it to fall back onto the pharynx.…”

Section: Introductionmentioning

confidence: 99%

“…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 2. Proper mobility of the tongue is required for speech, mastication, swallowing, oral hygiene, and breathing.…”

Section: Introductionmentioning

confidence: 99%

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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