AI Article Synopsis
- - Ankyloglossia, or tongue-tie, is a condition where the tongue's movement is restricted due to an abnormal lingual frenulum, affecting breastfeeding, although its impact is not well understood.
- - A study reviewed 341 patients diagnosed with ankyloglossia, finding that 94% had anterior ankyloglossia, which is more common and easier to treat, while 6% had the rarer posterior type, leading to higher revision rates.
- - Overall, posterior ankyloglossia is often overlooked and can cause breastfeeding issues, but a simple procedure called frenotomy has been shown to effectively improve outcomes for affected patients.
Article Abstract
Introduction: Ankyloglossia is a congenital condition in which tongue mobility is limited due to an abnormality of the lingual frenulum. The impact of ankyloglossia on breastfeeding is poorly understood but there is a recent trend toward more recognition of this condition and early intervention when needed. Currently, there lacks clear definition of ankyloglossia and different subtypes have been proposed with no clinical correlation.
Objective: To determine the prevalence of anterior versus posterior ankyloglossia in a large series of consecutive patients and to assess clinical outcomes after frenotomy.
Methods: Retrospective chart review of patients from July 2007 to July 2009 who were diagnosed with ankyloglossia and underwent office frenotomy. Baseline characteristics, specific feeding issues, type of ankyloglossia, and clinical outcomes after frenotomy were reviewed.
Results: Of the 341 total patients, 322 (94%) had anterior ankyloglossia and 19 (6%) had posterior ankyloglossia. Median age at presentation was 2.7 weeks (range 1 day of life to 24 weeks); 227 were males and 114 were females. Revision frenotomy rates were significantly higher for the posterior ankyloglossia group (3.7% anterior and 21.1% posterior, p=0.008).
Conclusion: Anterior ankyloglossia is much more common and readily managed when compared to posterior ankyloglossia. Posterior ankyloglossia is a poorly recognized condition that may contribute to breastfeeding difficulties. The diagnosis is difficult due to the subtle clinical findings but relevant health care providers should be aware of this condition. Frenotomy is a simple, safe, and effective intervention for ankyloglossia which improves breastfeeding.
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| http://dx.doi.org/10.1016/j.ijporl.2010.05.025 | DOI Listing |
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