AI Article Synopsis
- The study investigates the link between a short lingual frenulum and the risk of obstructive sleep apnea (OSA) in children, suggesting that it may lead to abnormal facial development and increased airway resistance during sleep.
- Conducted following PRISMA guidelines, the review analyzed 239 articles, ultimately synthesizing data from six studies, assessing their quality and conducting a meta-analysis.
- Findings show a significant association between a short frenulum and OSA risk, with odds ratios indicating a higher likelihood of developing sleep apnea, while also highlighting the importance of considering other factors like tongue mobility and palate shape in future research.
Article Abstract
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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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11196303 | PMC |
| http://dx.doi.org/10.1007/s11325-024-03021-4 | DOI Listing |
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