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Improved ankyloglossia correction with four-flap Z-frenuloplasty.
Ann Plast Surg 2005; 54(6):623-8AP

Abstract

Ankyloglossia, or tongue-tie, is the result of a short, tight, lingual frenulum causing tethering of the tongue tip. Although most cases resolve or are asymptomatic, some patients develop articulation problems and other concerns related to poor tongue-tip mobility. In this study, we evaluated the treatment of patients greater than 3 years of age with persistent articulation problems related to ankyloglossia (n = 16). All patients underwent surgical correction either via a novel application of the 4-flap Z-frenuloplasty (n = 11) or via the more traditional horizontal-to-vertical frenuloplasty (n = 5). Frenulum length, tongue protrusion length, and speech evaluations (4-grade scaling) were documented preoperatively and at follow-up. For the 4-flap Z-frenuloplasty, 91% of patients showed at least 2 orders of improvement in speech, 64% showed complete resolution of articulation errors, and 9% demonstrated no improvement in speech. Frenulum length and tongue protrusion gained 37.5 +/- 13.5 mm (P < 0.001) (315% increase) and 36.2 +/- 7.6 mm (P < 0.001), respectively. In contrast, with the horizontal-to-vertical frenuloplasty, only 40% showed 1 order of improvement in speech, and 60% had no change in articulation. Frenulum length and tongue protrusion gained 11.2 +/- 4.15 mm (98% increase) and 13.2 +/- 2.6 mm (P = 0.0003), respectively. Our data indicated that the 4-flap Z-frenuloplasty was superior to the horizontal to vertical frenuloplasty with respect to tongue lengthening, protrusion, and articulation improvement for patients with symptomatic ankyloglossia.

Authors+Show Affiliations

Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15900148

Citation

Heller, Justin, et al. "Improved Ankyloglossia Correction With Four-flap Z-frenuloplasty." Annals of Plastic Surgery, vol. 54, no. 6, 2005, pp. 623-8.
Heller J, Gabbay J, O'Hara C, et al. Improved ankyloglossia correction with four-flap Z-frenuloplasty. Ann Plast Surg. 2005;54(6):623-8.
Heller, J., Gabbay, J., O'Hara, C., Heller, M., & Bradley, J. P. (2005). Improved ankyloglossia correction with four-flap Z-frenuloplasty. Annals of Plastic Surgery, 54(6), pp. 623-8.
Heller J, et al. Improved Ankyloglossia Correction With Four-flap Z-frenuloplasty. Ann Plast Surg. 2005;54(6):623-8. PubMed PMID: 15900148.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improved ankyloglossia correction with four-flap Z-frenuloplasty. AU - Heller,Justin, AU - Gabbay,Joubin, AU - O'Hara,Catherine, AU - Heller,Misha, AU - Bradley,James P, PY - 2005/5/19/pubmed PY - 2005/10/7/medline PY - 2005/5/19/entrez SP - 623 EP - 8 JF - Annals of plastic surgery JO - Ann Plast Surg VL - 54 IS - 6 N2 - Ankyloglossia, or tongue-tie, is the result of a short, tight, lingual frenulum causing tethering of the tongue tip. Although most cases resolve or are asymptomatic, some patients develop articulation problems and other concerns related to poor tongue-tip mobility. In this study, we evaluated the treatment of patients greater than 3 years of age with persistent articulation problems related to ankyloglossia (n = 16). All patients underwent surgical correction either via a novel application of the 4-flap Z-frenuloplasty (n = 11) or via the more traditional horizontal-to-vertical frenuloplasty (n = 5). Frenulum length, tongue protrusion length, and speech evaluations (4-grade scaling) were documented preoperatively and at follow-up. For the 4-flap Z-frenuloplasty, 91% of patients showed at least 2 orders of improvement in speech, 64% showed complete resolution of articulation errors, and 9% demonstrated no improvement in speech. Frenulum length and tongue protrusion gained 37.5 +/- 13.5 mm (P < 0.001) (315% increase) and 36.2 +/- 7.6 mm (P < 0.001), respectively. In contrast, with the horizontal-to-vertical frenuloplasty, only 40% showed 1 order of improvement in speech, and 60% had no change in articulation. Frenulum length and tongue protrusion gained 11.2 +/- 4.15 mm (98% increase) and 13.2 +/- 2.6 mm (P = 0.0003), respectively. Our data indicated that the 4-flap Z-frenuloplasty was superior to the horizontal to vertical frenuloplasty with respect to tongue lengthening, protrusion, and articulation improvement for patients with symptomatic ankyloglossia. SN - 0148-7043 UR - https://www.unboundmedicine.com/medline/citation/15900148/Improved_ankyloglossia_correction_with_four_flap_Z_frenuloplasty_ L2 - http://dx.doi.org/10.1097/01.sap.0000157917.91853.be DB - PRIME DP - Unbound Medicine ER -