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Effectiveness of tongue-tie division for speech disorder in children.
Pediatr Int 2015; 57(2):222-6PI

Abstract

BACKGROUND

The aim of this study was to determine the effectiveness of tongue-tie division (frenuloplasty/ frenulotomy) for speech articulation disorder in children with ankyloglossia (tongue-tie).

METHODS

Articulation test was done in five children (3-8 years old) with speech problems who underwent tongue-tie division. The test consisted of 50 pictures of common Japanese words with 2-3 syllables. The patients were interviewed by a speech therapist and asked to pronounce what the picture card showed. Misarticulations of substitution, omission, and distortion were assessed. The preoperative results were compared with postoperative examinations at 1 month, 3-4 months, and 1-2 years.

RESULTS

Nineteen substitutions that were observed in four patients preoperatively decreased to 10 in three patients at 1 month, 7 in three patients at 3-4 months, and 1 in one patient at 1-2 years postoperatively. Five omissions that were observed in four patients preoperatively decreased to 3 in three patients at 1 month, 2 in two patients at 3-4 months, and 1 in one patient at 1-2 years postoperatively. Thirteen distortions that were observed in five patients preoperatively decreased to 8 in four patients at 3-4 months but increased to 11 in three patients at 1-2 years postoperatively.

CONCLUSIONS

Substitution and omission improved relatively early after tongue-tie division and progressed to distortion, which is a less-impaired form of articulation disorder. Thus, distortion required more time for improvement and remained a defective speaking habit in some patients.

Authors+Show Affiliations

Department of Pediatrics and Pediatric Surgery, International University of Health and Welfare Atami Hospital, Atami, Japan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25142274

Citation

Ito, Yasuo, et al. "Effectiveness of Tongue-tie Division for Speech Disorder in Children." Pediatrics International : Official Journal of the Japan Pediatric Society, vol. 57, no. 2, 2015, pp. 222-6.
Ito Y, Shimizu T, Nakamura T, et al. Effectiveness of tongue-tie division for speech disorder in children. Pediatr Int. 2015;57(2):222-6.
Ito, Y., Shimizu, T., Nakamura, T., & Takatama, C. (2015). Effectiveness of tongue-tie division for speech disorder in children. Pediatrics International : Official Journal of the Japan Pediatric Society, 57(2), pp. 222-6. doi:10.1111/ped.12474.
Ito Y, et al. Effectiveness of Tongue-tie Division for Speech Disorder in Children. Pediatr Int. 2015;57(2):222-6. PubMed PMID: 25142274.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of tongue-tie division for speech disorder in children. AU - Ito,Yasuo, AU - Shimizu,Toshimitsu, AU - Nakamura,Tomomi, AU - Takatama,Chie, Y1 - 2014/11/10/ PY - 2014/05/03/received PY - 2014/07/24/revised PY - 2014/07/31/accepted PY - 2014/8/22/entrez PY - 2014/8/22/pubmed PY - 2016/12/15/medline KW - ankyloglossia KW - articulation test KW - frenuloplasty KW - frenulotomy KW - tongue-tie SP - 222 EP - 6 JF - Pediatrics international : official journal of the Japan Pediatric Society JO - Pediatr Int VL - 57 IS - 2 N2 - BACKGROUND: The aim of this study was to determine the effectiveness of tongue-tie division (frenuloplasty/ frenulotomy) for speech articulation disorder in children with ankyloglossia (tongue-tie). METHODS: Articulation test was done in five children (3-8 years old) with speech problems who underwent tongue-tie division. The test consisted of 50 pictures of common Japanese words with 2-3 syllables. The patients were interviewed by a speech therapist and asked to pronounce what the picture card showed. Misarticulations of substitution, omission, and distortion were assessed. The preoperative results were compared with postoperative examinations at 1 month, 3-4 months, and 1-2 years. RESULTS: Nineteen substitutions that were observed in four patients preoperatively decreased to 10 in three patients at 1 month, 7 in three patients at 3-4 months, and 1 in one patient at 1-2 years postoperatively. Five omissions that were observed in four patients preoperatively decreased to 3 in three patients at 1 month, 2 in two patients at 3-4 months, and 1 in one patient at 1-2 years postoperatively. Thirteen distortions that were observed in five patients preoperatively decreased to 8 in four patients at 3-4 months but increased to 11 in three patients at 1-2 years postoperatively. CONCLUSIONS: Substitution and omission improved relatively early after tongue-tie division and progressed to distortion, which is a less-impaired form of articulation disorder. Thus, distortion required more time for improvement and remained a defective speaking habit in some patients. SN - 1442-200X UR - https://www.unboundmedicine.com/medline/citation/25142274/Effectiveness_of_tongue-tie_division_for_speech_disorder_in_children L2 - https://doi.org/10.1111/ped.12474 DB - PRIME DP - Unbound Medicine ER -