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Tongue-tie Repair: Z-Plasty Vs Simple Release.
Iran J Otorhinolaryngol 2015; 27(79):127-35IJ

Abstract

INTRODUCTION

Ankyloglossia is a congenital anomaly in which the lingual frenulum is unusually short and thick, thus decreasing tongue mobility. In the context of the newborn or young infant it is a subject of ongoing controversy within and between medical specialties. The controversy involves not only the definition but also the management of this anomaly. A tight lingual frenulum is considered a minor malformation by some investigators. Usual treatments for ankyloglossia include speech therapy, as well as simple frenulotomy and frenuloplasty. The aim of this study was to compare the latter two methods with respect to postoperative results and complications.

MATERIALS AND METHODS

A total of 50 patients referred for surgical care were randomly assigned into two groups: simple release (frenulotomy) or Z-plasty (frenuloplasty), and underwent a pre-surgical assessment. After 3 months, patients were followed with a scheduled interview and questionnaire comparing the outcomes of the two methods. The data were analyzed using SPSS version 18.

RESULTS

Surgery had a significant effect on all variables measured in our study (P<0.05). Z-plasty had a greater effect on articulation, breast pain, tongue movement and parent satisfaction than simple release (P<0.05). Z-plasty and simple release had the same effect on breast feeding, latching, and sucking.

CONCLUSION

Z-plasty is the preferred surgical method to address tongue-tie due to a greater improvement in mother's breast pain, pronunciation and speech, tongue movement, and parental satisfaction.

Authors+Show Affiliations

Department of Pediatric Surgery, 22 Bahman Hospital, Islamic Azad University of Mashhad, Mashhad, Iran.Department of Pediatric Surgery, 22 Bahman Hospital, Islamic Azad University of Mashhad, Mashhad, Iran.Department of Pediatric Surgery, 22 Bahman Hospital, Islamic Azad University of Mashhad, Mashhad, Iran.Clinical Fellow, Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, USA.Family Physician, 22 Bahman Hospital, Islamic Azad University of Mashhad, Mashhad, Iran.Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, Boston, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25938084

Citation

Yousefi, Jamshid, et al. "Tongue-tie Repair: Z-Plasty Vs Simple Release." Iranian Journal of Otorhinolaryngology, vol. 27, no. 79, 2015, pp. 127-35.
Yousefi J, Tabrizian Namini F, Raisolsadat SM, et al. Tongue-tie Repair: Z-Plasty Vs Simple Release. Iran J Otorhinolaryngol. 2015;27(79):127-35.
Yousefi, J., Tabrizian Namini, F., Raisolsadat, S. M., Gillies, R., Ashkezari, A., & Meara, J. G. (2015). Tongue-tie Repair: Z-Plasty Vs Simple Release. Iranian Journal of Otorhinolaryngology, 27(79), pp. 127-35.
Yousefi J, et al. Tongue-tie Repair: Z-Plasty Vs Simple Release. Iran J Otorhinolaryngol. 2015;27(79):127-35. PubMed PMID: 25938084.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tongue-tie Repair: Z-Plasty Vs Simple Release. AU - Yousefi,Jamshid, AU - Tabrizian Namini,Fariba, AU - Raisolsadat,Seyed Mohammad Ali, AU - Gillies,Rowan, AU - Ashkezari,Azar, AU - Meara,John G, PY - 2014/04/08/received PY - 2014/06/18/accepted PY - 2015/5/5/entrez PY - 2015/5/6/pubmed PY - 2015/5/6/medline KW - Management KW - Tongue-tie KW - Z-plasty SP - 127 EP - 35 JF - Iranian journal of otorhinolaryngology JO - Iran J Otorhinolaryngol VL - 27 IS - 79 N2 - INTRODUCTION: Ankyloglossia is a congenital anomaly in which the lingual frenulum is unusually short and thick, thus decreasing tongue mobility. In the context of the newborn or young infant it is a subject of ongoing controversy within and between medical specialties. The controversy involves not only the definition but also the management of this anomaly. A tight lingual frenulum is considered a minor malformation by some investigators. Usual treatments for ankyloglossia include speech therapy, as well as simple frenulotomy and frenuloplasty. The aim of this study was to compare the latter two methods with respect to postoperative results and complications. MATERIALS AND METHODS: A total of 50 patients referred for surgical care were randomly assigned into two groups: simple release (frenulotomy) or Z-plasty (frenuloplasty), and underwent a pre-surgical assessment. After 3 months, patients were followed with a scheduled interview and questionnaire comparing the outcomes of the two methods. The data were analyzed using SPSS version 18. RESULTS: Surgery had a significant effect on all variables measured in our study (P<0.05). Z-plasty had a greater effect on articulation, breast pain, tongue movement and parent satisfaction than simple release (P<0.05). Z-plasty and simple release had the same effect on breast feeding, latching, and sucking. CONCLUSION: Z-plasty is the preferred surgical method to address tongue-tie due to a greater improvement in mother's breast pain, pronunciation and speech, tongue movement, and parental satisfaction. SN - 2251-7251 UR - https://www.unboundmedicine.com/medline/citation/25938084/Tongue-tie_Repair:_Z-Plasty_Vs_Simple_Release L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25938084/ DB - PRIME DP - Unbound Medicine ER -