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Caregiver perception of speech quality in patients with ankyloglossia: Comparison between surgery and non-treatment.

Abstract

OBJECTIVES

Our objective was to determine if there are differences in caregiver perception of speech for patients that undergo frenulectomy compared to patients that were not surgically treated.

INTRODUCTION

Ankyloglossia is a controversial topic without standardized treatment guidelines. Although there have been several studies suggesting that breastfeeding does improve after frenulectomy, there is a paucity of literature that investigates the relationship between ankyloglossia and speech.

METHODS

A retrospective chart review was conducted to identify patients with ankyloglossia. Patients were categorized into surgical treatment (frenulectomy) and non-treatment groups. Caregivers of both groups were contacted by phone and surveyed on speech quality and tongue mobility using Likert scores. Mann Whitney-U testing was used to determine if there were significant differences in perceived speech quality between the surgical and non-surgical groups.

RESULTS

The caregivers of seventy-seven patients participated in the phone survey: 46 (60%) children in the surgical group and 31 (40%) children in the non-surgical group who participated in the phone survey. There were no differences in difficulty with speech (p = 0.484) and tongue mobility (p = 0.064) between the two groups. However, patients that underwent surgical intervention for ankyloglossia reported less difficulty with tongue tasks (p < 0.001) compared to those who were not surgically treated. Additionally, 50% of patients that underwent surgery had a documented family history of ankyloglossia which was significantly higher than 16.1% in the non-surgical group (p = 0.002).

CONCLUSIONS

It appears that children with ankyloglossia might have similar speech quality following frenulectomy in comparison to speech quality without treatment. Children who undergo frenulectomy may experience improvements in tongue tasks. This data should encourage further research on the management of speech concerns in children with ankyloglossia.

Authors+Show Affiliations

Drexel University College of Medicine, 2900 W. Queen Lane, Philadelphia, PA, 19129, USA. Electronic address: sd857@drexel.edu.Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Line Avenue, Philadelphia, PA, 19131, USA. Electronic address: jasoncoh@pcom.edu.Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Line Avenue, Philadelphia, PA, 19131, USA. Electronic address: mb173848@pcom.edu.Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Line Avenue, Philadelphia, PA, 19131, USA. Electronic address: marissaev@pcom.edu.Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, St. Christopher's Hospital for Children, 160 E. Erie Avenue, Philadelphia, PA, 19134, USA. Electronic address: bmckinnon@phillyent.com.Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, St. Christopher's Hospital for Children, 160 E. Erie Avenue, Philadelphia, PA, 19134, USA. Electronic address: at636@drexel.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30677630

Citation

Daggumati, Srihari, et al. "Caregiver Perception of Speech Quality in Patients With Ankyloglossia: Comparison Between Surgery and Non-treatment." International Journal of Pediatric Otorhinolaryngology, vol. 119, 2019, pp. 70-74.
Daggumati S, Cohn JE, Brennan MJ, et al. Caregiver perception of speech quality in patients with ankyloglossia: Comparison between surgery and non-treatment. Int J Pediatr Otorhinolaryngol. 2019;119:70-74.
Daggumati, S., Cohn, J. E., Brennan, M. J., Evarts, M., McKinnon, B. J., & Terk, A. R. (2019). Caregiver perception of speech quality in patients with ankyloglossia: Comparison between surgery and non-treatment. International Journal of Pediatric Otorhinolaryngology, 119, pp. 70-74. doi:10.1016/j.ijporl.2019.01.019.
Daggumati S, et al. Caregiver Perception of Speech Quality in Patients With Ankyloglossia: Comparison Between Surgery and Non-treatment. Int J Pediatr Otorhinolaryngol. 2019;119:70-74. PubMed PMID: 30677630.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Caregiver perception of speech quality in patients with ankyloglossia: Comparison between surgery and non-treatment. AU - Daggumati,Srihari, AU - Cohn,Jason E, AU - Brennan,Matthew J, AU - Evarts,Marissa, AU - McKinnon,Brian J, AU - Terk,Alyssa R, Y1 - 2019/01/18/ PY - 2018/10/27/received PY - 2019/01/15/revised PY - 2019/01/15/accepted PY - 2019/1/25/pubmed PY - 2019/5/1/medline PY - 2019/1/25/entrez KW - Ankyloglossia KW - Frenulectomy KW - Frenulum KW - Pediatric otolaryngology KW - Speech KW - Tongue tie SP - 70 EP - 74 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 119 N2 - OBJECTIVES: Our objective was to determine if there are differences in caregiver perception of speech for patients that undergo frenulectomy compared to patients that were not surgically treated. INTRODUCTION: Ankyloglossia is a controversial topic without standardized treatment guidelines. Although there have been several studies suggesting that breastfeeding does improve after frenulectomy, there is a paucity of literature that investigates the relationship between ankyloglossia and speech. METHODS: A retrospective chart review was conducted to identify patients with ankyloglossia. Patients were categorized into surgical treatment (frenulectomy) and non-treatment groups. Caregivers of both groups were contacted by phone and surveyed on speech quality and tongue mobility using Likert scores. Mann Whitney-U testing was used to determine if there were significant differences in perceived speech quality between the surgical and non-surgical groups. RESULTS: The caregivers of seventy-seven patients participated in the phone survey: 46 (60%) children in the surgical group and 31 (40%) children in the non-surgical group who participated in the phone survey. There were no differences in difficulty with speech (p = 0.484) and tongue mobility (p = 0.064) between the two groups. However, patients that underwent surgical intervention for ankyloglossia reported less difficulty with tongue tasks (p < 0.001) compared to those who were not surgically treated. Additionally, 50% of patients that underwent surgery had a documented family history of ankyloglossia which was significantly higher than 16.1% in the non-surgical group (p = 0.002). CONCLUSIONS: It appears that children with ankyloglossia might have similar speech quality following frenulectomy in comparison to speech quality without treatment. Children who undergo frenulectomy may experience improvements in tongue tasks. This data should encourage further research on the management of speech concerns in children with ankyloglossia. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/30677630/Caregiver_perception_of_speech_quality_in_patients_with_ankyloglossia:_Comparison_between_surgery_and_non_treatment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(19)30030-8 DB - PRIME DP - Unbound Medicine ER -