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Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study.
OTO Open 2019 Jan-Mar; 3(1):2473974X19826943OO

Abstract

Ankyloglossia is a controversial topic with no standardized treatment guidelines. A retrospective chart review was conducted to identify children who underwent lingual frenulectomy for speech and language impairment. Impairment severity was recorded pre- and postoperatively as mild, mild to moderate, moderate, moderate to severe, or severe. Variables were tested with chi-square analysis for their statistical relationship to improvements in speech and language. Children with preoperative moderate and moderate-to-severe speech and language impairment attained better speech and language outcomes after frenulectomy as compared with children with mild and mild-to-moderate impairment (100% vs 82%, P = .015). Sutured closure after frenulectomy was associated with better speech and language improvements (100% vs 83%, P = .033). One could consider observation of patients with mild and mild-to-moderate speech and language impairments. Sutured closure might result in better improvements in speech and language impairments. This pilot study sheds light on the potential impact of a larger study currently underway.

Authors+Show Affiliations

College of Medicine, Drexel University, Philadelphia, Pennsylvania, USA.Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA.Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA.Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA.Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Drexel University, St Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Drexel University, St Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31236536

Citation

Daggumati, Srihari, et al. "Speech and Language Outcomes in Patients With Ankyloglossia Undergoing Frenulectomy: a Retrospective Pilot Study." OTO Open, vol. 3, no. 1, 2019, p. 2473974X19826943.
Daggumati S, Cohn JE, Brennan MJ, et al. Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study. OTO Open. 2019;3(1):2473974X19826943.
Daggumati, S., Cohn, J. E., Brennan, M. J., Evarts, M., McKinnon, B. J., & Terk, A. R. (2019). Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study. OTO Open, 3(1), p. 2473974X19826943. doi:10.1177/2473974X19826943.
Daggumati S, et al. Speech and Language Outcomes in Patients With Ankyloglossia Undergoing Frenulectomy: a Retrospective Pilot Study. OTO Open. 2019;3(1):2473974X19826943. PubMed PMID: 31236536.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study. AU - Daggumati,Srihari, AU - Cohn,Jason E, AU - Brennan,Matthew J, AU - Evarts,Marissa, AU - McKinnon,Brian J, AU - Terk,Alyssa R, Y1 - 2019/02/11/ PY - 2018/09/28/received PY - 2018/11/08/revised PY - 2019/01/08/accepted PY - 2019/6/26/entrez PY - 2019/6/27/pubmed PY - 2019/6/27/medline KW - ankyloglossia KW - frenulectomy KW - frenulum KW - pediatric otolaryngology KW - speech KW - tongue-tie SP - 2473974X19826943 EP - 2473974X19826943 JF - OTO open JO - OTO Open VL - 3 IS - 1 N2 - Ankyloglossia is a controversial topic with no standardized treatment guidelines. A retrospective chart review was conducted to identify children who underwent lingual frenulectomy for speech and language impairment. Impairment severity was recorded pre- and postoperatively as mild, mild to moderate, moderate, moderate to severe, or severe. Variables were tested with chi-square analysis for their statistical relationship to improvements in speech and language. Children with preoperative moderate and moderate-to-severe speech and language impairment attained better speech and language outcomes after frenulectomy as compared with children with mild and mild-to-moderate impairment (100% vs 82%, P = .015). Sutured closure after frenulectomy was associated with better speech and language improvements (100% vs 83%, P = .033). One could consider observation of patients with mild and mild-to-moderate speech and language impairments. Sutured closure might result in better improvements in speech and language impairments. This pilot study sheds light on the potential impact of a larger study currently underway. SN - 2473-974X UR - https://www.unboundmedicine.com/medline/citation/31236536/Speech_and_Language_Outcomes_in_Patients_with_Ankyloglossia_Undergoing_Frenulectomy:_A_Retrospective_Pilot_Study L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31236536/ DB - PRIME DP - Unbound Medicine ER -