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501 results
  • Primum non nocere: lingual frenotomy for breastfeeding problems, not as innocent as generally accepted. [Review]
    Eur J Pediatr. 2020 Jun 06 [Online ahead of print]Van Biervliet S, Van Winckel M, … D'Hondt M
  • CONCLUSIONS: This narrative review aims to give an overview of current knowledge and concerns regarding the tongue-tie, which need to be considered before referral for a frenotomy.What is Known:• The presence of a tongue-tie is associated with a higher frequency of breastfeeding problems.• Hence, frenotomy is advocated and increasingly performed in infants with breastfeeding problems. Current tongue-tie classifications do not allow to predict breastfeeding problems.What is New:• New anatomy insights caution for possible complications resulting from this seemingly innocent practice of frenotomy.• Frenotomy should only be performed after multidisciplinary evaluation of feeding problems, following exclusion and remediation of other causative factors.
  • Ankyloglossia: Update on Trends in Diagnosis and Management in the United States, 2012-2016. [Journal Article]
    Otolaryngol Head Neck Surg. 2020 May 19 [Online ahead of print]Wei EX, Tunkel D, … Walsh J
  • Ankyloglossia, or "tongue-tie," refers to limited tongue mobility caused by a restrictive lingual frenulum. Previous studies have demonstrated rapid increases in diagnosis and treatment of ankyloglossia in the United States up to 2012. We performed an updated retrospective review of data from the National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcar…
  • Geometric model to predict improvement after lingual frenulectomy for ankyloglossia. [Journal Article]
    Int J Pediatr Otorhinolaryngol. 2020 Jul; 134:110063.Briddell JW, Vandjelovic ND, … Reilly JS
  • CONCLUSIONS: Lingual frenulectomy has subjectively been reported to improve lingual tongue movement. Our mathematical model identifies multiple anatomic variables that lead to an increase in tongue extension after frenulectomy. Our model is the first step in supporting this subjective improvement with quantifiable measurements, and can allow for future validation studies.
  • Speech production in young children with tongue-tie. [Journal Article]
    Int J Pediatr Otorhinolaryngol. 2020 Jul; 134:110035.Salt H, Claessen M, … Smart S
  • CONCLUSIONS: This study provides preliminary evidence of no difference between tongue mobility and speech outcomes in young children with or without intervention for tongue-tie during infancy. This study assists with clinical decision making and makes recommendations for families not to proceed with surgical intervention for tongue-tie during infancy, for the sole outcome of improving speech production later in life.
  • Clinical Consensus Statement: Ankyloglossia in Children. [Journal Article]
    Otolaryngol Head Neck Surg. 2020 May; 162(5):597-611.Messner AH, Walsh J, … Satterfield L
  • CONCLUSIONS: This expert panel reached consensus on several statements that clarify the diagnosis, management, and treatment of ankyloglossia in children 0 to 18 years of age. Lack of consensus on other statements likely reflects knowledge gaps and lack of evidence regarding the diagnosis, management, and treatment of ankyloglossia. Expert panel consensus may provide helpful information for otolaryngologists treating patients with ankyloglossia.
  • Maxillary Frenulum in Newborns: Association with Breastfeeding. [Journal Article]
    Otolaryngol Head Neck Surg. 2020 Jun; 162(6):954-958.Razdan R, Callaham S, … Carr MM
  • CONCLUSIONS: We did not find that maxillary frenulum configuration correlated with LATCH scores. Mothers experienced with breastfeeding had better LATCH scores. Attention toward breastfeeding education, particularly in new mothers, should precede maxillary frenotomy in neonates with breastfeeding difficulties.
  • Modest benefit of frenotomy for infants with ankyloglossia and breastfeeding difficulties. [Journal Article]
    Int J Pediatr Otorhinolaryngol. 2020 Jun; 133:109985.Bundogji N, Zamora S, … Jiang W
  • CONCLUSIONS: This prospective study demonstrated that frenotomy had a modestly positive effect on breastfeeding ability from the mother's perspective in infants referred for ankyloglossia. It is important to educate patients on the multi-factorial nature of breastfeeding and to set realistic expectations prior to recommending the procedure.
  • Tongue-tied: a case of magnetic balls constricting the lingual frenum. [Case Reports]
    Quintessence Int. 2020; 51(2):152-154.Merbold KH, Buchanan GD, Gamieldien MY
  • The health risks associated with aspiration and ingestion of foreign bodies in children are well known. The increased availability of magnetic toys have added to these risks. A 7-year-old girl presented at the Department of Maxillofacial and Oral Surgery at the University of Pretoria Oral and Dental Hospital with a complaint of pain under the tongue. Examination revealed that magnetic balls had b…
  • Characteristics and considerations for children with ankyloglossia undergoing frenulectomy for dysphagia and aspiration. [Journal Article]
    Am J Otolaryngol. 2020 May - Jun; 41(3):102393.Buck LS, Frey H, … Carron JD
  • CONCLUSIONS: Symptomatic ankyloglossia is more common in boys. Two age groups typically present for frenulectomy, infants for feeding difficulties and toddlers/preschoolers for speech related difficulties. Children with aspiration may benefit from frenulectomy, though aspiration is unlikely to resolve if other comorbidities are present. Proper evaluation and documentation of anatomy and functional tongue movement is important for future studies and decision-making regarding frenulectomy.
  • Speaking in Tongues: What Parents Really Think About Tongue-Tie Surgery for Their Infants. [Journal Article]
    Clin Pediatr (Phila). 2020 Mar; 59(3):236-244.Ray S, Hairston TK, … Walsh J
  • We evaluate maternal perspectives of frenotomy for ankyloglossia in newborns. We searched highly frequented forums like for comments related to frenotomy posted from 2012 to 2017. We applied modified grounded theory, reviewed posts for thematic synthesis, and calculated frequencies for each theme. High decisional conflict, low discussion of surgical complications, and an overall mo…
  • Dental changes in children with congenital Zika syndrome. [Journal Article]
    Oral Dis. 2020 Mar; 26(2):457-464.Gusmão TPL, Faria ABS, … Leão JC
  • CONCLUSIONS: CZS may present delayed chronology of eruption, ankyloglossia, ogival-shaped palate, and enamel hypoplasia, requiring dental follow-up aimed at prevention, promotion, and rehabilitation of the health of these children.
  • Early Detection and Management of Prader-Willi Syndrome in Egyptian Patients. [Journal Article]
    J Pediatr Genet. 2019 Dec; 8(4):179-186.El-Bassyouni HT, Hassan N, … Tosson AMS
  • Prader-Willi syndrome (PWS) is a distinct neurodevelopmental disorder associated with the deletion within the chromosomal 15q11-q13 region or uniparental disomy of chromosome 15. The etiologic heterogeneity of PWS makes it very difficult to establish uniform diagnostic methods which would result in the detection of most affected individuals. The objective was to report the clinical criteria and o…
  • Goldenhar Syndrome in a Young Girl. [Case Reports]
    J Coll Physicians Surg Pak. 2019 Nov; 29(11):1108-1110.Kadakia N, Waghmare M, … Manoj R
  • Goldenhar or oculo-auriculo-vertebral (OAV) syndrome is a congenital disorder that is usually apparent at birth. Sometimes, its diagnosis can be delayed and it is first diagnosed in adolescents or adults. We present a case of an 18-year girl who presented with chief complaint of multiple carious teeth and was found to have abnormal facies. On examination, it was found that the patient had asymmet…
  • A Retrospective Cohort Study of Safety Outcomes in New Zealand Infants Exposed to Tdap Vaccine in Utero. [Journal Article]
    Vaccines (Basel). 2019 Oct 11; 7(4)Petousis-Harris H, Jiang Y, … Griffin JB
  • We aimed to evaluate the safety of maternal Tdap; thus, we assessed health events by examining the difference in birth and hospital-related outcomes of infants with and without fetal exposure to Tdap. This was a retrospective cohort study using linked administrative datasets. The study population were all live-born infants in New Zealand (NZ) weighing at least 400 g at delivery and born to women …
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