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Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study
Journal article   Open access   Peer reviewed

Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study

Srihari Daggumati, Jason E. Cohn, Matthew J. Brennan, Marissa Evarts, Brian J. McKinnon and Alyssa R. Terk
OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation, v 3(1), pp 2473974X19826943-n/a
Jan 2019
DOI: https://doi.org/10.1177/2473974X19826943
PMID: 31236536
url
https://doi.org/10.1177/2473974x19826943View
Published, Version of Record (VoR)CC BY-NC V4.0,  Open
url
https://doi.org/10.1177/2473974X19826943View
Published, Version of Record (VoR) Open

Abstract

ankyloglossia frenulectomy frenulum pediatric otolaryngology speech tongue‐tie
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.

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