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Ankyloglossia: controversies in management.

A H Messner1, M L Lalakea

  • 1Division of Otolaryngology/Head and Neck Surgery, Stanford University, Packard Childrens Hospital at Stanford, 725 Welch Road, Palo Alto, CA 94303, USA. anna.messner@medcenter.stanford.edu

International Journal of Pediatric Otorhinolaryngology
|September 1, 2000
PubMed
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Beliefs about tongue-tie (ankyloglossia) vary significantly among healthcare professionals. While lactation consultants often link it to feeding issues, pediatricians are less convinced, highlighting controversy in its management.

Area of Science:

  • Pediatric medicine
  • Speech-language pathology
  • Lactation consulting
  • Otolaryngology

Background:

  • Ankyloglossia, commonly known as tongue-tie, is a condition affecting the lingual frenulum.
  • There is ongoing debate regarding the clinical significance and appropriate management of ankyloglossia.

Purpose of the Study:

  • To investigate and document current professional beliefs about ankyloglossia.
  • To understand differing perspectives on the association between tongue-tie and various functional issues.
  • To assess treatment recommendations among different medical specialties.

Main Methods:

  • An anonymous written survey was distributed to four professional groups: otolaryngologists (OTO), pediatricians (PD), speech pathologists (SP), and lactation consultants (LC).

Related Experiment Videos

  • Response rates varied across groups, with LCs at 58% and PDs at 55% being the highest.
  • The survey collected data on participants' beliefs regarding the impact of ankyloglossia and their treatment approaches.

    • Main Results:

    • Lactation consultants (69%) were more likely than physicians to believe tongue-tie is associated with feeding problems.
    • A majority of OTOs (60%) and SPs (50%) believed tongue-tie can cause speech difficulties, compared to only 23% of PDs.
    • Surgical intervention for ankyloglossia was recommended more frequently by OTOs than PDs for feeding, speech, and social/mechanical issues.

    Conclusions:

    • The clinical significance of ankyloglossia in children is a subject of considerable controversy.
    • Discrepancies in beliefs and treatment recommendations exist both within and between professional disciplines.
    • Further research may be needed to establish consensus on the diagnosis and management of ankyloglossia.