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Tongue-tie

J E Wright1

  • 1Department of Paediatric Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia.

Journal of Paediatrics and Child Health
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

Tongue-tie (ankyloglossia) in children often presents with speech or mechanical issues, not feeding problems. Frenulotomy is indicated for confirmed articulation difficulties and mechanical limitations, not typically in newborns without anesthesia.

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Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Speech Pathology

Background:

  • Tongue-tie, or ankyloglossia, is a condition affecting the lingual frenulum.
  • Its impact on infant feeding, speech, and mechanical function is debated.
  • Frenulotomy is a common surgical intervention.

Purpose of the Study:

  • To review the clinical presentation of tongue-tie in children.
  • To determine appropriate indications for frenotomy.
  • To analyze outcomes from a retrospective pediatric surgical case series.

Main Methods:

  • Retrospective analysis of 287 patients with simple tongue-tie over 18 years.
  • Review of presenting symptoms and frenotomy procedures.
  • Patient follow-up at 2 weeks post-operation.

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Main Results:

  • Presenting symptoms included speech issues (32%), mechanical problems (14%), and feeding/swallowing difficulties (13%).
  • 38% of cases were asymptomatic and incidentally discovered.
  • 158 frenotomies were performed.

Conclusions:

  • Frenotomy without anesthesia in newborns is not recommended.
  • Speech difficulties are often overestimated; mechanical issues are underestimated.
  • Indications for frenotomy include confirmed articulation deficits and mechanical limitations; feeding issues are rarely improved.