舌癒着症：レビュー

Introduction Ankyloglossia (tongue-tie), is a condition marked by a shortened lingual frenulum, potentially hindering tongue mobility and function. Controversies exist among the literature and professionals regarding the classification, clinical significance, and management techniques of ankyloglossia. The role of healthcare professionals in assessing and managing ankyloglossia lacks well-defined parameters in international publications and guidelines.Aims This review aims to provide a broad overview of ankyloglossia, as well as enlighten readers on the overarching evidence surrounding the topic, to provide a comprehensive understanding of ankyloglossia, including the diagnostic classifications, management, and the demographic that benefit most from intervention.Methods This literature review was conducted based on the research on the Embase database, using keywords such as (but not limited to), 'ankyloglossia', 'speech', 'eating', 'classification', 'stomatognathic' and 'treatment'. Literature reviews, clinical studies and case reports/series were included from 2000-2024. The search was limited to English language and humans, and excluded animal studies.Results Various diagnostic classifications and treatment indications exist for ankyloglossia, outlining the need for individualised management depending on severity and demographic factors.Discussion There is a significant lack of consensus in defining and managing ankyloglossia among clinicians. There is a need for updated guidelines and a clearer evidence base to support clinical decision-making and optimise patient care.Conclusion This review underpins the imperative for robust evidence to inform the management of ankyloglossia, thereby advocating updates to national guidelines.