Effectiveness of Frenuloplasty in Ankyloglossia on Speech Quality: A Systematic Review

Authors

  • Yossy Yoanita Ariestiana 1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University - Hasanuddin University Hospital - Dental Hospital Hasanuddin University, Makassar, Indonesia https://orcid.org/0000-0003-4165-103X
  • Mohammad Gazali Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University - Hasanuddin University Hospital - Dental Hospital Hasanuddin University, Makassar, Indonesia https://orcid.org/0009-0006-9839-8361
  • Husnul Basyar Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2024.9604

Keywords:

Ankyloglossia, Articulation, Frenectomy, Frenuloplasty, Speech, Tongue tie

Abstract

BACKGROUND: Ankyloglossia, known as tongue-tie, is an inherited anomaly and is caused by a short nonelastic frenulum that causes limited tongue movement. Because of the limitations of tongue movement, it can affect the quality of speech. Ankyloglossia treatment is to divide or separate fibrous bands or frenuloplasty. The purpose of making this systematic review is to systematically review the results of frenulopasty governance in cases of ankyloglossia related to speech quality.

AIM: The aim of this systematic review is to explain the original study in patients with Ankiloglosia who underwent a frenectomy procedure on the tongue tie. This study included research evaluating results related to speech quality.

METHODS: PubMed, EMBASE, and Cochrane Databases, No restrictions on published studies until September 10, 2021. Studies are included if subjects of all ages have ankyloglossia and performed frenuloplasty procedures. The results assessed were the level of speech quality in the subjects of preoperative ankyloglossia and postoperative frenuloplasty.

RESULTS: Overall, 473 abstracts resulted from literature searches; 13 studies met the criteria for data extraction and analysis. Of the 13 studies, eight studies were Randomize control trial studies and 5 case–control studies. Three studies evaluated speech outcomes using Likert scores, 3 studies using questionnaires, and 7 studies using different assessments pre-operative and post-operative speech quality.

CONCLUSION: Frenuloplasty in subjects with ankyloglossia mostly gives good results in terms of speech quality. Improvements in articulation and mention of consonant phonation improve after frenuloplasty. Frenuloplasty with the 4 flap Z-Plasty Technique provides better results compared to conventional and horizontal vertical frenuloplasty. A long-term study of the correlation of ankyloglossia and speech difficulties and the effects of frenuloplasty is needed.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Pompéia LE, Ilinsky RS, Ortolani CL, Júnior KF. Ankyloglossia and its influence on growth and development of the stomatognathic system. Rev Paul Pediatr. 2017;35(2):216-21. https://doi.org/10.1590/1984-0462/;2017;35;2;00016 PMid:28977337 DOI: https://doi.org/10.1590/1984-0462/;2017;35;2;00016

Ata N, Alataş N, Yılmaz E, Adam AB, Gezgin B. The relationship of ankyloglossia with gender in children and the ideal timing of surgery in ankyloglossia. Ear Nose Throat J. 2021;100(3):NP158- 60. https://doi.org/10.1177/0145561319867666 PMid:31558060 DOI: https://doi.org/10.1177/0145561319867666

Segal LM, Stephenson R, Dawes M, Feldman P. Prevalence, diagnosis, and treatment of ankyloglossia: Methodologic review. Can Fam Physician. 2007;53(6):1027-33. PMid:17872781

Hansen R, MacKinlay GA, Manson WG. Ankyloglossia intervention in outpatients is safe: Our experience. Arch Dis Child. 2006;91(6):541-2. https://doi.org/10.1136/adc.2005.093245 PMid:16714735 DOI: https://doi.org/10.1136/adc.2005.093245

Manipon C. Ankyloglossia and the breastfeeding infant: Assessment and Intervention. Adv Neonatal Care. 2016;16(2):108-13. https://doi.org/10.1097/ANC.0000000000000252 PMid:27003478 DOI: https://doi.org/10.1097/ANC.0000000000000252

Brinkmann S, Reilly S, Meara JG. Management of tongue-tie in children: A survey of paediatric surgeons in Australia. J Paediatr Child Health. 2004;40(11):600-5. https://doi.org/10.1111/j.1440-1754.2004.00483.x PMid:15469527 DOI: https://doi.org/10.1111/j.1440-1754.2004.00483.x

Forlenza GP, Black NM, McNamara EG, Sullivan SE. Ankyloglossia, exclusive breastfeeding, and failure to thrive. Pediatrics. 2010;125(6):e1500-4. https://doi.org/10.1542/peds.2009-2101 PMid:20498175 DOI: https://doi.org/10.1542/peds.2009-2101

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Bmj. 2021;372:n71. https://doi.org/10.1136/bmj.n71 DOI: https://doi.org/10.1136/bmj.n71

Stone PW. Popping the (PICO) question in research and evidence-based practice. Appl Nurs Res. 2002;15(3):197-8. https://doi.org/10.1053/apnr.2002.34181 PMid:12173172 DOI: https://doi.org/10.1053/apnr.2002.34181

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097 PMid:19621072 DOI: https://doi.org/10.1371/journal.pmed.1000097

Baxter R, Merkel-Walsh R, Baxter BS, Lashley A, Rendell NR. Functional improvements of speech, feeding, and sleep after lingual frenectomy tongue-tie release: A prospective cohort study. Clin Pediatr (Phila). 202s0;59(9-10):885-92. https://doi.org/10.1177/0009922820928055 PMid:32462918 DOI: https://doi.org/10.1177/0009922820928055

Messner AH, Lalakea ML. The effect of ankyloglossia on speech in children. Otolaryngol Head Neck Surg. 2002;127(6):539-45. https://doi.org/10.1067/mhn.2002.129731 PMid:12501105 DOI: https://doi.org/10.1067/mhn.2002.129731

Salt H, Claessen M, Johnston T, Smart S. Speech production in young children with tongue-tie. Int J Pediatr Otorhinolaryngol. 2020;134:110035. https://doi.org/10.1016/j.ijporl.2020.110035 PMid:32298924 DOI: https://doi.org/10.1016/j.ijporl.2020.110035

Ito Y, Shimizu T, Nakamura T, Takatama C. Effectiveness of tongue-tie division for speech disorder in children. Pediatr Int. 2015;57(2):222-6. https://doi.org/10.1111/ped.12474 PMid:25142274 DOI: https://doi.org/10.1111/ped.12474

Daggumati S, Cohn JE, Brennan MJ, Evarts M, McKinnon BJ, Terk AR. Caregiver perception of speech quality in patients with ankyloglossia: Comparison between surgery and non-treatment. Int J Pediatr Otorhinolaryngol. 2019;119:70-4. https://doi.org/10.1016/j.ijporl.2019.01.019 PMid:30677630 DOI: https://doi.org/10.1016/j.ijporl.2019.01.019

Tripodi D, Cacciagrano G, Erocole SD, Piccari F, Maiolo A, Tieri M. Short lingual frenulum: From diagnosis to laser and speech-language therapy. Eur J Paediatr Dent. 2021;22(1):71- 4. https://doi.org/10.23804/ejpd.2021.22.01.13 PMid:33719487

Marchesan IQ, de Castro Martinelli RL, Gusmão RJ. Lingual frenulum: Changes after frenectomy. J Soc Bras Fonoaudiol. 2012;24(4):409-12. https://doi.org/10.1590/s2179-64912012000400020 PMid:23306695 DOI: https://doi.org/10.1590/S2179-64912012000400020

Kim TH, Lee YC, Yoo SD, Lee SA, Eun YG. Comparison of simple frenotomy with 4-flap Z-frenuloplasty in treatment for

ankiloglosia with articulation difficulty: A prospective randomized study. Int J Pediatr Otorhinolaryngol. 2020;136:110146. https://doi.org/10.1016/j.ijporl.2020.110146 PMid:32540779 DOI: https://doi.org/10.1016/j.ijporl.2020.110146

Walls A, Pierce M, Wang H, Steehler A, Steehler M, Harley EH Jr. Parental perception of speech and tongue mobility in three-year olds after neonatal frenotomy. Int J Pediatr Otorhinolaryngol. 2014;78(1):128-31. https://doi.org/10.1016/j.ijporl.2013.11.006 PMid:24315215 DOI: https://doi.org/10.1016/j.ijporl.2013.11.006

Camargo ZA, Marchesan IQ, Oliveira LR, Svicero MA, Pereira LC, Madureira S. Lingual frenectomy and alveolar tap production: An acoustic and perceptual study. Logoped Phoniatr Vocol. 2013;38(4):157-66. https://doi.org/10.3109/14015439.20 12.671357 PMid:23826654 DOI: https://doi.org/10.3109/14015439.2012.671357

Heller J, Gabbay J, O’Hara C, Heller M, Bradley JP. Improved ankyloglossia correction with four-flap Z-frenuloplasty. Ann Plast surg. 2005;54(6):623-8. https://doi.org/10.1097/01.sap.0000157917.91853.be PMid:15900148 DOI: https://doi.org/10.1097/01.sap.0000157917.91853.be

Puthussery FJ, Shekar K, Gulati A, Downie IP. Use of carbon dioxide laser in lingual frenectomy. Br J Oral Maxillofac Surg. 2011;49(7):580-1. https://doi.org/10.1016/j.bjoms.2010.07.010 PMid:20728254 DOI: https://doi.org/10.1016/j.bjoms.2010.07.010

Dollberg S, Manor Y, Makai E, Botzer E. Evaluation of speech intelligibility in children with tongue-tie. Acta Pædiatr. 2011;100(9):e125-7. https://doi.org/10.1111/j.1651-2227.2011.02265.x PMid:21401716 DOI: https://doi.org/10.1111/j.1651-2227.2011.02265.x

Srinivasan A, Dobrich C, Mitnick H, Feldman P, Ankyloglossia in breastfeeding infants: The effect of frenotomy on maternal nipple pain and latch. Breastfeed Med. 2006;1(4):216-24. https://doi.org/10.1089/bfm.2006.1.216 PMid:17661602 DOI: https://doi.org/10.1089/bfm.2006.1.216

Buryk M, Bloom D, Shope T, Efficacy of neonatal release of ankyloglossia: A randomized trial. Pediatrics. 2011;128(2):280- 8. https://doi.org/10.1542/peds.2011-0077 PMid:21768318 DOI: https://doi.org/10.1542/peds.2011-0077

Walsh J, Tunkel D. Diagnosis and treatment of ankyloglossia in newborns and infants: A review. JAMA Otolaryngol Head Neck Surg. 2017;143(10):1032-9. https://doi.org/10.1001/jamaoto.2017.0948 PMid:28715533 DOI: https://doi.org/10.1001/jamaoto.2017.0948

Junqueira MA, Cunha NN, E Silva LL, Araujo LB, Moretti AB, Couto CE, et al. Surgical techniques for the treatment of ankyloglossia in children: A case series. J Appl Oral Sci. 2014;22(3):241-8. https://doi.org/10.1590/1678-775720130629 PMid:25025566 DOI: https://doi.org/10.1590/1678-775720130629

Choi YS, Lim JS, Han KT, Lee WS, Kim MC. Ankyloglossia correction: Z-plasty combined with genioglossus myotomy. J Craniofac Surg. 2011;22(6):2238-40. https://doi.org/10.1097/SCS.0b013e3182320122 PMid:22134257 DOI: https://doi.org/10.1097/SCS.0b013e3182320122

Sharp HM, Hillenbrand K. Speech and language development and disorders in children. Pediatr Clin North Am. 2008;55(5):1159-73. https://doi.org/10.1016/j.pcl.2008.07.007 PMid:18929058 DOI: https://doi.org/10.1016/j.pcl.2008.07.007

Saccomanno S, Di Tullio A, D’Alatri L, Grippaudo C. Proposal for a myofunctional therapy protocol in case of altered lingual frenulum. A pilot study. Eur J Paediatr Dent. 2019;20(1):67-72. https://doi.org/10.23804/ejpd.2019.20.01.13 PMid:30919648

Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: A comparison of carbon dioxide laser and scalpel techniques. J Periodontal. 2006;77(11):1815-9. https://doi.org/10.1902/jop.2006.060043 PMid:17076605 DOI: https://doi.org/10.1902/jop.2006.060043

Wright JE. Tongue-tie. J Paediatr Child Health. 1995;31(4):276-8. https://doi.org/10.1111/j.1440-1754.1995.tb00810.x PMid:7576881 DOI: https://doi.org/10.1111/j.1440-1754.1995.tb00810.x

International Affiliation of Tongue-tie Professionals (IATP). Available from: https://www.tonguetieprofessionals.org/about-tongue-tie [Last accessed on 2018 Oct 18].

Suter VG, Bornstein MM, Ankyloglossia: Facts and myths in diagnosis and treatment. J Periodontol. 2009;80(8):1204-19. https://doi.org/10.1902/jop.2009.090086 PMid:19656020 DOI: https://doi.org/10.1902/jop.2009.090086

Kummer AW. Ankiloglossia: To clip or not to clip? That’s the question. ASHA Leader. 2005;10(17):6-30 . https://doi.org/10.1044/leader.FTR2.10172005.6 DOI: https://doi.org/10.1044/leader.FTR2.10172005.6

Downloads

Published

2024-01-27

How to Cite

1.
Ariestiana YY, Gazali M, Basyar H. Effectiveness of Frenuloplasty in Ankyloglossia on Speech Quality: A Systematic Review. Open Access Maced J Med Sci [Internet]. 2024 Jan. 27 [cited 2024 Feb. 25];12(1):12-21. Available from: https://oamjms.eu/index.php/mjms/article/view/9604

Issue

Section

Systematic Review Article

Categories