Walls Andrew, Pierce Matthew, Wang Hongkun, Steehler Ashley, Steehler Matthew, Harley Earl H
Georgetown University School of Medicine, Washington, DC 20007, United States.
Department of Otolaryngology - Head & Neck Surgery, Georgetown University Hospital, Washington, DC 20007, United States.
Int J Pediatr Otorhinolaryngol. 2014 Jan;78(1):128-31. doi: 10.1016/j.ijporl.2013.11.006. Epub 2013 Nov 18.
The goal of this study was to evaluate parental speech outcomes and tongue mobility in children with ankyloglossia who underwent frenotomy by an otolaryngologist during the neonatal period.
Cohort study and retrospective telephone survey.
University Hospital.
Neonates previously diagnosed with congenital ankyloglossia were separated into Surgical Intervention (N=71) and No Surgical Intervention (N=15) Groups. A Control Group (N=18) of patients was identified from the hospital medical record database, which were not diagnosed with congenital ankyloglossia. A survey provided by a certified speech pathologist utilized a Likert scale to assess speech perception and tongue mobility by parental listeners. The questionnaire also analyzed oral motor activities and the medical professionals that identified the ankyloglossia shortly after birth. Statistical analyses were performed with the Wilcoxon Rank Sum Test and Fischer's Exact Test in order to determine an effect size=1.
There was significantly improved speech outcomes designated by parents in the Surgical Intervention Group when compared to the No Surgical Intervention Group [p<0.0001, p<0.0001], respectively. Furthermore, parents designated no difference in speech outcomes between the Surgical Intervention Group when analyzed against the Control Group [p=0.3781, p<0.2499], respectively.
There was a statistically significant improvement in speech outcomes and tongue mobility in children who underwent frenotomy compared to individuals who declined the operation. As a result of the data presented within this study, there appears to be a long-term benefit beyond feeding when frenotomy is performed in newborns with ankyloglossia.
本研究的目的是评估在新生儿期由耳鼻喉科医生进行舌系带切开术的舌系带过短儿童的父母言语结果和舌头活动度。
队列研究和回顾性电话调查。
大学医院。
先前被诊断为先天性舌系带过短的新生儿被分为手术干预组（N = 71）和非手术干预组（N = 15）。从医院病历数据库中确定了一个对照组（N = 18），这些患者未被诊断为先天性舌系带过短。由认证言语病理学家提供的一项调查使用李克特量表来评估父母听众对言语的感知和舌头活动度。问卷还分析了口腔运动活动以及在出生后不久确定舌系带过短的医学专业人员。使用Wilcoxon秩和检验和费舍尔精确检验进行统计分析，以确定效应大小 = 1。
与非手术干预组相比，手术干预组中父母指定的言语结果有显著改善，分别为[p < 0.0001，p < 0.0001]。此外，当将手术干预组与对照组进行分析时，父母指定的言语结果没有差异，分别为[p = 0.3781，p < 0.2499]。
与拒绝手术的个体相比，接受舌系带切开术的儿童在言语结果和舌头活动度方面有统计学上的显著改善。根据本研究中提供的数据，对患有舌系带过短的新生儿进行舌系带切开术似乎除了喂养之外还有长期益处。
