Brookes Alastair, Bowley Douglas M
Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham B9 5SS, United Kingdom.
Early Hum Dev. 2014 Nov;90(11):765-8. doi: 10.1016/j.earlhumdev.2014.08.021. Epub 2014 Sep 23.
Tongue tie or ankyloglossia is a congenital variation characterised by a short lingual frenulum which may result in restriction of tongue movement and thus impact on function. Tongue tie division (frenotomy) in affected infants with breastfeeding problems yields objective improvements in milk production and breastfeeding characteristics, including objective scoring measures, weight gain and reductions in maternal pain. For the majority of mothers, frenotomy appears to enhance maintenance of breastfeeding. Tongue tie division is a safe procedure with minimal complications. The commonest complication is minor bleeding. Recurrence leading to redivision occurs with rates of 0.003-13% reported; this appears to be more common with posterior than anterior ties. There are limited reports indicating that prophylactic frenotomy may promote subsequent speech development; however, evidence is currently insufficient to condone this practice and further good quality research into this area is warranted.
舌系带过短或舌粘连是一种先天性变异，其特征是舌系带短，这可能会导致舌头运动受限，从而影响功能。对有母乳喂养问题的患病婴儿进行舌系带切开术（舌系带切除术）可客观改善乳汁分泌和母乳喂养特征，包括客观评分指标、体重增加以及减轻母亲疼痛。对大多数母亲来说，舌系带切开术似乎有助于维持母乳喂养。舌系带切开术是一种安全的手术，并发症极少。最常见的并发症是轻微出血。导致再次切开的复发率报告为0.003% - 13%；后位舌系带过短似乎比前位更常见。仅有有限的报告表明预防性舌系带切开术可能促进后续语言发育；然而，目前证据不足，无法认可这种做法，因此有必要对该领域进行进一步的高质量研究。
