School of Women's and Children's Health, University of New South Wales, Randwick, NSW, Australia.
PPP Theme, UCL and Great Ormond Street Institute of Child Health, London, UK.
Acta Paediatr. 2018 Oct;107(10):1733-1738. doi: 10.1111/apa.14242. Epub 2018 Feb 19.
The diagnosis of tongue-tie (or ankyloglossia) has increased more than 10-fold in some countries. Whether this is a global phenomenon or related to cultural and professional differences is uncertain.
An online survey in English, Japanese, Chinese and Spanish was disseminated between May and November 2016 via 27 international professional bodies to >30 clinical professions chosen a priori to represent occupations involved in the management of neonatal ankyloglossia.
A total of 1721 responses came from nursing (51%), medical (40%), dental (6%) and allied health (4%) clinicians. Nurses (40%) and allied health (34%) professionals were more likely than doctors (8%) to consider ankyloglossia as important for lactation problems, as were western (83%) compared to Asian (52%) clinicians. Referrals to clinicians for ankyloglossia management originated mainly from parents (38%). Interprofessional referrals were not clearly defined. Frenectomies were most likely to be performed by surgeons (65%) and dentists (35%), who were also less likely to be involved in lactation support. Clinicians performing frenectomies were more likely to consider analgesia as important compared to those not performing frenectomies.
The diagnosis and treatment of ankyloglossia vary considerably around the world and between professions. Efforts to standardise management are required.
在一些国家，舌系带（或舌粘连）的诊断增加了 10 多倍。这种情况是全球性现象还是与文化和专业差异有关尚不确定。
2016 年 5 月至 11 月期间，通过 27 个国际专业机构，以英文、日文、中文和西班牙文在线发布了一项调查，调查对象是预先选择的 30 种临床职业，代表了与管理新生儿舌系带粘连有关的职业。
共有来自护理（51%）、医疗（40%）、牙科（6%）和联合健康（4%）专业人员的 1721 名人员做出了回应。与医生（8%）相比，护士（40%）和联合健康（34%）专业人员更认为舌系带粘连与哺乳问题有关，西方（83%）临床医生比亚洲（52%）临床医生更认为舌系带粘连与哺乳问题有关。向医生转诊进行舌系带粘连管理的主要来自家长（38%）。跨专业转诊的定义并不明确。大多数外科医生（65%）和牙医（35%）最有可能进行系带切除术，他们也较少参与哺乳支持。与不进行系带切除术的医生相比，进行系带切除术的医生更认为使用止痛药很重要。
世界各地和不同专业之间的舌系带粘连的诊断和治疗存在很大差异。需要努力使管理标准化。
