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舌系带切除术(舌系带松解术)后言语、进食和睡眠功能的改善:一项前瞻性队列研究。

Functional Improvements of Speech, Feeding, and Sleep After Lingual Frenectomy Tongue-Tie Release: A Prospective Cohort Study.

作者信息

Baxter Richard, Merkel-Walsh Robyn, Baxter Barbara Stark, Lashley Ashley, Rendell Nicholas R

机构信息

Alabama Tongue-Tie Center, Pelham, AL, USA.

TalkTools, Charleston, SC, USA.

出版信息

Clin Pediatr (Phila). 2020 Sep;59(9-10):885-892. doi: 10.1177/0009922820928055. Epub 2020 May 28.

Abstract

Recent studies suggest that speech, solid feeding, and sleep difficulties may be linked to restricted tongue function. Children with tongue restrictions and speech, feeding, and sleep issues underwent lingual frenectomies with a CO laser, paired with myofunctional exercises. Questionnaires were completed before, 1 week after, and 1 month following treatment. Thirty-seven patients participated in the study (mean age 4.2 years [range 13 months to 12 years]). Overall, speech improved in 89%, solid feeding improved in 83%, and sleep improved in 83% of patients as reported by parents. Fifty percent (8/16) of speech-delayed children said new words after the procedure ( = .008), 76% (16/21) of slow eaters ate more rapidly ( < .001), and 72% (23/32) of restless sleepers slept less restlessly ( < .001). After tongue-tie releases paired with exercises, most children experience functional improvements in speech, feeding, and sleep. Providers should screen for oral restrictions in children and refer for treatment when functions are impaired.

摘要

近期研究表明,言语、固体食物喂养及睡眠困难可能与舌功能受限有关。患有舌功能受限及言语、喂养和睡眠问题的儿童接受了二氧化碳激光舌系带切除术,并配合肌功能训练。在治疗前、治疗后1周及治疗后1个月完成问卷调查。37名患者参与了该研究(平均年龄4.2岁[范围为13个月至12岁])。总体而言,据家长报告,89%的患者言语能力得到改善,83%的患者固体食物喂养情况得到改善,83%的患者睡眠情况得到改善。50%(8/16)言语发育迟缓的儿童在手术后说出了新单词(P = 0.008),76%(16/21)进食慢的儿童进食速度加快(P < 0.001),72%(23/32)睡眠不安稳的儿童睡眠不安稳情况有所改善(P < 0.001)。在进行舌系带松解术并配合训练后,大多数儿童在言语、喂养和睡眠方面的功能得到改善。医疗服务提供者应筛查儿童的口腔功能受限情况,并在功能受损时转诊进行治疗。

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