新生儿舌系带过短的诊断：与筛查方法有关吗？
Diagnosis of ankyloglossia in newborns: is there any difference related to the screening method?
机构信息
Programa de Pós-graduação em Odontologia, Departamento de Odontologia Preventiva e Social, Faculdade de Odontologia - FOP, Universidade de Pernambuco - UPE - Camaragibe (PE), Brasil.
Departamento de Odontologia Preventiva e Social, Faculdade de Odontologia - FOP, Universidade de Pernambuco - UPE - Camaragibe (PE), Brasil.
出版信息
Codas. 2021 May 3;33(1):e20190209. doi: 10.1590/2317-1782/20202019209. eCollection 2021.
PURPOSE
To diagnose ankyloglossia in newborns and compare two lingual frenulum assessment instruments.
METHODS
This cross-sectional study was carried out in Recife, Pernambuco, Brazil, in 2018, with 147 mothers/newborns aged up to 30 days. The Bristol Tongue Assessment Tool and the Lingual Frenulum Evaluation Protocol for Infants were the instruments used. Sociodemographic data were also recorded. The two ankyloglossia diagnostic methods were compared using the McNemar test, obtaining the kappa agreement value and the confidence interval.
RESULTS
Ankyloglossia was present in 4.8% when diagnosed with the Bristol Tongue Assessment Tool, and in 17.0% with the Tongue-Tie Test. Regarding sex, 53.1% of the newborns were males and 46.9% were females; however, there was no association between ankyloglossia and the newborn's sex in either of the assessment methods.
CONCLUSION
The ankyloglossia diagnosis in newborns varied depending on the assessment instrument used.
目的
诊断新生儿舌系带过紧，并比较两种舌系带评估工具。
方法
这是 2018 年在巴西伯南布哥州累西腓进行的一项横断面研究，纳入了 147 名年龄在 30 天以内的母亲/新生儿。使用的工具为布里斯托尔舌评估工具和婴儿舌系带评估方案。还记录了社会人口统计学数据。使用 McNemar 检验比较了两种舌系带过紧的诊断方法，得出kappa 一致性值和置信区间。
结果
使用布里斯托尔舌评估工具诊断为舌系带过紧的比例为 4.8%，而使用舌系带过紧试验的比例为 17.0%。关于性别，53.1%的新生儿为男性，46.9%为女性；然而，在这两种评估方法中，舌系带过紧与新生儿的性别均无关联。
结论
新生儿舌系带过紧的诊断取决于所使用的评估工具。
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