Campanha Silvia Márcia Andrade, Martinelli Roberta Lopes de Castro, Palhares Durval Batista
SerVoz - Saúde & Comunicação - Belo Horizonte (MG), Brasil.
Hospital Santa Therezinha - Brotas (SP), Brasil.
Codas. 2021 Jun 28;33(6):e20200069. doi: 10.1590/2317-1782/20202020069. eCollection 2021.
Verify the position of lips and tongue at rest in newborns with and without ankyloglossia.
Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted.
When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found.
Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.
验证有或无舌系带过短的新生儿在安静状态下嘴唇和舌头的位置。
在大学医院对130名新生儿进行横断面研究。由研究人员和医院的言语病理学家进行数据收集。收集有关胎龄、性别、体重、身高和出生天数的信息。在新生儿入睡时通过目视检查评估安静状态下嘴唇和舌头的位置。新生儿醒来后，按照经过验证的婴儿舌系带评估方案进行新生儿筛查，以检测舌系带的改变。对获得的数据进行描述，并使用卡方检验进行统计分析，以验证嘴唇与舌头位置之间的关联，并比较有或无舌系带过短情况下嘴唇和舌头的位置。使用曼-惠特尼检验来验证有或无舌系带过短的新生儿之间存在差异的变量的表现。采用5%的显著性水平。
比较数据时发现，有或无舌系带过短的新生儿在体重和身高、嘴唇和舌头位置方面存在显著差异。还发现有或无舌系带过短情况下舌头和嘴唇的位置之间存在关联。
舌系带无改变的新生儿在安静状态下倾向于嘴唇闭合且舌头抬起，而有舌系带过短的新生儿在安静状态下倾向于嘴唇分开且舌头低垂。
