舌系带短与错[牙合]的关系。一项多中心研究。

Relationship between short lingual frenulum and malocclusion. A multicentre study.

机构信息

Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France; Service of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.

MyFace Clinics and Academy, Lisbon, Portugal.

出版信息

Acta Otorrinolaringol Esp (Engl Ed). 2022 May-Jun;73(3):177-183. doi: 10.1016/j.otoeng.2021.01.003.

DOI:10.1016/j.otoeng.2021.01.003

PMID:35577433

Abstract

OBJECTIVE

Ankyloglossia is characterized by an abnormally short lingual frenulum, which impairs tongue movement. Ankyloglossia has been related to craniofacial growth disturbances and dental malocclusion. But even though there is a clear biological plausibility for this hypothesis, available evidence is scarce.

METHODS

A case-control design was followed. Patients between 4 and 14 years old were routinely screened for short lingual frenulum and recruited from the pediatric Otolaryngology consultation of 3 Spanish tertiary referral hospitals. Lingual frenulum was assessed with the Marchesan system. A cohort of cases with short lingual frenulum and a cohort of healthy controls matched for sex and age were included. Both cases and controls had pictures of occlusion. Occlusion was evaluated by an expert in orthodontics, blinded for the frenulum assessment.

RESULTS

A total of 100 participants were included, 70 males and 30 females. The proportion of malocclusion in the short lingual frenulum group was 48%, while it was 24% in the normal frenulum group. The odds ratio of malocclusion for the short lingual frenulum patients was 2.92 (CI 95% 1.15-7.56). The difference was statistically significant (p=.012). This difference was significant for patients with class III occlusion (p=.029). There was no difference for patients with class II (p=.317).

CONCLUSIONS

This work supports the hypothesis that relates class III malocclusion with a short lingual frenulum.

摘要

目的

舌系带过短的特征是舌系带异常短，从而影响舌头的运动。舌系带过短与颅面生长障碍和牙齿错颌有关。但是，尽管这一假说具有明显的生物学合理性，但现有证据仍然缺乏。

方法

采用病例对照设计。在西班牙 3 家三级转诊医院的儿科耳鼻喉科咨询中，对 4 至 14 岁的患者进行常规筛查，以发现短舌系带，并招募这些患者入组。采用 Marchesan 系统评估舌系带。纳入一组患有短舌系带的病例和一组性别和年龄匹配的健康对照组。两组病例和对照组都有咬合的照片。由一位正畸专家对咬合进行评估，评估时不了解舌系带的评估情况。

结果

共纳入 100 名参与者，其中男性 70 名，女性 30 名。短舌系带组的错颌发生率为 48%，而正常舌系带组的错颌发生率为 24%。短舌系带患者错颌的优势比为 2.92（95%CI 1.15-7.56）。差异具有统计学意义（p=.012）。对于 III 类错颌的患者，这种差异具有统计学意义（p=.029）。而对于 II 类错颌的患者，差异无统计学意义（p=.317）。