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通过一种新型超声技术评估舌系带过短新生儿的母乳喂养动态。

Evaluation of the Breastfeeding Dynamics of Neonates with Ankyloglossia via a Novel Ultrasonographic Technique.

作者信息

Alan Arzu, Orhan Ayse Isil, Orhan Kaan

机构信息

Ankara 75th Year Oral and Dental Health Hospital, Ministry of Health, Ankara 06230, Türkiye.

Department of Pediatric Dentistry, Faculty of Dentistry, Ankara Yildirim Beyazit University, Ankara 06220, Türkiye.

出版信息

Diagnostics (Basel). 2023 Nov 13;13(22):3435. doi: 10.3390/diagnostics13223435.

Abstract

To effectively address breastfeeding issues for neonates and mothers, one must understand the physiology of breastfeeding and the anatomical components involved in sucking, swallowing, and respiration. This study compared the tongue position and movement of neonates with tongue ties versus healthy controls during sucking. A new objective ultrasonography diagnostic approach was also introduced for the orofacial region. This retrospective study evaluated B-mode and M-mode ultrasonography images from 30 neonates clinically diagnosed with tongue tie, and a control group of 30 neonates. B-mode ultrasound images were used to examine several characteristics to locate the nipple in the oral cavity during breastfeeding. Anatomic M-mode ultrasound images were used to assess tongue movement during sucking. The nipple moved farther from the intersection of the hard and soft palates during the sucking cycle in the ankyloglossia group than in the control group ( < 0.05). Compared to the control group, neonates with ankyloglossia have a lower capacity to lift the anterior tongue toward the palate when sucking ( < 0.05). There was no significant difference in tongue movement metrics between the two groups ( > 0.05). Our findings were consistent with earlier research. The novel measurement method will offer a new perspective on breastfeeding.

摘要

为有效解决新生儿和母亲的母乳喂养问题,必须了解母乳喂养的生理学以及吸吮、吞咽和呼吸过程中涉及的解剖结构。本研究比较了舌系带过短的新生儿与健康对照组在吸吮时的舌头位置和运动情况。还引入了一种针对口面部区域的新型超声诊断方法。这项回顾性研究评估了30例临床诊断为舌系带过短的新生儿以及30例新生儿对照组的B超和M超图像。B超图像用于检查母乳喂养期间定位口腔内乳头的几个特征。解剖M超图像用于评估吸吮时的舌头运动。与对照组相比,舌系带过短组在吸吮周期中乳头离开硬腭与软腭交界处的距离更远(<0.05)。与对照组相比,舌系带过短的新生儿在吸吮时将舌头前部向上抬向腭部的能力较低(<0.05)。两组之间的舌头运动指标没有显著差异(>0.05)。我们的研究结果与早期研究一致。这种新的测量方法将为母乳喂养提供新的视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a11/10670838/b648e2435be7/diagnostics-13-03435-g001.jpg

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