Lingual frenulum protocol with scores for infants.

@article{Martinelli2012LingualFP,
  title={Lingual frenulum protocol with scores for infants.},
  author={Roberta Lopes de Castro Martinelli and Irene Queiroz Marchesan and Gi{\'e}dre Berretin-F{\'e}lix},
  journal={The International journal of orofacial myology : official publication of the International Association of Orofacial Myology},
  year={2012},
  volume={38},
  pages={
          104-12
        }
}
An experimental protocol model for frenulum evaluation was first designed, and administered to ten infants in 2010. [] Key Method From the experimental protocol model, a new protocol was designed. One speech-language pathologist, and specialist in orofacial myology, administered the new protocol to 100 full-term infants. All steps of the protocol were recorded and photographed. The data collected was sent to two specialists in the area, who evaluated the cases based on the recordings and photographs.

Estudo longitudinal das características anatômicas do frênulo lingual comparado com afirmações da literatura

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Changes concerning lingual frenulum thickness, attachment to the tongue and to the floor of the mouth were not observed in the 71 infants during the first year of life, contrary to what has been stated in the literature.

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It is observed that the symptoms concerning breastfeeding and sucking/swallowing/breathing coordination were improved after lingual frenotomy, changes were observed in the breastfeeding patterns of the the tongue-tied infants while the control group maintained the same patterns.

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Lack of formalized training, professional consensus about best practices, and insufficient resources for assessing and treating tongue-tie led participants to incomplete referral pathways and personal interpretations of the data through the lens of anecdotal evidence.

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TLDR
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Multidisciplinary management of ankyloglossia in childhood. Treatment of 101 cases. A protocol

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A descriptive study of healthy patients, without any diagnosis of syndrome, ranging between 4 and 14 years that have been surgically treated and rehabilitated post-surgery within a period of 2 years, presents the protocol of action for the treatment of ankyloglossia.

References

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Protocolo de avaliação do frênulo da língua

TLDR
The lingual frenum protocol with score seemed to be efficient to differentiating altered and normal lingual Frenum in the oral functions.

Lingual frenulum: quantitative evaluation proposal.

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  • Medicine
    The International journal of orofacial myology : official publication of the International Association of Orofacial Myology
  • 2005
TLDR
Observations indicated that the most useful and statistically significant way of measuring frenulum length was achieved with maximum mouth opening and the tongue tip on the incisal papilla.

Ankyloglossia: facts and myths in diagnosis and treatment.

TLDR
The lack of an accepted definition and classification of ankyloglossia makes comparisons between studies almost impossible and it also remains controversial which tongue-ties need to be surgically removed and which can be left to observation.

Ankyloglossia: the adolescent and adult perspective.

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The Effect of Ankyloglossia on Speech in Children

  • A. MessnerM. L. Lalakea
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2002
TLDR
Tonga mobility and speech improve significantly after frenuloplasty in children with ankyloglossia who have articulation problems, and postoperative evaluation in 15 of these children showed improvement in articulation.

Ankyloglossia: incidence and associated feeding difficulties.

TLDR
Ankyloglossia, which is a relatively common finding in the newborn population, adversely affects breastfeeding in selected infants.

Frenulotomy for Breastfeeding Infants With Ankyloglossia: Effect on Milk Removal and Sucking Mechanism as Imaged by Ultrasound

TLDR
Infants with ankyloglossia experiencing persistent breastfeeding difficulties showed less compression of the nipple by the tongue postfrenulotomy, which was associated with improved breastfeeding defined as better attachment, increased milk transfer, and less maternal pain.

Prevalence, diagnosis, and treatment of ankyloglossia: methodologic review.

TLDR
Diagnostic criteria for ankyloglossia are needed to allow for comparative studies of treatment, and Frenotomy is likely an effective treatment, but further randomized controlled trials are necessary to confirm this.

Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad.

TLDR
Careful assessment of the lingual function, followed by frenuloplasty when indicated, seems to be a successful approach to the facilitation of breastfeeding in the presence of significant ankyloglossia.

Sucking characteristics of successfully breastfeeding infants with ankyloglossia: a case series

TLDR
Although these infants with ankyloglossia had intra-oral vacuums outside the normal range, they were able to obtain enough milk to grow satisfactorily and none of the mothers experienced nipple pain during feeding.